Prevention & lipids

Apolipoprotein D, a Novel Ligand for CD36, Is Essential for Blood–Brain Barrier Integrity

CirculationPublished Mechanistic study

Authors' conclusion

Our work identifies a previously unrecognized paracrine mechanism in which mural cell-derived ApoD directly engages endothelial CD36 to restrain pathological endothelial proliferation, thereby preserving BBB integrity and promoting neurological recovery after stroke.

Study context

Population
Human brain vs peripheral mural cells; ischemic stroke models (global ApoD knockout, mural cell-specific ApoD knockout, AAV-mediated ApoD overexpression)

Main finding

As reported in the abstract

  • Increased ApoD expression in mural cells after ischemic stroke
  • Mural cell-derived ApoD acts as inhibitory ligand of endothelial CD36, suppressing pathological endothelial proliferation, preserving blood-brain barrier (BBB) integrity and promoting neurological recovery
  • ApoD overexpression in mural cells improved BBB integrity and functional recovery in ApoD-null mice
  • ApoD competes with long-chain fatty acids for CD36 binding and attenuates downstream CD36 signaling
  • Peripheral hyperglyco-ApoD had minimal effect on BBB integrity; hypoglycosylation enhanced CD36 binding affinity and therapeutic efficacy
  • IV hypoglyco-ApoD inhibited BBB disruption and improved neural function, especially in aging stroke

Original publication

Apolipoprotein D, a Novel Ligand for CD36, Is Essential for Blood–Brain Barrier Integrity. Circulation. Published 6 February 2026. doi:10.1161/circulationaha.125.077356

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