Alpha syntrophin deletion removes the perivascular but not the endothelial pool of aquaporin‐4 at the blood‐brain barrier and delays the development of brain edema in an experimental model of acute hyponatremia

The formation of brain edema, commonly occurring as a potentially lethal complication of acute hyponatremia, is delayed following knockout of the water channel aquaporin‐4 (AQP4). Here we show by high‐resolution immunogold analysis of the blood–brain‐barrier that AQP4 is expressed in brain endotheli...

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Veröffentlicht in:The FASEB journal 2004-03, Vol.18 (3), p.542-544
Hauptverfasser: Amiry‐Moghaddam, Mahmood, Xue, Rong, Haug, Finn‐Mogens, Neely, John D., Bhardwaj, Anish, Agre, Peter, Adams, Marvin E., Froehner, Stanley C., Mori, Susumu, Ottersen, Ole P.
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container_title The FASEB journal
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creator Amiry‐Moghaddam, Mahmood
Xue, Rong
Haug, Finn‐Mogens
Neely, John D.
Bhardwaj, Anish
Agre, Peter
Adams, Marvin E.
Froehner, Stanley C.
Mori, Susumu
Ottersen, Ole P.
description The formation of brain edema, commonly occurring as a potentially lethal complication of acute hyponatremia, is delayed following knockout of the water channel aquaporin‐4 (AQP4). Here we show by high‐resolution immunogold analysis of the blood–brain‐barrier that AQP4 is expressed in brain endothelial cells as well as in the perivascular membranes of astrocyte endfeet. A selective removal of perivascular AQP4 by α‐syntrophin deletion delays the buildup of brain edema (assessed by Diffusion‐weighted MRI) following water intoxication, despite the presence of a normal complement of endothelial AQP4. This indicates that the perivascular membrane domain, which is peripheral to the endothelial blood–brain barrier, may control the rate of osmotically driven water entry. This study is also the first to demonstrate that the time course of edema development differs among brain regions, probably reflecting differences in aquaporin‐4 distribution. The resolution of the molecular basis and subcellular site of osmotically driven brain water uptake should help design new therapies for acute brain edema.
doi_str_mv 10.1096/fj.03-0869fje
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identifier ISSN: 0892-6638
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subjects Animals
AQP4
Aquaporin 4
Aquaporins - deficiency
Aquaporins - physiology
Astrocytes - metabolism
Blood-Brain Barrier - physiology
blood‐brain‐barrier
Brain edema
Brain Edema - etiology
Brain Edema - metabolism
Brain Edema - physiopathology
Calcium-Binding Proteins
Cell Membrane - metabolism
Cell Polarity
Cell Surface Extensions - metabolism
Cerebellum - metabolism
Corpus Striatum - metabolism
endothelia
Homeostasis
Hyponatremia - complications
Membrane Proteins - deficiency
Membrane Proteins - genetics
Membrane Proteins - physiology
Mice
Mice, Knockout
Muscle Proteins - deficiency
Muscle Proteins - genetics
Muscle Proteins - physiology
Neocortex - metabolism
Organ Specificity
Syntrophin
Water - metabolism
water channel
title Alpha syntrophin deletion removes the perivascular but not the endothelial pool of aquaporin‐4 at the blood‐brain barrier and delays the development of brain edema in an experimental model of acute hyponatremia
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