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bioRxiv · 10.64898/2026.01.29.702473

Urban PM2.5 at Realistic Environmental Concentrations Impairs Blood-Brain Barrier Integrity and Enhances LOX-1 Expression in Human Brain Endothelial Cells

Andersson, E.·Wendt, T.·Bergman, F.·Isaxon, C.·Ansar, S.
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Abstract

IntroductionAmbient air pollution, especially fine particulate matter 2.5 (PM2.5) has emerged as a critical environmental risk factor for cerebrovascular diseases, contributing to an estimated 7.9 million premature deaths annually. PM2.5 induces cellular toxicity and is hypothesized to disrupt the blood-brain barrier (BBB), a pathological hallmark in cerebrovascular diseases such as ischemic stroke. Despite epidemiological evidence linking PM2.5 to increased stroke incidence, its underlying cellular mechanism driving this association is poorly understood. It remains unclear how environmentally relevant pollution concentrations affects brain endothelial function or influence stroke-related biomarkers such as the lectin-like oxLDL receptor 1 (LOX-1). MethodPrimary adult male human brain microvascular endothelial cells (HBMEC) were exposed to PM2.5 (5, 15, 75, or 300 g/m3) collected from an urban environment in southern Sweden, or control. Thereafter, exposed to normoxia (21% O2) or hypoxia (1% O2) and glucose deprivation, followed by reperfusion as a model for ischemic stroke. Cell viability, oxidative stress, inflammation, BBB integrity (claudin-5, ZO-1) and LOX-1 protein expression were assessed. ResultsPM2.5 exposure induced cellular dysfunction, oxidative stress and inflammation starting at 75 g/m3 PM2.5. Notably, decreased claudin-5 and ZO-1 protein levels and increased LOX-1 expression at concentrations as low as 15 g/m3 PM2.5, levels commonly encountered in urban environments globally. The cellular effects of PM2.5 closely resembled those induced by ischemic-like injury. ConclusionThese findings demonstrate dose-dependent detrimental effects of PM2.5 on HBMEC. The results suggest that ambient urban PM2.5 may act as a predisposing factor for cerebrovascular disease onset, by causing endothelial and barrier dysregulation. HighlightsO_LIUrban PM2.5 dose-dependently disrupts BBB integrity in human brain endothelial cells C_LIO_LIPM2.5 induces endothelial dysfunction resembling ischemic-like injury C_LIO_LIUrban PM2.5 exposure upregulates cardiovascular disease biomarker LOX-1 C_LIO_LIA majority of the global population are exposed to BBB-disrupting PM2.5 levels C_LIO_LIVascular endothelial- and BBB dysfunction enhances risk for cerebrovascular disease C_LI Graphical abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=154 SRC="FIGDIR/small/702473v2_ufig1.gif" ALT="Figure 1"> View larger version (33K): org.highwire.dtl.DTLVardef@42cce6org.highwire.dtl.DTLVardef@19a2ff9org.highwire.dtl.DTLVardef@1c38e7corg.highwire.dtl.DTLVardef@1bfa837_HPS_FORMAT_FIGEXP M_FIG C_FIG

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Andersson, E., Wendt, T., Bergman, F., Isaxon, C., Ansar, S.. 2026-02-02. Urban PM2.5 at Realistic Environmental Concentrations Impairs Blood-Brain Barrier Integrity and Enhances LOX-1 Expression in Human Brain Endothelial Cells. https://doi.org/10.64898/2026.01.29.702473

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