Aw. Vorbrodt et al., IMMUNOCYTOCHEMICAL STUDIES OF PROTAMINE-INDUCED BLOOD-BRAIN-BARRIER OPENING TO ENDOGENOUS ALBUMIN, Acta Neuropathologica, 89(6), 1995, pp. 491-499
The cellular mechanisms of blood-brain barrier (BBB) opening to endoge
nous albumin in the mouse brain after intracarotid infusion of solutio
ns of protamine free base (PB) or protamine sulfate (PS) were studied
using quantitative immunocytochemistry. Ultrathin sections of brain sa
mples embedded at low temperature in Lowicryl K4M were exposed to anti
-mouse albumin antiserum followed by protein A-gold. Using morphometry
, the density of immunosignals (gold particles per mu m(2)) was record
ed over four compartments: vascular lumen, endothelial profiles, suben
dothelial space (including the basement membrane), and brain parenchym
a (neuropil). In addition, the adsorption of endogenous albumin eviden
ced by the number of gold particles per mu m of the endothelial lumina
l plasmalemma was quantitatively evaluated. In the applied experimenta
l conditions, PB was found to be strongly cytotoxic as indicated by th
e appearance of rapid degenerative changes and the disruption of the e
ndothelial lining with concomitant clumping of the blood plasma. The a
ction of PS was milder, offering a better opportunity for detailed ult
rastructural and morphometric examination of brain samples during cons
ecutive steps of PS action (2, 5, 10 and 30 min). As early as 10 min a
fter infusion of PS solution, the adsorption of blood plasma albumin t
o the endothelial luminal surface was increased 2.5 times. Simultaneou
sly, the immunolabelling of the endothelial profiles and subendothelia
l space was significantly increased. These results suggest that BBB di
sruption occurs through enhanced adsorption of albumin or albumin-prot
amine complexes to the luminal plasmalemma, followed by transendotheli
al vesicular transport, rather than through modification of interendot
helial junctional complexes. Th:is process appears to be focally disse
minated throughout the cerebral vascular network and declines at 30 mi
n following infusion of PS solution.