Revealing how blast shockwaves open
the tight junction of the blood–brain
barrier (BBB) is very important for understanding blast-induced traumatic
brain injury (bTBI) and shockwave-assisted drug delivery; however,
the underlying mechanism remains unresolved. Here, we used multiscale
molecular dynamics simulations to reveal the disruption mechanism
of claudin-5 protein in a relatively complex BBB model by comparing
three typical effects from blast loads. The results showed that the
opening of claudin-5 did not result from the direct compressive loading
of the single shockwave but from indirect cavitation and stretching
effects induced by shockwaves. Importantly, stretch-mediated mechanical
opening from the asymmetric distribution of overpressure in temporal
and spatial dimensions is a novel damage mode. In detail, the nanojet
from the cavitation pushed away two adjacent endothelial cell membranes
and the embedded claudin-5 was rapidly stretched. Even α-helix
showed a drastic conformational breakdown and its content was only
15.9%. Structural changes of this magnitude are difficult to repair
in a short time, which may be related to chronic BBB dysfunction and
persistent neurological deficits. This is a more common injury, since
the tensile response of membranes to blast loads is relatively common.
Taken together, we provided a biomechanical underpinning for acute
disruption of tight junction proteins in BBB from exposure to blast
shockwaves, and this may be helpful as a therapeutic strategy for
bTBI.