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Endothelium-derived lactate is required for pericyte function and blood-brain barrier maintenance
Journal article   Open access   Peer reviewed

Endothelium-derived lactate is required for pericyte function and blood-brain barrier maintenance

Heon-Woo Lee, Yanying Xu, Xiaolong Zhu, Cholsoon Jang, Woosoung Choi, Hosung Bae, Weiwei Wang, Liqun He, Suk-Won Jin, Zoltan Arany, …
The EMBO journal, Vol.41(9), pp.e109890-n/a
05/02/2022
DOI: 10.15252/embj.2021109890
PMID: 35243676
url
https://doi.org/10.15252/embj.2021109890View
Published (Version of record) Open Access

Abstract

Endothelial cells differ from other cell types responsible for the formation of the vascular wall in their unusual reliance on glycolysis for most energy needs, which results in extensive production of lactate. We find that endothelium-derived lactate is taken up by pericytes, and contributes substantially to pericyte metabolism including energy generation and amino acid biosynthesis. Endothelial-pericyte proximity is required to facilitate the transport of endothelium-derived lactate into pericytes. Inhibition of lactate production in the endothelium by deletion of the glucose transporter-1 (GLUT1) in mice results in loss of pericyte coverage in the retina and brain vasculatures, leading to the blood-brain barrier breakdown and increased permeability. These abnormalities can be largely restored by oral lactate administration. Our studies demonstrate an unexpected link between endothelial and pericyte metabolisms and the role of endothelial lactate production in the maintenance of the blood-brain barrier integrity. In addition, our observations indicate that lactate supplementation could be a useful therapeutic approach for GLUT1 deficiency metabolic syndrome patients.
Animals Blood-Brain Barrier - metabolism Endothelial Cells - metabolism Endothelium - metabolism Glucose Transporter Type 1 - genetics Glucose Transporter Type 1 - metabolism Humans Lactic Acid - metabolism Mice Pericytes - metabolism

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