An in vitro model of the blood-brain barrier (BBB), consisting of porcine b
rain-derived microvascular endothelial cells (PBMEC), was used to evaluate
the effect of astrocytes in the BBB disruption during hypoxia. Hypoxia-indu
ced hyperpermeability was decreased significantly in a coculture model of a
stroglia cells, either astrocytes or C6 glioma cells, with PBMEC and, to th
e same extent, when glia cell-conditioned medium was used. Corresponding to
effects on hypoxia-induced hyperpermeability, astrocyte- and C6 cell-condi
tioned medium diminished hypoxia-induced vascular endothelial growth factor
(VEGF) mRNA and protein expression, which recently was shown to be respons
ible for hypoxia-induced permeability changes in vitro. The effect on hypox
ia-induced hyperpermeability and VEGF expression was specific for astroglia
cells because conditioned medium from bovine smooth muscle cells (BSMC) di
d not show any effect. Immunocytochemistry revealed that 24 h of hypoxia di
srupted the continuity of the tight junction protein, zonula occludens-1 (Z
O-1), which lines the cytoplasmic face of intact tight junctions. These cha
nges were prevented when hypoxia was performed in glia cell-conditioned med
ium. Results suggest that astrocytes protect the BBB from hypoxia-induced p
aracellular permeability changes by decreasing hypoxia-induced VEGF express
ion in microvascular endothelial cells.