Background and Purpose Endothelial cells regulate hemostasis in part v
ia expression of thrombomodulin, a potent anticoagulant protein. The p
urpose of this study was to analyze brain capillary endothelial cell e
xpression of thrombomodulin mRNA. Methods Bovine brain capillary endot
helial cells were grown in a blood-brain barrier model in which endoth
elial cells form capillary-like structures. In situ hybridization and
polymerase chain reaction (PCR) were used to examine thrombomodulin ex
pression. Endothelial cells were then cocultured with astrocytes. We e
xamined both coculture and monoculture preparations for gamma-glutamyl
transpeptidase (GGTP), a marker of the blood-brain barrier. We then u
sed quantitative-competitive PCR to compare thrombomodulin expression
in endothelial monocultures and astrocyte-endothelial cocultures after
1 and 7 days of culture. Results Both in situ hybridization and PCR s
tudies demonstrated thrombomodulin mRNA expression by endothelial cell
s. During 1 week of astrocyte-endothelial coculture, there was (1) pro
gressive association of astrocytes with capillary-like structures and
(2) expression of GGTP; endothelial monocultures did not express GGTP.
There was no significant difference in thrombomodulin mRNA expression
for cocultures versus monocultures after 1 day. After 1 week, however
, astrocyte-endothelial cocultures had markedly decreased thrombomodul
in mRNA compared with monocultures (9+/-2 versus 189+/-62 pg/mL; P<.02
5). This thrombomodulin mRNA decrease thus occurred when elements of t
he blood-brain barrier phenotype were demonstrable, ie, when astrocyte
association with capillary-like structures was maximal and when GGTP
was expressed in cocultures. Conclusions These findings indicate astro
cyte regulation of thrombomodulin mRNA expression in vitro and suggest
an important role for the blood-brain barrier in the regulation of th
rombomodulin.