The blood-brain barrier (BBB) plays a vital role in diseases of the central nervous system (CNS). Dysfunction of the BBB is common to several neurological disorders, including stroke, epilepsy, Alzheimer?s disease, and brain tumors, where brain endothelial cells (BECs) lose barrier properties, gain fenestrations, and increase permeability. Significantly, the BBB prevents the free exchange of many therapeutic agents, presenting a challenging problem for the treatment of many neurological diseases. Conversely, when the BBB is compromised in diseases such as neurodegenerative disorders, brain tumors, stroke, and multiple sclerosis, inflammatory conditions often result in the infiltration of peripheral immune cells, contributing to the pathology of the disease. Therefore, a fundamental understanding of BBB formation is essential to provide therapeutic insights into treating these diseases. During BBB development, there is a coordinated effort between CNS angiogenesis and barriergenesis (i.e. the acquisition of BBB properties). While both processes are dependent upon signals within the developing CNS, the precise molecular and cellular mechanisms that drive BBB formation are only beginning to be elucidated. Our overall objective is to bridge the gap in this knowledge. Our proposal is innovative because we: 1) identified zebrafish mutants with defective brain vasculature; 2) demonstrated that canonical Wnt signaling is sufficient for barriergenesis in the absence of Vegf signaling; 3) determined that activated canonical Wnt signaling in neural progenitor cells inhibits CNS angiogenesis; and 4) identified regulatory elements that may suppress fenestrations in BECs. Based upon our compelling preliminary studies, our central hypothesis is that canonical Wnt signaling regulates Vegf signaling and the acquisition of barrier properties in BECs using both cell autonomous and cell non-autonomous mechanisms.
Our specific aims will test the following hypotheses:
(Aim 1) canonical Wnt signaling regulates cell autonomous Vegf signaling in BECs, but that Vegf signaling can drive CNS angiogenesis in the absence of canonical Wnt signaling;
(Aim 2) activated canonical Wnt signaling in neural progenitor cells inhibits the development of the BBB;
and (Aim 3) regulatory elements within the plvap promoter suppress fenestrations in BECs, but not peripheral endothelial cells. Our proposed studies establish an innovative approach to discover new insights into the molecular and cellular mechanisms that regulate CNS angiogenesis and barriergenesis. Our long-term goals are to use this information to develop new strategies that permit the controlled access of therapeutic agents into the CNS and repair damaged or dysfunctional barriers associated with the pathology of neurological diseases.

Public Health Relevance

The proposed research is relevant to the public health because the blood-brain barrier poses a significant obstacle for treating diseases of the central nervous system, representing an enormous national cost as measured by both patient suffering and economic burden. Upon completion of this research, we will understand the genetic factors that regulate the formation and function of the blood-brain barrier. These discoveries will provide new opportunities for the treatment of neurological diseases.

National Institute of Health (NIH)
National Institute of Neurological Disorders and Stroke (NINDS)
Research Project (R01)
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Special Emphasis Panel (ZRG1)
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Koenig, James I
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University of Wisconsin Madison
Schools of Pharmacy
United States
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