Effect of tumor necrosis factor-alpha on the permeability of bovine brain microvessel endothelial cell monolayers.

Abstract

The administration of chemotherapy to patients with tumors of the central nervous system is often blocked by the blood-brain barrier. Tumor necrosis factor-alpha (TNF-alpha) is a cytokine that promotes vascular permeability in addition to its pro-inflammatory effects. However. no direct evidence exists as to whether TNF-alpha may increase permeability of the BBB. We evaluated the effect of TNF-alpha on the transport of cisplatin (COOP) or high molecular weight dextran labeled with fluorescein isothiocyanate (FITC-dextran) across bovine brain microvessel endothelial cell (BMEC) monolayers that was conducted on side-by-side diffusion chambers in vitro. The permeability coefficient for the transport of COOP across the untreated monolayer was 3.80 x 10-⁵ cm sec-¹ at 30 minutes. After treating the BMEC monolayer with TNF-alpha (50 U ml-¹ and 500 U ml-¹) for 36 hours, the PC of COOP increased significantly to 8.94 x 10-⁵/ and 14.43 x 10-⁵ cm sec-¹ respectively (p< 0.01). TNF-alpha had no effect on the transport of FITC-dextran across the BMEC monolayers. Electron microscopy showed that the tight junctions between the BMECs persisted even after treatment with TNF-alpha, whereas they had been partially disrupted following exposure to mannitol, 1600 mOsm kg-¹• TNF-alpha selectively promoted the in vitro permeability of the blood-brain barrier to COOP without disrupting tight junctions. This system could be used as a model for experimental studies of chemotherapy. Findings suggested that the combined administration of TNF-alpha and COOP may be clinically useful. [Neural Res 1997; 19: 369-376]