Metabolic Brain Disease,
Journal Year:
2024,
Volume and Issue:
40(1)
Published: Dec. 13, 2024
Abstract
The
blood-brain
barrier
(BBB)
is
formed
by
microvascular
endothelial
cells
which
are
ensembled
with
pericytes,
astrocytes,
microglia
and
neurons
in
the
neurovascular
unit
(NVU)
that
crucial
for
neuronal
function.
Given
NVU
BBB
highly
dynamic
regulated
structures,
their
integrity
continuously
challenged
intrinsic
extrinsic
factors.
Herein,
factors
from
peripheral
organs
such
as
gonadal
adrenal
hormones
may
influence
vascular
function
also
CNS
a
sex-
age-dependent
manner.
communication
between
periphery
likely
takes
place
specific
areas
of
brain
among
circumventricular
have
central
position
due
to
neurosensory
or
neurosecretory
function,
owing
physiologically
leaky
blood
vessels.
In
acute
chronic
pathological
conditions
like
liver,
kidney,
pulmonary
disease,
toxins
metabolites
generated
reach
via
circulation
directly
indirectly
affect
functionality
activation
immunes
system.
For
example,
kidney
disease
(CKD)
currently
affects
more
than
840
million
people
worldwide
increase
along
western
world
comorbidities
cardio-vascular
system
ageing
societies.
Toxins
leading
uremic
syndrome,
further
lead
neurological
complications
cognitive
impairment
encephalopathy.
Here
we
summarize
effects
hormones,
inflammatory
reactions
on
vasculature,
highlighting
urgent
demand
mechanistically
exploring
CNS,
focusing
last
line
defense
protection.
Fluids and Barriers of the CNS,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: Aug. 7, 2024
Cognitive
decline
covers
a
broad
spectrum
of
disorders,
not
only
resulting
from
brain
diseases
but
also
systemic
diseases,
which
seriously
influence
the
quality
life
and
expectancy
patients.
As
highly
selective
anatomical
functional
interface
between
circulation,
blood-brain
barrier
(BBB)
plays
pivotal
role
in
maintaining
homeostasis
normal
function.
The
pathogenesis
underlying
cognitive
may
vary,
nevertheless,
accumulating
evidences
support
BBB
disruption
as
most
prevalent
contributing
factor.
This
mainly
be
attributed
to
inflammation,
metabolic
dysfunction,
cell
senescence,
oxidative/nitrosative
stress
excitotoxicity.
However,
direct
evidence
showing
that
causes
is
scarce,
interestingly,
manipulation
opening
alone
exert
beneficial
or
detrimental
neurological
effects.
A
overview
present
literature
shows
close
relationship
decline,
risk
factors
disruption,
well
cellular
molecular
mechanisms
disruption.
Additionally,
we
discussed
possible
leading
by
potential
therapeutic
strategies
prevent
enhance
repair.
review
aims
foster
more
investigations
on
early
diagnosis,
effective
therapeutics,
rapid
restoration
against
would
yield
better
outcomes
patients
with
dysregulated
function,
although
their
causative
has
yet
been
completely
established.
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(2), P. 552 - 552
Published: Jan. 10, 2025
G
protein-coupled
receptors
(GPCRs),
critical
for
cellular
communication
and
signaling,
represent
the
largest
cell
surface
protein
family
play
important
roles
in
numerous
pathophysiological
processes.
Consequently,
GPCRs
have
become
a
primary
focus
drug
discovery
efforts.
Beyond
their
traditional
protein-dependent
signaling
pathways,
are
also
capable
of
activating
alternative
mechanisms,
including
protein-independent
biased
crosstalk.
A
particularly
novel
mode
employed
by
these
is
GPCR
transactivation,
which
enables
cross-communication
between
other
receptor
types.
Intriguingly,
transactivation
distinct
has
been
identified.
In
this
review,
I
provide
an
overview
known
mechanisms
explore
recently
uncovered
mediated
adhesion-class
(aGPCRs).
These
aGPCR-GPCR
processes
regulate
unique
type-specific
functions,
offering
exciting
opportunity
to
develop
therapies
that
precisely
modulate
specific
GPCR-mediated
biological
effects.
Journal of Neuroinflammation,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: Oct. 19, 2024
The
blood-brain
barrier
(BBB)
is
a
critical
interface
that
maintains
the
central
nervous
system
homeostasis
by
controlling
exchange
of
substances
between
blood
and
brain.
Disruption
BBB
plays
vital
role
in
development
neuroinflammation
neurological
dysfunction
sepsis,
but
mechanisms
which
becomes
disrupted
during
sepsis
are
not
well
understood.
Here,
we
induced
endotoxemia,
major
type
mice
intraperitoneal
injection
lipopolysaccharide
(LPS).
LPS
acutely
increased
permeability,
activated
microglia,
heightened
inflammatory
responses
brain
endothelium
parenchyma.
Concurrently,
or
proinflammatory
cytokines
NF-κB
pathway,
inhibiting
Wnt/β-catenin
signaling
endothelial
cells
vitro
vivo.
Cell
culture
study
revealed
p65
directly
interacted
with
β-catenin
to
suppress
signaling.
Pharmacological
pathway
inhibition
restored
activity
mitigated
disruption
septic
mice.
Furthermore,
genetic
pharmacological
activation
substantially
alleviated
LPS-induced
leakage
neuroinflammation,
while
conditional
ablation
Wnt7a/7b
co-receptor
Gpr124
exacerbated
caused
LPS.
Mechanistically,
rectified
reduced
expression
levels
tight
junction
protein
ZO-1
transcytosis
suppressor
Mfsd2a
both
paracellular
transcellular
permeability
BBB.
Our
findings
demonstrate
endotoxemia-associated
systemic
inflammation
decreases
through
activating
resulting
acute
neuroinflammation.
Targeting
may
offer
promising
therapeutic
strategy
for
preserving
integrity
treating
sepsis.
Science Translational Medicine,
Journal Year:
2024,
Volume and Issue:
16(773)
Published: Nov. 13, 2024
The
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV
2)
pandemic
has
caused
more
than
7
million
deaths
globally.
Despite
the
presence
of
infection-
and
vaccine-induced
immunity,
SARS-CoV-2
infections
remain
a
major
global
health
concern
because
emergence
variants
that
can
cause
disease
2019
(COVID-19)
or
enhance
Long
Covid
phenotypes.
About
5
to
10%
SARS-CoV-2-infected
individuals
develop
Covid,
which,
similar
COVID
19,
often
affects
lung.
However,
also
affect
other
peripheral
organs,
especially
brain.
causal
relationships
between
phenotypes,
long-term
symptoms,
involvement
multiple
organ
systems
elusive,
animal
model
mimicking
both
post-acute
phases
are
imperative.
Here,
we
review
current
state
models,
including
possible
future
applications.
Viruses,
Journal Year:
2025,
Volume and Issue:
17(1), P. 98 - 98
Published: Jan. 14, 2025
Post-acute
sequelae
of
COVID-19
(PASC)
are
a
diverse
set
symptoms
and
syndromes
driven
by
dysfunction
multiple
organ
systems
that
can
persist
for
years
negatively
impact
the
quality
life
millions
individuals.
We
currently
lack
specific
therapeutics
patients
with
PASC,
due
in
part
to
an
incomplete
understanding
its
pathogenesis,
especially
non-pulmonary
sequelae.
Here,
we
discuss
three
animal
models
have
been
utilized
investigate
PASC:
non-human
primates
(NHPs),
hamsters,
mice.
focus
on
neurological,
gastrointestinal,
cardiovascular
PASC
highlight
advances
mechanistic
insight
made
using
these
models,
as
well
discussing
warrant
continued
intensive
research.
Frontiers in Neurology,
Journal Year:
2025,
Volume and Issue:
16
Published: Jan. 31, 2025
To
investigate
the
association
between
high-sensitivity
C-reactive
protein
(Hs-CRP)
levels
and
risk
of
postoperative
delirium
(POD)
following
general
anesthesia.
This
retrospective
cross-sectional
study
included
644
patients
who
underwent
Univariate
multivariate
logistic
regression
analyses
were
performed
to
evaluate
relationship
Hs-CRP
POD,
with
subgroup
used
assess
stratified
associations.
Receiver
operator
characteristic
(ROC)
curve
analysis
was
employed
predictive
efficacy
for
POD.
Restricted
cubic
spline
(RCS)
conducted
explore
linear
log-transformed
(Log10Hs-CRP)
POD
risk.
The
total
population
consisted
individuals
a
mean
age
64.02
±
13.20
years,
506
(78.60%)
whom
male,
114
(17.7%)
had
Compared
lower
group,
in
higher
group
exhibited
age,
heart
rate,
white
blood
cell
count,
urea
nitrogen,
creatinine,
uric
acid,
fasting
glucose,
hemoglobin
A1c,
fibrinogen,
D-dimer,
prevalence
CKD,
but
hemoglobin,
high-density
lipoprotein
cholesterol,
albumin
estimated
glomerular
filtration
rate.
Additionally,
(24.7%
vs.
9.5%,
p
<
0.001).
Multivariate
confirmed
that
elevated
its
forms
(Log10Hs-CRP,
standardized
Hs-CRP,
group)
consistently
increased
across
all
adjusted
models
(p
0.05).
Stratified
further
highlighted
significant
associations
specific
subgroups,
notably
aged
≥65
female
patients,
those
or
without
hypertension,
diabetes,
stroke
history,
chronic
kidney
disease
ROC
demonstrated
ability
overall
(AUC
=
0.646),
as
well
male
0.644)
0.654).
RCS
indicated
positive
Log10Hs-CRP
0.003,
nonlinear
0.896).
Elevated
are
significantly
associated
an
American Journal Of Pathology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 1, 2025
The
COVID-19
pandemic,
caused
by
SARS-CoV-2,
has
highlighted
the
virus's
impact
on
central
nervous
system
(CNS)
and
its
potential
to
exacerbate
neurodegenerative
diseases
like
Alzheimer's
disease
(AD).
Emerging
evidence
suggests
that
SARS-CoV-2
infection
contributes
chronic
neuroinflammation,
a
key
driver
in
etiopathogenesis
of
AD.
Shared
mechanisms,
including
blood-brain
barrier
(BBB)
dysfunction,
systemic
inflammation,
activation
immune
pathways,
may
link
AD
onset
and/or
progression,
particularly
among
vulnerable
individuals,
such
as
those
advanced
age.
This
review
explores
convergent
pathways
involving
renin-angiotensin-aldosterone
(RAAS),
Wnt/β-catenin
signaling,
NFκB
activation,
interferon
(IFN)
focusing
their
roles
BBB
integrity
neuroinflammation.
SARS-CoV-2-mediated
ACE2
depletion
disrupts
RAAS
homeostasis,
favoring
proinflammatory
signaling
parallels
vascular
dysfunction
Dysregulation
exacerbates
permeability,
while
IFN
contribute
breakdown
propagate
CNS
inflammation
via
endothelial
cell
activation.
These
interactions
amplify
prodromal
pathology
initiate
pathogenesis.
By
identifying
mechanistic
overlaps
between
AD,
this
underscores
need
for
therapeutic
strategies
targeting
shared
dysfunction.
Understanding
these
connections
is
critical
mitigating
long-term
neurological
sequelae
reducing
burden
Reviews in Medical Virology,
Journal Year:
2024,
Volume and Issue:
34(6)
Published: Nov. 1, 2024
Abstract
The
emergence
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS‐CoV‐2)
in
December
2019
triggered
a
swift
global
spread,
leading
to
devastating
pandemic.
Alarmingly,
approximately
one
four
individuals
diagnosed
with
disease
(COVID‐19)
experience
varying
degrees
cognitive
impairment,
raising
concerns
about
potential
increase
neurological
sequelae
cases.
Neuroinflammation
seems
be
the
key
pathophysiological
hallmark
linking
mild
COVID‐19
fatigue,
and
patients,
highlighting
interaction
between
nervous
immune
systems
following
SARS‐CoV‐2
infection.
Several
hypotheses
have
been
proposed
explain
how
virus
disrupts
physiological
pathways
trigger
inflammation
within
CNS,
potentially
neuronal
damage.
These
include
neuroinvasion,
systemic
inflammation,
disruption
lung
gut‐brain
axes,
reactivation
latent
viruses.
This
review
explores
origins
neuroinflammation
underlying
neuroimmune
cross‐talk,
important
unanswered
questions
field.
Addressing
these
fundamental
issues
could
enhance
our
understanding
virus's
impact
on
CNS
inform
strategies
mitigate
its
detrimental
effects.