Pharmaceutical Research,
Journal Year:
2022,
Volume and Issue:
39(3), P. 427 - 439
Published: March 1, 2022
Abstract
The
blood-brain
barrier
(BBB)
has
a
major
protective
function
in
preventing
the
entry
of
harmful
molecules
into
brain,
but
is
simultaneously
limiting
delivery
drugs,
restricting
their
potential
clinical
application
neurodegenerative
diseases.
Recent
preclinical
evidence
demonstrates
that
following
focused
ultrasound
with
microbubbles
(FUS+MB),
BBB
becomes
reversibly
accessible
to
compounds
normally
are
brain-impermeable,
suggesting
FUS+MB
as
promising
new
platform
for
therapeutic
agents
central
nervous
system.
As
step
towards
translation,
small
cohort
studies
were
performed
demonstrating
safe
opening
Alzheimer’s
disease,
Parkinson’s
disease
and
amyotrophic
lateral
sclerosis
(ALS)
patients
FUS+MB,
however
improved
drug
not
yet
been
achieved
human.
Simultaneously,
rapid
progress
human
induced
pluripotent
stem
cell
(hiPSC)
modeling
technology
allowed
development
novel
patient-derived
vitro
model
reacts
can
be
used
answer
fundamental
questions
responses
health
disease.
This
review
summarizes
key
features
contribute
limited
delivery,
recapitulates
recent
advances
mediated
vivo
context
disorders,
highlights
strategies
fast-track
translation
improve
bioavailability
drugs
brain.
With
effective
application,
this
innovative
may
open
avenues
interventions
diseases
leading
outcomes
patients.
Frontiers in Aging Neuroscience,
Journal Year:
2020,
Volume and Issue:
12
Published: April 14, 2020
Pericytes
are
unique,
multi-functional
mural
cells
localized
at
the
abluminal
side
of
perivascular
space
in
microvessels.
Originally
discovered
nineteenth
century,
pericytes
had
drawn
less
attention
until
decades
ago
mainly
due
to
lack
specific
markers.
Recently,
however,
a
growing
body
evidence
has
revealed
that
play
various
important
roles:
development
and
maintenance
blood-brain
barrier
(BBB),
regulation
neurovascular
system
(e.g.,
vascular
stability,
vessel
formation,
cerebral
blood
flow,
etc.),
trafficking
inflammatory
cells,
clearance
toxic
waste
products
from
brain,
acquisition
stem
cell-like
properties.
In
unit,
perform
these
functions
through
coordinated
crosstalk
with
neighboring
including
endothelial,
glial,
neuronal
cells.
Dysfunction
contribute
wide
variety
diseases
lead
cognitive
impairments
such
as
small
disease
(SVD),
acute
stroke,
Alzheimer’s
(AD),
other
neurological
disorders.
For
instance,
SVDs,
pericyte
degeneration
leads
microvessel
instability
demyelination
while
constriction
after
ischemia
causes
no-reflow
phenomenon
brain
capillaries.
AD,
which
shares
some
common
risk
factors
dementia,
reduction
coverage
subsequent
microvascular
observed
association
white
matter
attenuation
impaired
cognition.
Pericyte
loss
BBB-breakdown,
stagnates
amyloid
β
leakage
neurotoxic
molecules
into
parenchyma.
this
review,
we
first
summarize
characteristics
pericytes,
their
roles
central
nervous
system.
Then,
focus
on
how
dysfunctional
pathogenesis
impairment
‘small
vessel’
‘large
diseases,
well
AD.
Finally,
discuss
therapeutic
implications
for
disorders
by
targeting
pericytes.
Frontiers in Neuroscience,
Journal Year:
2021,
Volume and Issue:
15
Published: Aug. 19, 2021
The
blood-brain
barrier
(BBB)
plays
a
vital
role
in
maintaining
the
specialized
microenvironment
of
neural
tissue.
It
separates
peripheral
circulatory
system
from
brain
parenchyma
while
facilitating
communication.
Alterations
distinct
physiological
properties
BBB
lead
to
breakdown
associated
with
normal
aging
and
various
neurodegenerative
diseases.
In
this
review,
we
first
briefly
discuss
process,
then
review
phenotypes
mechanisms
that
further
cause
neurodegeneration
cognitive
impairments.
We
also
summarize
dementia
such
as
Alzheimer's
disease
(AD)
vascular
(VaD)
subsequently
disruption
correlated
cognition
decline.
Overlaps
between
AD
VaD
are
discussed.
Techniques
could
identify
biomarkers
summarized.
Finally,
concluded
be
used
an
emerging
biomarker
assist
diagnose
impairment
dementia.
Circulation Research,
Journal Year:
2020,
Volume and Issue:
128(4)
Published: Dec. 30, 2020
Rationale:
Pericytes
are
capillary
mural
cells
playing
a
role
in
stabilizing
newly
formed
blood
vessels
during
development
and
tissue
repair.
Loss
of
pericytes
has
been
described
several
brain
disorders,
genetically
induced
pericyte
deficiency
the
leads
to
increased
macromolecular
leakage
across
blood-brain
barrier
(BBB).
However,
molecular
details
endothelial
response
remain
elusive.
Objective:
To
map
transcriptional
changes
resulting
from
lack
contact
at
single-cell
level
correlate
them
with
regional
heterogeneities
BBB
function
vascular
phenotype.
Methods
Results:
We
reveal
transcriptional,
morphological,
functional
consequences
absence
for
using
combination
methodologies,
including
RNA
sequencing,
tracer
analyses,
immunofluorescent
detection
protein
expression
pericyte-deficient
adult
Pdgfb
ret/ret
mice.
find
that
without
retain
general
BBB-specific
gene
profile,
however,
they
acquire
venous-shifted
pattern
become
transformed
regarding
numerous
growth
factors
regulatory
proteins.
Adult
brains
display
ongoing
angiogenic
sprouting
concomitant
cell
proliferation
providing
unique
insights
into
tip
transcriptome.
also
heterogeneous
modes
impairment,
where
hotspot
sites
arteriolar-shifted
identity
pinpoint
putative
regulators.
By
testing
causal
involvement
some
these
reverse
genetics,
we
uncover
reinforcing
angiopoietin
2
BBB.
Conclusions:
elucidating
complexity
cellular
resolution,
our
study
provides
insight
importance
arterio-venous
zonation,
quiescence,
limited
set
functions.
The
BBB-reinforcing
ANGPT2
(angiopoietin
2)
is
paradoxical
given
its
wider
as
TIE2
(TEK
receptor
tyrosine
kinase)
antagonist
may
suggest
context-dependent
brain.
Annual Review of Physiology,
Journal Year:
2021,
Volume and Issue:
84(1), P. 331 - 354
Published: Oct. 21, 2021
The
vast
majority
of
the
brain's
vascular
length
is
composed
capillaries,
where
our
understanding
blood
flow
control
remains
incomplete.
This
review
synthesizes
current
knowledge
on
across
microvascular
zones
by
addressing
issues
with
nomenclature
and
drawing
new
developments
from
in
vivo
optical
imaging
single-cell
transcriptomics.
Recent
studies
have
highlighted
important
distinctions
mural
cell
morphology,
gene
expression,
contractile
dynamics,
which
can
explain
observed
differences
response
to
vasoactive
mediators
between
arteriole,
transitional,
capillary
zones.
Smooth
muscle
cells
arterioles
ensheathing
pericytes
arteriole-capillary
transitional
zone
large-scale,
rapid
changes
flow.
In
contrast,
downstream
act
slower
smaller
scales
are
involved
establishing
resting
tone
heterogeneity.
Many
unresolved
remain,
including
that
activate
different
pericyte
types
vivo,
role
pericyte-endothelial
communication
conducting
signals
capillaries
arterioles,
how
neurological
disease
affects
these
mechanisms.
Science,
Journal Year:
2022,
Volume and Issue:
375(6582)
Published: Feb. 17, 2022
The
blood-brain
barrier
(BBB)
protects
the
central
nervous
system
(CNS)
from
harmful
blood-borne
factors.
Although
BBB
dysfunction
is
a
hallmark
of
several
neurological
disorders,
therapies
to
restore
function
are
lacking.
An
attractive
strategy
repurpose
developmental
regulators,
such
as
Wnt7a,
into
BBB-protective
agents.
However,
safe
therapeutic
use
Wnt
ligands
complicated
by
their
pleiotropic
Frizzled
signaling
activities.
Taking
advantage
Wnt7a/b-specific
Gpr124/Reck
co-receptor
complex,
we
genetically
engineered
Wnt7a
BBB-specific
activators.
In
“hit-and-run”
adeno-associated
virus–assisted
CNS
gene
delivery
setting,
these
new
Gpr124/Reck-specific
agonists
protected
function,
thereby
mitigating
glioblastoma
expansion
and
ischemic
stroke
infarction.
This
work
reveals
that
specificity
adjustable
defines
modality
treat
disorders
normalizing
BBB.
Magnetic Resonance in Medicine,
Journal Year:
2023,
Volume and Issue:
89(5), P. 2024 - 2047
Published: Jan. 25, 2023
This
article
focuses
on
clinical
applications
of
arterial
spin
labeling
(ASL)
and
is
part
a
wider
effort
from
the
International
Society
for
Magnetic
Resonance
in
Medicine
(ISMRM)
Perfusion
Study
Group
to
update
expand
recommendations
provided
2015
ASL
consensus
paper.
Although
paper
general
guidelines
MRI,
there
was
lack
guidance
disease‐specific
parameters.
Since
that
time,
availability
demand
MRI
has
increased.
position
provides
using
specific
scenarios,
including
acute
ischemic
stroke
steno‐occlusive
disease,
arteriovenous
malformations
fistulas,
brain
tumors,
neurodegenerative
seizures/epilepsy,
pediatric
neuroradiology
applications,
focusing
considerations
sequence
optimization
interpretation.
We
present
several
neuroradiological
which
unique
information
essential
making
diagnosis.
intended
anyone
interested
routine
setting
(i.e.,
single‐subject
basis
rather
than
cohort
studies)
building
previous
review.