journal article Open Access Aug 01, 2024

The Glycocalyx: The Importance of Sugar Coating the Blood-Brain Barrier

View at Publisher Save 10.3390/ijms25158404
Abstract
The endothelial glycocalyx (GCX), located on the luminal surface of vascular endothelial cells, is composed of glycoproteins, proteoglycans, and glycosaminoglycans. It plays a pivotal role in maintaining blood–brain barrier (BBB) integrity and vascular health within the central nervous system (CNS), influencing critical processes such as blood flow regulation, inflammation modulation, and vascular permeability. While the GCX is ubiquitously expressed on the surface of every cell in the body, the GCX at the BBB is highly specialized, with a distinct composition of glycans, physical structure, and surface charge when compared to GCX elsewhere in the body. There is evidence that the GCX at the BBB is disrupted and partially shed in many diseases that impact the CNS. Despite this, the GCX has yet to be a major focus of therapeutic targeting for CNS diseases. This review examines diverse model systems used in cerebrovascular GCX-related research, emphasizing the importance of selecting appropriate models to ensure clinical relevance and translational potential. This review aims to highlight the importance of the GCX in disease and how targeting the GCX at the BBB specifically may be an effective approach for brain specific targeting for therapeutics.
Topics

No keywords indexed for this article. Browse by subject →

References
148
[1]
Prakash, Y.S. (2022). Endothelial Glycocalyx. Comprehensive Physiology, Wiley.
[2]
Chen "Immune Response and Blood–Brain Barrier Dysfunction during Viral Neuroinvasion" Innate Immun. (2021) 10.1177/1753425920954281
[3]
Yilmaz "The Role of Endothelial Glycocalyx in Health and Disease" Clin. Kidney J. (2019) 10.1093/ckj/sfz042
[4]
Tarbell "The Glycocalyx and Its Significance in Human Medicine" J. Intern. Med. (2016) 10.1111/joim.12465
[5]
Masola, V., Zaza, G., Arduini, A., Onisto, M., and Gambaro, G. (2021). Endothelial Glycocalyx as a Regulator of Fibrotic Processes. Int. J. Mol. Sci., 22. 10.3390/ijms22062996
[6]
Reily "Glycosylation in Health and Disease" Nat. Rev. Nephrol. (2019) 10.1038/s41581-019-0129-4
[7]
Walter "Surface Charge, Glycocalyx, and Blood-Brain Barrier Function" Tissue Barriers (2021) 10.1080/21688370.2021.1904773
[8]
Joshi "Heparan Sulfate Proteoglycan-mediated Dynamin-dependent Transport of Neural Stem Cell Exosomes in an in Vitro Blood–Brain Barrier Model" Eur. J. Neurosci. (2021) 10.1111/ejn.14974
[9]
Geoghegan "Chondroitin Sulfate Is the Primary Receptor for a Peptide-Modified AAV That Targets Brain Vascular Endothelium In Vivo" Mol. Ther. Nucleic Acids (2014) 10.1038/mtna.2014.50
[10]
Ribeiro, M.M.B., Domingues, M.M., Freire, J.M., Santos, N.C., and Castanho, M.A.R.B. (2012). Translocating the Blood-Brain Barrier Using Electrostatics. Front. Cell. Neurosci., 6. 10.3389/fncel.2012.00044
[11]
Li, Q., Xie, Y., Wong, M., and Lebrilla, C. (2019). Characterization of Cell Glycocalyx with Mass Spectrometry Methods. Cells, 8. 10.3390/cells8080882
[12]
McKitrick, T.R., Goth, C.K., Rosenberg, C.S., Nakahara, H., Heimburg-Molinaro, J., McQuillan, A.M., Falco, R., Rivers, N.J., Herrin, B.R., and Cooper, M.D. (2020). Development of Smart Anti-Glycan Reagents Using Immunized Lampreys. Commun. Biol., 3. 10.1038/s42003-020-0819-2
[13]
Abbott "Astrocyte–Endothelial Interactions at the Blood–Brain Barrier" Nat. Rev. Neurosci. (2006) 10.1038/nrn1824
[14]
Barar "Blood-Brain Barrier Transport Machineries and Targeted Therapy of Brain Diseases" Bioimpacts (2016) 10.15171/bi.2016.30
[15]
Lochhead, J.J., Yang, J., Ronaldson, P.T., and Davis, T.P. (2020). Structure, Function, and Regulation of the Blood-Brain Barrier Tight Junction in Central Nervous System Disorders. Front. Physiol., 11. 10.3389/fphys.2020.00914
[16]
Grabrucker "Nanoparticle Transport across the Blood Brain Barrier" Tissue Barriers (2016) 10.1080/21688370.2016.1153568
[17]
Stamatovic "Brain Endothelial Cell-Cell Junctions: How to “Open” the Blood Brain Barrier" Curr. Neuropharmacol. (2008) 10.2174/157015908785777210
[18]
Li "Development of Novel Therapeutics Targeting the Blood–Brain Barrier: From Barrier to Carrier" Adv. Sci. (2021) 10.1002/advs.202101090
[19]
Suzuki "Form Follows Function: The Endothelial Glycocalyx" Transl. Res. (2022) 10.1016/j.trsl.2022.03.014
[20]
Mitsuda, S., Uzawa, K., Sawa, M., Ando, T., Yoshikawa, T., Miyao, H., Yorozu, T., and Ushiyama, A. (2021). Vascular Endothelial Glycocalyx Plays a Role in the Obesity Paradox According to Intravital Observation. Front. Cardiovasc. Med., 8. 10.3389/fcvm.2021.727888
[21]
Brain-Specific Ultrastructure of Capillary Endothelial Glycocalyx and Its Possible Contribution for Blood Brain Barrier

Yoshiaki Ando, Hideshi Okada, Genzou Takemura et al.

Scientific Reports 10.1038/s41598-018-35976-2
[22]
Kutuzov "Contributions of the Glycocalyx, Endothelium, and Extravascular Compartment to the Blood–Brain Barrier" Proc. Natl. Acad. Sci. USA (2018) 10.1073/pnas.1802155115
[23]
Sheng, Y.H., and Hasnain, S.Z. (2022). Mucus and Mucins: The Underappreciated Host Defence System. Front. Cell. Infect. Microbiol., 12. 10.3389/fcimb.2022.856962
[24]
Argüeso, P., Woodward, A.M., and AbuSamra, D.B. (2021). The Epithelial Cell Glycocalyx in Ocular Surface Infection. Front. Immunol., 12. 10.3389/fimmu.2021.729260
[25]
Targosz-Korecka, M., Kubisiak, A., Kloska, D., Kopacz, A., Grochot-Przeczek, A., and Szymonski, M. (2021). Endothelial Glycocalyx Shields the Interaction of SARS-CoV-2 Spike Protein with ACE2 Receptors. Sci. Rep., 11. 10.1038/s41598-021-91231-1
[26]
Papagni, R., Novara, R., Minardi, M.L., Frallonardo, L., Panico, G.G., Pallara, E., Cotugno, S., Ascoli Bartoli, T., Guido, G., and De Vita, E. (2023). Human African Trypanosomiasis (Sleeping Sickness): Current Knowledge and Future Challenges. Front. Trop. Dis., 4. 10.3389/fitd.2023.1087003
[27]
Principi "Bacterial Meningitis: New Treatment Options to Reduce the Risk of Brain Damage" Expert. Opin. Pharmacother. (2020) 10.1080/14656566.2019.1685497
[28]
Conway "COVID-19 Severity Is Associated with Worsened Neurological Outcomes in Multiple Sclerosis and Related Disorders" Mult. Scler. Relat. Disord. (2022) 10.1016/j.msard.2022.103946
[29]
Zhao "Endothelial Glycocalyx as an Important Factor in Composition of Blood-brain Barrier" CNS Neurosci. Ther. (2021) 10.1111/cns.13560
[30]
Chelazzi "Glycocalyx and Sepsis-Induced Alterations in Vascular Permeability" Crit. Care (2015) 10.1186/s13054-015-0741-z
[31]
Vink "Oxidized Lipoproteins Degrade the Endothelial Surface Layer: Implications for Platelet-Endothelial Cell Adhesion" Circulation (2000) 10.1161/01.cir.101.13.1500
[32]
Chen, Y., Gu, M., Patterson, J., Zhang, R., Statz, J.K., Reed, E., Abutarboush, R., Ahlers, S.T., and Kawoos, U. (2024). Temporal Alterations in Cerebrovascular Glycocalyx and Cerebral Blood Flow after Exposure to a High-Intensity Blast in Rats. Int. J. Mol. Sci., 25. 10.3390/ijms25073580
[33]
Mochizuki "Role of Hyaluronic Acid Glycosaminoglycans in Shear-Induced Endothelium-Derived Nitric Oxide Release" Am. J. Physiol. Heart Circ. Physiol. (2003) 10.1152/ajpheart.00691.2002
[34]
Florian "Heparan Sulfate Proteoglycan Is a Mechanosensor on Endothelial Cells" Circ. Res. (2003) 10.1161/01.res.0000101744.47866.d5
[35]
Gouverneur "Fluid Shear Stress Stimulates Incorporation of Hyaluronan into Endothelial Cell Glycocalyx" Am. J. Physiol. Heart Circ. Physiol. (2006) 10.1152/ajpheart.00592.2005
[36]
Walter "Flow Induces Barrier and Glycocalyx-Related Genes and Negative Surface Charge in a Lab-on-a-Chip Human Blood-Brain Barrier Model" J. Cereb. Blood Flow Metab. (2021) 10.1177/0271678x21992638
[37]
Zeng, Y., and Tarbell, J.M. (2014). The Adaptive Remodeling of Endothelial Glycocalyx in Response to Fluid Shear Stress. PLoS ONE, 9. 10.1371/journal.pone.0086249
[38]
Ueda "Effect of Glycocalyx on Shear-Dependent Albumin Uptake in Endothelial Cells" Am. J. Physiol. Heart Circ. Physiol. (2004) 10.1152/ajpheart.00808.2003
[39]
Tsvirkun, D., Grichine, A., Duperray, A., Misbah, C., and Bureau, L. (2017). Microvasculature on a Chip: Study of the Endothelial Surface Layer and the Flow Structure of Red Blood Cells. Sci. Rep., 7. 10.1038/srep45036
[40]
Wang "Shear Stress Regulation of Endothelial Glycocalyx Structure Is Determined by Glucobiosynthesis" Arterioscler. Thromb. Vasc. Biol. (2020) 10.1161/atvbaha.119.313399
[41]
Zhu "Glycocalyx Degradation Leads to Blood–Brain Barrier Dysfunction and Brain Edema after Asphyxia Cardiac Arrest in Rats" J. Cereb. Blood Flow Metab. (2018) 10.1177/0271678x17726062
[42]
Zhu "Glycocalyx Is Critical for Blood-brain Barrier Integrity by Suppressing Caveolin1-dependent Endothelial Transcytosis Following Ischemic Stroke" Brain Pathol. (2022) 10.1111/bpa.13006
[43]
DeOre "CD44 mediates shear stress mechanotransduction in an in vitro blood-brain barrier model through small GTPases RhoA and Rac1" FASEB J. (2022) 10.1096/fj.202100822rr
[44]
McDonald, K.K., Cooper, S., Danielzak, L., and Leask, R.L. (2016). Glycocalyx Degradation Induces a Proinflammatory Phenotype and Increased Leukocyte Adhesion in Cultured Endothelial Cells under Flow. PLoS ONE, 11. 10.1371/journal.pone.0167576
[45]
Potter "The Recovery Time Course of the Endothelial Cell Glycocalyx In Vivo and Its Implications In Vitro" Circ. Res. (2009) 10.1161/circresaha.108.191585
[46]
Mulivor "Role of Glycocalyx in Leukocyte-Endothelial Cell Adhesion" Am. J. Physiol. Heart Circ. Physiol. (2002) 10.1152/ajpheart.00117.2002
[47]
Rosenberg "Neurological Diseases in Relation to the Blood–Brain Barrier" J. Cereb. Blood Flow Metab. (2012) 10.1038/jcbfm.2011.197
[48]
Mensah "Endothelial Glycocalyx-Mediated Intercellular Interactions: Mechanisms and Implications for Atherosclerosis and Cancer Metastasis" Cardiovasc. Eng. Technol. (2021) 10.1007/s13239-020-00487-7
[49]
Ermert "Reduction of Endothelial Glycocalyx on Peritubular Capillaries in Chronic Kidney Disease" Am. J. Pathol. (2023) 10.1016/j.ajpath.2022.11.003
[50]
Li "An IGFBP7hi Endothelial Cell Subset Drives T Cell Extravasation in Psoriasis via Endothelial Glycocalyx Degradation" J. Clin. Investig. (2023) 10.1172/jci160451

Showing 50 of 148 references

Metrics
17
Citations
148
References
Details
Published
Aug 01, 2024
Vol/Issue
25(15)
Pages
8404
License
View
Funding
M.K. West Virginia University start-up funds Award: 5P20GM109098
National Institute of Health National Institute of General Medical Sciences Award: 5P20GM109098
Cite This Article
Candis Dancy, Kaitlyn E. Heintzelman, Moriah E. Katt (2024). The Glycocalyx: The Importance of Sugar Coating the Blood-Brain Barrier. International Journal of Molecular Sciences, 25(15), 8404. https://doi.org/10.3390/ijms25158404
Related

You May Also Like