Abstract |
Wernicke's encephalopathy is a cerebral disorder caused by thiamine ( vitamin B(1)) deficiency (TD). Neuropathologic consequences of TD include region-selective neuronal cell loss and blood-brain barrier (BBB) breakdown. Early increased expression of the endothelial isoform of nitric oxide synthase (eNOS) occurs selectively in vulnerable brain regions in TD. We hypothesize that region-selective eNOS induction in TD leads to altered expression of tight junction proteins and BBB breakdown. In order to address this issue, TD was induced in C57BL/6 wild-type (WT) and eNOS(-/-) mice by feeding a thiamine-deficient diet and treatment with the thiamine antagonist pyrithiamine. Pair-fed control mice were fed the same diet with additional thiamine. In medial thalamus of TD-WT mice (vulnerable area), increased heme oxygenase-1 and S-nitrosocysteine immunostaining was observed in vessel walls, compared to pair-fed control-WT mice. Concomitant increases in IgG extravasation, decreases in expression of the tight junction proteins occludin, zona occludens-1 and zona occludens-2, and up-regulation of matrix metalloproteinase-9 in endothelial cells were observed in the medial thalamus of TD-WT mice. eNOS gene deletion restored these BBB alterations, suggesting that eNOS-derived nitric oxide is a major factor leading to cerebrovascular alterations in TD. However, eNOS gene deletion only partially attenuated TD-related neuronal cell loss, suggesting the presence of mechanisms additional to BBB disruption in the pathogenesis of these changes.
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Authors | Elizabeth Beauchesne, Paul Desjardins, Alan S Hazell, Roger F Butterworth |
Journal | Journal of neurochemistry
(J Neurochem)
Vol. 111
Issue 2
Pg. 452-9
(Oct 2009)
ISSN: 1471-4159 [Electronic] England |
PMID | 19686244
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antimetabolites
- Immunoglobulin G
- Reactive Nitrogen Species
- Reactive Oxygen Species
- Pyrithiamine
- Nitric Oxide Synthase Type III
- Nos3 protein, mouse
- Matrix Metalloproteinase 9
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Topics |
- Animals
- Antimetabolites
(toxicity)
- Blood-Brain Barrier
(physiology)
- Disease Models, Animal
- Frontal Lobe
(pathology, physiology)
- Immunoglobulin G
(metabolism)
- Male
- Matrix Metalloproteinase 9
(metabolism)
- Mice
- Mice, Inbred C57BL
- Mice, Knockout
- Nerve Degeneration
(chemically induced, metabolism, physiopathology)
- Nitric Oxide Synthase Type III
(genetics, metabolism)
- Oxidative Stress
(physiology)
- Pyrithiamine
(toxicity)
- Reactive Nitrogen Species
(metabolism)
- Reactive Oxygen Species
(metabolism)
- Thalamic Nuclei
(pathology, physiology)
- Thiamine Deficiency
(metabolism, physiopathology)
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