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The Blood-brain Barrier00:49

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Drug distribution in the body is intricately regulated by various physiological barriers that control the passage of substances. These include the capillary endothelial barrier, the blood-brain, blood-cerebrospinal fluid, blood-placental, and blood-testis barriers.
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The Blood-Brain Barrier in Neuroimmune Interactions and Pathological Processes.

A S Dyatlova1, N S Novikova1, B G Yushkov2

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The blood-brain barrier (BBB) acts as a selective filter, regulating brain immunity and neuroimmune interactions. This review examines BBB functions in diseases like Alzheimer's, Parkinson's, MS, and COVID-19.

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COVID-19blood−brain barrierneurodegenerative diseasesneuroimmune interactions

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Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • The blood-brain barrier (BBB) is a critical interface regulating brain homeostasis and immune surveillance.
  • It plays a vital role in neuroimmune interactions, controlling the passage of substances into the central nervous system.

Purpose of the Study:

  • To analyze the molecular and cellular characteristics of the BBB.
  • To explore the five primary pathways of BBB-mediated neuroimmune communication.
  • To discuss the BBB's role in neuroinflammation associated with neurological diseases and viral infections.

Main Methods:

  • Literature review and analysis of existing research on BBB structure and function.
  • Examination of studies detailing neuroimmune pathways.
  • Synthesis of data on BBB dysfunction in specific disease contexts.

Main Results:

  • Detailed description of BBB features and its regulatory functions in neuroimmunity.
  • Identification of five key pathways for neuroimmune communication across the BBB.
  • Evidence of BBB dysfunction in multiple sclerosis, Alzheimer's, Parkinson's, and COVID-19.

Conclusions:

  • The BBB is crucial for maintaining brain immune privilege and regulating neuroinflammation.
  • BBB dysfunction is implicated in the pathogenesis of various neurological disorders and infections.
  • Understanding BBB mechanisms offers therapeutic targets for CNS diseases.