The CLDN5 gene at the blood-brain barrier in health and disease.


Journal

Fluids and barriers of the CNS
ISSN: 2045-8118
Titre abrégé: Fluids Barriers CNS
Pays: England
ID NLM: 101553157

Informations de publication

Date de publication:
28 Mar 2023
Historique:
received: 09 01 2023
accepted: 14 03 2023
medline: 30 3 2023
entrez: 28 3 2023
pubmed: 29 3 2023
Statut: epublish

Résumé

The CLDN5 gene encodes claudin-5 (CLDN-5) that is expressed in endothelial cells and forms tight junctions which limit the passive diffusions of ions and solutes. The blood-brain barrier (BBB), composed of brain microvascular endothelial cells and associated pericytes and end-feet of astrocytes, is a physical and biological barrier to maintain the brain microenvironment. The expression of CLDN-5 is tightly regulated in the BBB by other junctional proteins in endothelial cells and by supports from pericytes and astrocytes. The most recent literature clearly shows a compromised BBB with a decline in CLDN-5 expression increasing the risks of developing neuropsychiatric disorders, epilepsy, brain calcification and dementia. The purpose of this review is to summarize the known diseases associated with CLDN-5 expression and function. In the first part of this review, we highlight the recent understanding of how other junctional proteins as well as pericytes and astrocytes maintain CLDN-5 expression in brain endothelial cells. We detail some drugs that can enhance these supports and are being developed or currently in use to treat diseases associated with CLDN-5 decline. We then summarise mutagenesis-based studies which have facilitated a better understanding of the physiological role of the CLDN-5 protein at the BBB and have demonstrated the functional consequences of a recently identified pathogenic CLDN-5 missense mutation from patients with alternating hemiplegia of childhood. This mutation is the first gain-of-function mutation identified in the CLDN gene family with all others representing loss-of-function mutations resulting in mis-localization of CLDN protein and/or attenuated barrier function. Finally, we summarize recent reports about the dosage-dependent effect of CLDN-5 expression on the development of neurological diseases in mice and discuss what cellular supports for CLDN-5 regulation are compromised in the BBB in human diseases.

Identifiants

pubmed: 36978081
doi: 10.1186/s12987-023-00424-5
pii: 10.1186/s12987-023-00424-5
pmc: PMC10044825
doi:

Substances chimiques

Claudin-5 0
CLDN5 protein, human 0
Cldn5 protein, mouse 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

22

Subventions

Organisme : European Research Council
ID : 864522
Pays : International
Organisme : Science Foundation Ireland
ID : SFI/TCD 21/SPP/3732
Pays : Ireland

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2023. The Author(s).

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Auteurs

Yosuke Hashimoto (Y)

Trinity College Dublin, Smurfit Institute of Genetics, Dublin, D02 VF25, Ireland. HASHIMOY@tcd.ie.

Chris Greene (C)

Trinity College Dublin, Smurfit Institute of Genetics, Dublin, D02 VF25, Ireland.

Arnold Munnich (A)

Institut Imagine, INSERM UMR1163, Université Paris Cité, Paris, F-75015, France.
Departments of Pediatric Neurology and Medical Genetics, Hospital Necker Enfants Malades, Université Paris Cité, Paris, F-75015, France.

Matthew Campbell (M)

Trinity College Dublin, Smurfit Institute of Genetics, Dublin, D02 VF25, Ireland. matthew.campbell@tcd.ie.

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