Abstract

As part of the extracellular matrix (ECM), perineuronal nets (PNs) are polyanionic, chondroitin sulfate proteoglycan (CSPG)-rich coatings of certain neurons, known to be affected in various neural diseases. Although these structures are considered as important parts of the neurovascular unit (NVU), their role during evolution of acute ischemic stroke and subsequent tissue damage is poorly understood and only a few preclinical studies analyzed PNs after acute ischemic stroke. By employing three models of experimental focal cerebral ischemia, this study was focused on histopathological alterations of PNs and concomitant vascular, glial and neuronal changes according to the NVU concept. We analyzed brain tissues obtained 1 day after ischemia onset from: (a) mice after filament-based permanent middle cerebral artery occlusion (pMCAO); (b) rats subjected to thromboembolic MACO; and (c) sheep at 14 days after electrosurgically induced focal cerebral ischemia. Multiple fluorescence labeling was applied to explore simultaneous alterations of NVU and ECM. Serial mouse sections labeled with the net marker Wisteria floribunda agglutinin (WFA) displayed largely decomposed and nearly erased PNs in infarcted neocortical areas that were demarcated by up-regulated immunoreactivity for vascular collagen IV (Coll IV). Subsequent semi-quantitative analyses in mice confirmed significantly decreased WFA-staining along the ischemic border zone and a relative decrease in the directly ischemia-affected neocortex. Triple fluorescence labeling throughout the three animal models revealed up-regulated Coll IV and decomposed PNs accompanied by activated astroglia and altered immunoreactivity for parvalbumin, a calcium-binding protein in fast-firing GABAergic neurons which are predominantly surrounded by neocortical PNs. Furthermore, ischemic neocortical areas in rodents simultaneously displayed less intense staining of WFA, aggrecan, the net components neurocan, versican and the cartilage link protein (CRTL) as well as markers in net-bearing neurons such as the potassium channel subunit Kv3.1b and neuronal nuclei (NeuN). In summary, theconsistent observations based on three different stroke models confirmed that PNs are highly sensitive constituents of the NVU along with impaired associated GABAergic neurons. These results suggest that PNs could be promising targets of future stroke treatment, and further studies should address their reorganization and plasticity in both stabilizing the acute stroke as well as supportive effects during the chronic phase of stroke.

Highlights

  • Despite enormous efforts in both pre-clinical and clinical research, stroke still represents one of the leading causes of death world-wide (Benjamin et al, 2017)

  • One day after induction of focal cerebral ischemia in mice, we observed opposite alterations for the vessel-associated collagen IV (Coll IV) and binding sites for the perineuronal nets (PNs) marker Wisteria floribunda agglutinin (WFA), while Coll IVimmunoreactivity became increasingly visible in ischemic areas including the striatum and neocortical structures

  • The present study aimed to explore ischemia-associated histopathological alterations of PNs and their spatial relationships to vascular, glial and neuronal elements to improve the currently limited knowledge on complex interactions between the cellular components of the neurovascular unit’’ (NVU) and adjacent extracellular structures

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Summary

INTRODUCTION

Despite enormous efforts in both pre-clinical and clinical research, stroke still represents one of the leading causes of death world-wide (Benjamin et al, 2017). Using a similar animal model, ischemia-induced damage of PNs in rat neocortices was analyzed by Bidmon et al (1998) and by Wieloch’s research group (Madinier et al, 2014; Quattromani et al, 2017) As another reason for the translational roadblock the type of ischemia induction, i.e., the widely used artificial stroke models (Young et al, 2007; Sommer, 2017) and the selection of a single stroke model (Fisher et al, 2009) were discussed. The consideration of such aspects is crucial to explore ischemic consequences to the ECM and PNs in relation to the cellular components of the NVU.

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