Identification of a choroid plexus vascular barrier closing during intestinal inflammation

Science. 2021 Oct 22;374(6566):439-448. doi: 10.1126/science.abc6108. Epub 2021 Oct 21.

Abstract

Up to 40% of patients with inflammatory bowel disease present with psychosocial disturbances. We previously identified a gut vascular barrier that controls the dissemination of bacteria from the intestine to the liver. Here, we describe a vascular barrier in the brain choroid plexus (PVB) that is modulated in response to intestinal inflammation through bacteria-derived lipopolysaccharide. The inflammatory response induces PVB closure after gut vascular barrier opening by the up-regulation of the wingless-type, catenin-beta 1 (Wnt/β-catenin) signaling pathway, rendering it inaccessible to large molecules. In a model of genetically driven closure of choroid plexus endothelial cells, we observed a deficit in short-term memory and anxiety-like behavior, suggesting that PVB closure may correlate with mental deficits. Inflammatory bowel disease–related mental symptoms may thus be the consequence of a deregulated gut–brain vascular axis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anxiety / etiology
  • Anxiety / physiopathology
  • Blood-Brain Barrier / pathology
  • Choroid Plexus / blood supply*
  • Choroid Plexus / physiopathology*
  • Colitis, Ulcerative / complications
  • Colitis, Ulcerative / physiopathology*
  • Colitis, Ulcerative / psychology*
  • Dextrans
  • Disease Models, Animal
  • Humans
  • Intestines / physiopathology*
  • Lipopolysaccharides
  • Memory Disorders / etiology
  • Memory Disorders / physiopathology*
  • Memory, Short-Term*
  • Mice
  • Mice, Inbred C57BL
  • Microglia / pathology
  • Signal Transduction
  • Tight Junctions / pathology
  • Wnt Proteins / metabolism
  • beta Catenin / metabolism

Substances

  • Dextrans
  • Lipopolysaccharides
  • Wnt Proteins
  • beta Catenin