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Published on: August 9, 2013
Microglia in the Neurovascular Unit: Blood-Brain Barrier-microglia Interactions After Central Nervous System
Hannah Thurgur1, Emmanuel Pinteaux1
1Faculty of Biology, Medicine and Health, AV Hill Building, The University of Manchester, United Kingdom.
Abstract:
Over the past few decades, microglial cells have been regarded as the main executor of inflammation after acute and chronic central nervous system (CNS) disorders, responding rapidly to exogenous stimuli during acute trauma or infections, or signals released by cells undergoing cell death during conditions such as stroke, Alzheimer's disease (AD) and Parkinson's disease (PD). Barriers of the nervous system, and in particular the blood-brain barrier (BBB), play a key role in the normal physiological and cognitive functions of the brain. Being at the interface between the central and peripheral compartment, the BBB is regarded as a sensor of homeostasis, and any disruption within the brain or the systemic compartment triggers BBB dysfunction and neuroinflammation, both contributing to the pathogenesis of cerebrovascular disease. This involves a dynamic response mediated by all components of the neurovascular unit (NVU), and ongoing research suggests that BBB-microglia interaction is critical to dictate the microglial response to NVU injury. The present review aims to give an up-to-date account of the emerging critical role of BBB-microglia interactions during neuroinflammation, and how these could be targeted for the therapeutic treatment of major central inflammatory disease.
Insights
Microglia are key in central nervous system (CNS) inflammation. Blood-brain barrier (BBB) disruption triggers neuroinflammation, highlighting BBB-microglia interactions as crucial for treating CNS inflammatory diseases.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Microglial cells are central to central nervous system (CNS) inflammation in acute and chronic disorders like stroke, Alzheimer's disease (AD), and Parkinson's disease (PD).
- The blood-brain barrier (BBB) maintains brain homeostasis and its dysfunction triggers neuroinflammation, contributing to cerebrovascular disease pathogenesis.
- The neurovascular unit (NVU) comprises multiple cell types, and BBB-microglia interaction is increasingly recognized as vital for NVU injury response.
Purpose of the Study:
- To review the critical role of blood-brain barrier (BBB)-microglia interactions in neuroinflammation.
- To explore how targeting these interactions could offer therapeutic strategies for CNS inflammatory diseases.
Main Methods:
- Literature review of recent research on BBB function, microglial activation, and neuroinflammation.
- Analysis of studies investigating the interplay between BBB integrity and microglial responses in CNS disorders.
- Synthesis of evidence on the therapeutic potential of targeting BBB-microglia communication.
Main Results:
- BBB dysfunction is a key initiator and modulator of neuroinflammation.
- BBB-microglia interactions dynamically influence the inflammatory response within the CNS.
- Targeting the BBB-microglia axis presents a promising therapeutic avenue.
Conclusions:
- BBB-microglia interactions are critical determinants of neuroinflammation in CNS disorders.
- Understanding and modulating these interactions holds significant therapeutic potential for treating neuroinflammatory conditions.
- Further research into BBB-microglia communication is warranted for developing novel treatments.
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