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The Blood-brain Barrier00:49

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The blood-brain barrier dysfunction in sepsis.

Tatiana Barichello1,2, Jaqueline S Generoso1, Allan Collodel1

  • 1Laboratory of Experimental Pathophysiology, Graduate Program in Health Sciences, University of Southern Santa Catarina (UNESC) , Criciúma, Brazil.

Tissue Barriers
|December 15, 2020
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Summary

Sepsis survivors face long-term risks, including cognitive impairment due to infection-induced breakdown of the blood-brain barrier (BBB). This review explores biochemical changes and biomarkers linked to BBB dysfunction and neuroinflammation post-sepsis.

Keywords:
BBBneuroinflammationsepsistight junction protein

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Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Sepsis is a critical condition causing organ dysfunction via immune response.
  • Survivors experience significant long-term morbidity, including cognitive deficits.
  • Sepsis-induced inflammation damages the blood-brain barrier (BBB), allowing brain entry of immune cells.

Purpose of the Study:

  • Identify sepsis-associated biochemical abnormalities impacting BBB function.
  • Present evidence for biomarkers of tight junction disruption and BBB damage.
  • Highlight the BBB's role in linking systemic infection to central nervous system inflammation.

Main Methods:

  • Literature review focusing on sepsis, BBB integrity, and neuroinflammation.
  • Analysis of studies identifying biochemical markers and pathways.
  • Synthesis of evidence linking systemic sepsis to brain pathology.

Main Results:

  • Sepsis triggers biochemical changes that compromise BBB tight junctions.
  • Specific biomarkers are associated with BBB disruption and neuroinflammation.
  • Evidence supports the BBB as a critical interface in sepsis-induced brain dysfunction.

Conclusions:

  • Sepsis-induced BBB dysfunction is a key mechanism for long-term neurological sequelae.
  • Understanding these biochemical abnormalities and biomarkers is crucial for therapeutic strategies.
  • Targeting the BBB may offer novel approaches to mitigate sepsis-related brain injury.