The
development
of
Alzheimer’s
disease
(AD)
is
closely
associated
with
the
integrity
and
function
perivascular
space
(PVS).
PVS
has
essential
roles
in
transporting
cerebrospinal
fluid
exchanging
intracellular
substances
necessary
to
clear
metabolic
waste
from
brain.
An
enlarged
(ePVS)
now
acknowledged
as
a
major
factor
AD
development,
thus
indicating
complex
interplay
other
pathogenic
factors.
Herein,
we
present
detailed
examination
imaging
features
PVS,
depicted
by
various
MRI
modalities,
highlighting
how
these
techniques
have
advanced
understanding
pathogenesis.
Furthermore,
critically
assess
strengths
limitations
approaches
discuss
prospective
enhancements
that
may
provide
refined
insights.
Further
reveal
new
diagnostic
biomarkers
inform
targeted
therapeutic
approaches,
improving
clinical
management
for
patients
AD.
Acta Neuropathologica,
Год журнала:
2024,
Номер
147(1)
Опубликована: Фев. 12, 2024
Abstract
There
are
several
cellular
and
acellular
structural
barriers
associated
with
the
brain
interfaces,
which
include
dura,
leptomeninges,
perivascular
space
choroid
plexus
epithelium.
Each
structure
is
enriched
by
distinct
myeloid
populations,
mainly
originate
from
erythromyeloid
precursors
(EMP)
in
embryonic
yolk
sac
seed
CNS
during
embryogenesis.
However,
depending
on
precise
microanatomical
environment,
resident
cells
differ
their
marker
profile,
turnover
extent
to
they
can
be
replenished
blood-derived
cells.
While
some
EMP-derived
parenchyma
become
microglia,
others
engraft
meninges
CNS-associated
macrophages
(CAMs),
also
referred
as
border-associated
(BAMs),
e.g.,
leptomeningeal
(MnMΦ).
Recent
data
revealed
that
MnMΦ
migrate
into
spaces
postnatally
where
differentiate
(PvMΦ).
Under
homeostatic
conditions
pathogen-free
mice,
there
virtually
no
contribution
of
bone
marrow-derived
PvMΦ,
but
rather
dura.
In
neuropathological
blood–brain
barrier
compromised,
however,
an
influx
occur,
potentially
contributing
pool
Simultaneously,
CAMs
may
proliferate
undergo
transcriptional
proteomic
changes,
thereby,
disease
outcome.
Thus,
both
infiltrating
together
act
within
microenvironmental
niche
,
populations
play
crucial
roles
overall
course.
Here,
we
summarize
current
understanding
sources
fates
health
disease,
role
microenvironment
influencing
maintenance
function.
Fluids and Barriers of the CNS,
Год журнала:
2024,
Номер
21(1)
Опубликована: Авг. 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.
Acta Neuropathologica,
Год журнала:
2024,
Номер
147(1)
Опубликована: Фев. 12, 2024
Abstract
Diseases
of
the
central
nervous
system
(CNS)
are
often
associated
with
vascular
disturbances
or
inflammation
and
frequently
both.
Consequently,
endothelial
cells
macrophages
key
cellular
players
that
mediate
pathology
in
many
CNS
diseases.
Macrophages
brain
consist
CNS-associated
(CAMs)
[also
referred
to
as
border-associated
(BAMs)]
microglia,
both
which
close
neighbours
even
form
direct
contacts
microvessels.
Recent
progress
has
revealed
different
macrophage
populations
a
subset
derived
from
same
erythromyeloid
progenitor
cells.
share
several
common
features
their
life
cycle—from
invasion
into
early
during
embryonic
development
proliferation
CNS,
demise.
In
adults,
microglia
CAMs
have
been
implicated
regulating
patency
diameter
vessels,
blood
flow,
tightness
blood–brain
barrier,
removal
calcification,
life-time
Conversely,
may
affect
polarization
activation
state
myeloid
populations.
The
molecular
mechanisms
governing
pas
de
deux
beginning
be
deciphered
will
reviewed
here.
Antioxidants,
Год журнала:
2024,
Номер
13(12), С. 1462 - 1462
Опубликована: Ноя. 28, 2024
Upregulation
of
reactive
oxygen
species
(ROS)
levels
is
a
principal
feature
observed
in
the
brains
neurodegenerative
diseases
such
as
Parkinson’s
disease
(PD)
and
Alzheimer’s
(AD).
In
these
diseases,
oxidative
stress
can
disrupt
blood–brain
barrier
(BBB).
This
disruption
allows
neurotoxic
plasma
components,
blood
cells,
pathogens
to
enter
brain,
leading
increased
ROS
production,
mitochondrial
dysfunction,
inflammation.
Collectively,
factors
result
protein
modification,
lipid
peroxidation,
DNA
damage,
and,
ultimately,
neural
cell
damage.
this
review
article,
we
present
mechanisms
by
which
damage
leads
BBB
breakdown
brain
diseases.
Additionally,
summarize
potential
therapeutic
approaches
aimed
at
reducing
that
contributes
Journal of Neuroimaging,
Год журнала:
2025,
Номер
35(1)
Опубликована: Янв. 1, 2025
ABSTRACT
Background
and
Purpose
Peak
width
of
skeletonized
mean
diffusivity
(PSMD)
is
a
novel
marker
white
matter
damage,
which
may
be
related
to
small
vessel
disease.
This
study
aimed
investigate
the
presence
damage
in
patients
with
isolated
rapid
eye
movement
sleep
behavior
disorder
(RBD)
using
PSMD.
Methods
We
enrolled
newly
diagnosed
RBD
confirmed
by
polysomnography
age‐
sex‐matched
healthy
controls.
Diffusion
tensor
imaging
(DTI)
was
conducted
3‐Tesla
MRI
scanner.
measured
PSMD
based
on
DTI
several
steps,
including
preprocessing,
skeletonization,
application
custom
mask,
histogram
analysis,
Functional
Magnetic
Resonance
Imaging
Brain
Software
Library
program.
compared
incidence
between
controls
performed
correlation
analysis
clinical
factors
RBD.
Results
Thirty
41
were
enrolled.
The
significantly
higher
than
that
(3.078
vs.
2.746
×
10
−4
mm
2
/s,
p
=
0.001).
In
addition,
positively
correlated
age
(
r
0.477,
0.007).
However,
not
associated
other
or
polysomnographic
factors.
Conclusion
Patients
had
controls,
indicating
evidence
finding
highlights
potential
as
for
detecting
diseases,
disorders.
Frontiers in Neuroscience,
Год журнала:
2025,
Номер
19
Опубликована: Фев. 28, 2025
This
review
aimed
to
elucidate
the
mechanisms
through
which
(i)
physical
activity
(PA)
enhances
neuroplasticity
and
cognitive
function
in
neurodegenerative
disorders,
(ii)
identify
specific
PA
interventions
for
improving
rehabilitation
programs.
We
conducted
a
literature
search
PubMed,
Medline,
Scopus,
Web
of
Science,
PsycINFO,
covering
publications
from
January
1990
August
2024.
The
strategy
employed
key
terms
related
neuroplasticity,
exercise,
function,
personalized
activity.
Inclusion
criteria
included
original
research
on
relationship
between
while
exclusion
eliminated
studies
focusing
solely
pharmacological
interventions.
identified
multiple
pathways
may
enhance
including
releasing
neurotrophic
factors,
modulation
neuroinflammation,
reduction
oxidative
stress,
enhancement
synaptic
connectivity
neurogenesis.
Aerobic
exercise
was
found
increase
hippocampal
volume
by
1–2%
improve
executive
scores
5–10%
older
adults.
Resistance
training
enhanced
control
memory
performance
12–18%
elderly
individuals.
Mind–body
exercises,
such
as
yoga
tai-chi,
improved
gray
matter
density
memory-related
brain
regions
3–5%
emotional
regulation
15–20%.
Dual-task
attention
processing
speed
8–14%
individuals
with
disorders.
also
discuss
potential
role
AI-based
AI
preventing
rehabilitating
illnesses,
highlighting
innovative
approaches
patient
outcomes.
significantly
disorders
various
mechanisms.
resistance
training,
mind–body
practices,
dual-task
exercises
each
offer
unique
benefits.
Implementing
these
activities
clinical
settings
can
Future
should
focus
creating
tailored
conditions,
incorporating
programs
optimize
rehabilitation.
Nutrients,
Год журнала:
2024,
Номер
16(14), С. 2244 - 2244
Опубликована: Июль 12, 2024
Aging
is
the
most
prominent
risk
factor
for
neurodegeneration
occurrence.
The
common
neurodegenerative
diseases
(NDs),
Alzheimer’s
(AD)
and
Parkinson’s
(PD)
diseases,
are
characterized
by
incidence
of
proteinopathy,
abnormal
activation
glial
cells,
oxidative
stress,
neuroinflammation,
impaired
autophagy
cellular
senescence
excessive
patient’s
age.
Moreover,
mitochondrial
disfunction,
epigenetic
alterations
neurogenesis
inhibition,
together
with
increased
blood–brain
barrier
permeability
gut
dysbiosis,
have
been
linked
to
ND
pathogenesis.
Since
NDs
still
lack
curative
treatment,
recent
research
has
sought
therapeutic
options
in
restoring
microbiota
supplementing
probiotic
bacteria-derived
metabolites
beneficial
action
host—so
called
postbiotics.
current
review
focuses
on
literature
explaining
mechanisms
involved
pathogenesis
addressing
impact
that
postbiotics
as
a
whole
mixture
particular
metabolites,
such
short-chain
fatty
acids
(SCFAs),
lactate,
polyamines,
polyphenols,
tryptophan
exopolysaccharides
bacterial
extracellular
vesicles,
ageing-associated
processes
underlying
also
discusses
issue
implementing
into
prophylaxis
therapy,
depicting
them
compounds
senescence-triggered
dysfunctions
worth
translating
from
bench
pharmaceutical
market
response
“silver
consumers”
demands.
Free Radical Biology and Medicine,
Год журнала:
2024,
Номер
221, С. 261 - 272
Опубликована: Май 28, 2024
Despite
of
yet
unknown
mechanism,
microvascular
deposition
oligomeric
Tau
(oTau)
has
been
implicated
in
alteration
the
Blood-Brain
Barrier
(BBB)
function
Alzheimer's
disease
(AD)
brains.
In
this
study,
we
employed
an
vitro
BBB
model
using
primary
mouse
cerebral
endothelial
cells
(CECs)
to
investigate
mechanism
underlying
effects
oTau
on
function.
We
found
that
exposing
CECs
induced
oxidative
stress
through
NADPH
oxidase,
increased
damage
proteins,
decreased
proteasome
activity,
and
expressions
tight
junction
(TJ)
proteins
including
occludin,
zonula
occludens-1
(ZO-1)
claudin-5.
These
were
suppressed
by
pretreatment
with
Fasudil,
a
RhoA/ROCK
signaling
inhibitor.
Consistent
biochemical
alterations,
basolateral
side
disrupted
integrity
BBB,
as
indicated
increase
FITC-dextran
transport
across
model,
decrease
trans
electrical
resistance
(TEER).
also
transmigration
peripheral
blood
mononuclear
(PBMCs)
model.
functional
alterations
Fasudil.
Taken
together,
our
findings
suggest
targeting
pathway
can
be
potential
therapeutic
strategy
maintain
AD.
ACS Chemical Neuroscience,
Год журнала:
2024,
Номер
15(16), С. 2966 - 2981
Опубликована: Июль 31, 2024
Sinapic
acid
(SA)
is
a
phenylpropanoid
derivative
found
in
various
natural
sources
that
exhibits
remarkable
versatile
properties,
including
antioxidant,
anti-inflammatory,
and
metal-chelating
capabilities,
establishing
itself
as
promising
candidate
for
the
prevention
treatment
of
conditions
affecting
central
nervous
system,
such
Alzheimer's
disease
(AD),
Parkinson's
(PD),
ischemic
stroke,
other
neurological
disorders.
These
effects
also
include
neuroprotection
epilepsy
models,
evidenced
by
reduction
seizure-like
behavior,
cell
death
specific
hippocampal
regions,
lowered
neuroinflammatory
markers.
In
AD,
SA
enhances
memory,
reverses
cognitive
deficits,
attenuates
astrocyte
activation.
has
positive
on
cognition
improving
memory
lowering
oxidative
stress.
This
shown
lower
levels
stress
markers,
higher
antioxidant
enzyme
activity,
better
retention.
Additionally,
stroke
PD
provides
microglial
protection
exerts
anti-inflammatory
effects.
review
emphasizes
SA's
multifaceted
neuroprotective
properties
its
potential
role
brain
Despite
need
further
research
to
fully
understand
mechanisms
action
clinical
applicability,
stands
out
valuable
bioactive
compound
ongoing
quest
combat
neurodegenerative
diseases
enhance
quality
life
affected
individuals.
Fluids and Barriers of the CNS,
Год журнала:
2024,
Номер
21(1)
Опубликована: Ноя. 21, 2024
The
Blood-Brain
Barrier
(BBB)
is
a
complex
and
dynamic
interface
that
regulates
the
exchange
of
molecules
cells
between
blood
central
nervous
system.
It
undergoes
structural
functional
throughout
oxidative
stress
inflammation,
which
may
compromise
its
integrity
contribute
to
pathogenesis
neurodegenerative
diseases.
Maintaining
BBB
utmost
importance
in
preventing
wide
range
neurological
disorders.
NRF2
main
transcription
factor
cellular
redox
balance
inflammation-related
gene
expression.
has
also
demonstrated
potential
role
regulating
tight
junction
contributing
inhibition
ECM
remodeling,
by
reducing
expression
several
metalloprotease
family
members
involved
maintaining
function.
Overall,
we
review
current
insights
on
addressing
protection
against
effects
dysfunction,
discuss
involvement
maintenance
different
neuropathological
diseases,
as
well
as,
some
activators
have
been
used
vitro
vivo
animal
models
for
barrier
dysfunction.
Thus,
emerging
evidence
suggests
upregulation
target
genes
could
suppress
stress,
neuroinflammation,
restore
integrity,
increase
protection.