Development, maintenance and disruption of the blood-brain barrier.

Development, maintenance and disruption of the blood-brain barrier.
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DOI:
10.1038/nm.3407
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发表时间:
2013-12
期刊:
影响因子:
82.9
通讯作者:
--
中科院分区:
医学1区
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血液循环和神经组织之间的界面具有独特的特征,这些特征被术语“血脑屏障”(BBB)所涵盖。这种屏障的主要功能,即维持脑内环境稳定,调节流入和流出运输,以及保护免受伤害,是由其专门的多细胞结构决定的。每一种细胞类型都对血脑屏障的完整性做出了不可或缺的贡献。但是,如果BBB的一个成员失败,结果是屏障破裂,可能会有戏剧性的后果,可能会发生神经炎症和神经变性。在这次审查中,我们强调最近获得的机械见解的发展和维护的血脑屏障。然后,我们讨论如何BBB中断可以导致或有助于神经系统疾病。最后,我们研究如何利用这些知识来探索BBB修复的新可能性。
The interface between the blood circulation and the neural tissue features unique characteristics which are embraced by the term ‘blood-brain barrier’ (BBB). The main functions of this barrier, namely maintenance of brain homeostasis, regulation of influx and efflux transport, and protection from harm, are determined by its specialized multicellular structure. Every constituent cell type makes an indispensible contribution to the BBB’s integrity. But, if one member of the BBB fails and as a result, the barrier breaks down, there can be dramatic consequences, and neuroinflammation and neurodegeneration can occur. In this Review we highlight recently gained mechanistic insights into the development and maintenance of the BBB. We then discuss how BBB disruption can cause or contribute to neurological disease. Finally, we examine how this knowledge can be used to explore new possibilities for BBB repair.
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