Plasma from healthy donors protects blood-brain barrier integrity via FGF21 and improves the recovery in a mouse model of cerebral ischaemia.

Abstract

BACKGROUND:

Healthy plasma therapy reverses cognitive deficits and promotes neuroplasticity in ageing brain disease. However, whether healthy plasma therapy improve blood-brain barrier integrity after stroke remains unknown.

METHODS:

Here, we intravenously injected healthy female mouse plasma into adult female ischaemic stroke C57BL/6 mouse induced by 90 min transient middle cerebral artery occlusion for eight consecutive days. Infarct volume, brain atrophy and neurobehavioural tests were examined to assess the outcomes of plasma treatment. Cell apoptosis, blood-brain barrier integrity and fibroblast growth factor 21 knockout mice were used to explore the underlying mechanism.

RESULTS:

Plasma injection improved neurobehavioural recovery and decreased infarct volume, brain oedema and atrophy after stroke. Immunostaining showed that the number of transferase dUTP nick end labelling+/NeuN+ cells decreased in the plasma-injected group. Meanwhile, plasma injection reduced ZO-1, occluding and claudin-5 tight junction gap formation and IgG extravasation at 3 days after ischaemic stroke. Western blot results showed that the FGF21 expression increased in the plasma-injected mice. However, using FGF21 knockout mouse plasma injecting to the ischaemic wild-type mice diminished the neuroprotective effects.

CONCLUSIONS:

Our study demonstrated that healthy adult plasma treatment protected the structural and functional integrity of blood-brain barrier, reduced neuronal apoptosis and improved functional recovery via FGF21, opening a new avenue for ischaemic stroke therapy.

• Authors: Muyassar Mamtilahun, Lu Jiang, Yaying Song, Xiaojing Shi, Chang Liu, Yixu Jiang, Lidong Deng, Haoran Zheng, Hui Shen, Yongfang Li, Zhijun Zhang, Yongting Wang, Yaohui Tang, Guo-Yuan Yang
• Journal: Stroke and vascular neurology (Stroke Vasc Neurol) Vol. 6 Issue 4 Pg. 561-571 (12 2021) ISSN: 2059-8696 [Electronic] England
• PMID: 33785536 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Chemical References

• fibroblast growth factor 21
• Fibroblast Growth Factors

Topics

• Animals
• Blood-Brain Barrier
• Brain Ischemia
• Female
• Fibroblast Growth Factors
• Infarction, Middle Cerebral Artery
• Mice
• Mice, Inbred C57BL
• Stroke