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The Blood-Brain Barrier: Much More Than a Selective Access to the Brain.

Fredy Sanchez-CanoLuisa C Hernández-KellyArturo Ortega
Published in: Neurotoxicity research (2021)
The blood-brain barrier is a dynamic structure, collectively referred to as the neurovascular unit. It is responsible for the exchange of blood, oxygen, ions, and other molecules between the peripheral circulation and the brain compartment. It is the main entrance to the central nervous system and as such critical for the maintenance of its homeostasis. Dysfunction of the blood-brain barrier is a characteristic of several neurovascular pathologies. Moreover, physiological changes, environmental factors, nutritional habits, and psychological stress can modulate the tightness of the barrier. In this contribution, we summarize our current understanding of structure and function of this important component of the brain. We also describe the neurological deficits associated with its damage. A special emphasis is placed in the effect of the exposure to xenobiotics and pollutants in the permeability of the barrier. Finally, current protective strategies as well as the culture models to study this fascinating structure are discussed.
Keyphrases
  • resting state
  • white matter
  • cerebral ischemia
  • functional connectivity
  • oxidative stress
  • endothelial cells
  • physical activity
  • multiple sclerosis
  • cerebrospinal fluid
  • heat stress
  • patient reported