Probing cerebral malaria inflammation in 3D human brain microvessels.
Probing cerebral malaria inflammation in 3D human brain microvessels.
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DOI:
10.1016/j.celrep.2023.113253
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发表时间:
2023-10-31
期刊:
影响因子:
8.8
通讯作者:
中科院分区:
文献类型:
--
作者:
Sequestration of Plasmodium falciparum-infected erythrocytes (IEs) in the brain microcirculation is a hallmark of cerebral malaria (CM), which leads to endothelial activation, brain swelling, and death. Here, we probed CM inflammation in a perfusable 3D human brain microvessel model. 3D brain microvessels supported in vivo-like capacities for parasite binding and maturation in situ, leading to a distinct inflammatory response from the pro-inflammatory cytokine tumor necrosis factor α (TNF-α). By combining transcriptional analysis, imaging, and leukocyte perfusion, we showed that whereas TNF-α promotes a reversible inflammatory phenotype with widespread leukocyte recruitment, parasites induce unique stress response pathways and cause localized cell adhesivity changes, focal endothelial disruptions, and apoptosis. Furthermore, parasites modified the temporal kinetics of the TNF transcriptional response, suggesting augmented inflammatory damage with the two sequential stimuli. Our findings offer mechanistic insights into CM biology in a 3D brain microvessel mimetic platform and suggest that multiple events intersect to promote brain barrier inflammation in CM. Howard et al. employ a perfusable 3D human brain microvessel platform for modeling the spatiotemporal dynamics of cerebral malaria inflammation and show that parasites promote a distinct inflammatory response from the pro-inflammatory cytokine TNF-α on the vessel wall and modify the temporal kinetics of the TNF-α-mediated inflammatory response.
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