PMID- 33390799 OWN - NLM STAT- MEDLINE DCOM- 20210913 LR - 20210913 IS - 1449-1907 (Electronic) IS - 1449-1907 (Linking) VI - 18 IP - 2 DP - 2021 TI - FTY720 Reduces Endothelial Cell Apoptosis and Remodels Neurovascular Unit after Experimental Traumatic Brain Injury. PG - 304-313 LID - 10.7150/ijms.49066 [doi] AB - Traumatic brain injury (TBI) is a major cause of death and disability worldwide. A sequence of pathological processes occurred when there is TBI. Previous studies showed that sphingosine-1-phosphate receptor 1 (S1PR1) played a critical role in inflammatory response in the brain after TBI. Thus, the present study was designed to evaluate the effects of the S1PR1 modulator FTY720 on neurovascular unit (NVU) after experimental TBI in mice. The weight-drop TBI method was used to induce TBI. Western blot (WB) was performed to determine the levels of SIPR1, claudin-5 and occludin at different time points. FTY720 was intraperitoneally administered to mice after TBI was induced. The terminal deoxynucleotidyl transferase-dUTP nick end labeling (TUNEL) assay was used to assess endothelial cell apoptosis. Immunofluorescence and WB were performed to measure the expression of tight junction proteins: claudin-5 and occludin. Evans blue (EB) permeability assay and brain water content were applied to evaluate the blood-brain barrier (BBB) permeability and brain edema. Immunohistochemistry was performed to assess the activation of astrocytes and microglia. The results showed that FTY720 administration reduced endothelial cell apoptosis and improved BBB permeability. FTY720 also attenuated astrocytes and microglia activation. Furthermore, treatment with FTY720 not only improved neurological function, but also increased the survival rate of mice significantly. These findings suggest that FTY720 administration restored the structure of the NVU after experimental TBI by decreasing endothelial cell apoptosis and attenuating the activation of astrocytes. Moreover, FTY720 might reduce inflammation in the brain by reducing the activation of microglia in TBI mice. CI - (c) The author(s). FAU - Cheng, Hao AU - Cheng H AD - Department of Neurosurgery, Yijishan Hospital, Wannan Medical College, Anhui, China. FAU - Di, Guangfu AU - Di G AD - Department of Neurosurgery, Yijishan Hospital, Wannan Medical College, Anhui, China. FAU - Gao, Chao-Chao AU - Gao CC AD - Department of Neurosurgery, Jinling Hospital, Jinling School of Clinical Medicine, Nanjing Medical University, Jiangsu, China. FAU - He, Guoyuan AU - He G AD - Department of Neurosurgery, Yijishan Hospital, Wannan Medical College, Anhui, China. FAU - Wang, Xue AU - Wang X AD - Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Jiangsu, China. FAU - Han, Yan-Ling AU - Han YL AD - Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Jiangsu, China. FAU - Sun, Le-An AU - Sun LA AD - Department of Neurosurgery, Yijishan Hospital, Wannan Medical College, Anhui, China. FAU - Zhou, Meng-Liang AU - Zhou ML AD - Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Jiangsu, China. FAU - Jiang, Xiaochun AU - Jiang X AD - Department of Neurosurgery, Yijishan Hospital, Wannan Medical College, Anhui, China. LA - eng PT - Journal Article DEP - 20210101 PL - Australia TA - Int J Med Sci JT - International journal of medical sciences JID - 101213954 RN - G926EC510T (Fingolimod Hydrochloride) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Astrocytes/*drug effects/pathology MH - Blood-Brain Barrier/cytology/*drug effects/pathology MH - Brain Injuries, Traumatic/*drug therapy/pathology MH - Capillary Permeability/drug effects MH - Disease Models, Animal MH - Endothelial Cells/*drug effects/pathology MH - Fingolimod Hydrochloride/*administration & dosage MH - Humans MH - Injections, Intraperitoneal MH - Mice MH - Mice, Inbred ICR PMC - PMC7757143 OTO - NOTNLM OT - FTY720 OT - blood-brain barrier OT - endothelial cell OT - sphingosine-1-phosphate receptor 1 OT - traumatic brain injury COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2021/01/05 06:00 MHDA- 2021/09/14 06:00 PMCR- 2021/01/01 CRDT- 2021/01/04 05:25 PHST- 2020/06/03 00:00 [received] PHST- 2020/11/05 00:00 [accepted] PHST- 2021/01/04 05:25 [entrez] PHST- 2021/01/05 06:00 [pubmed] PHST- 2021/09/14 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - ijmsv18p0304 [pii] AID - 10.7150/ijms.49066 [doi] PST - epublish SO - Int J Med Sci. 2021 Jan 1;18(2):304-313. doi: 10.7150/ijms.49066. eCollection 2021.