Rediscovery of pericytes within the neurovascular unit for cerebral ischemia/reperfusion injury

Shitong Su1,2, Lianjing Liang1, Lu Gan3

  • 1Department of Emergency Medicine, Laboratory of Emergency Medicine, West China School of Medicine, Disaster Medical Center, West China Hospital, Sichuan University, Chengdu, China.

Insights

Cerebral pericytes are crucial for the neurovascular unit and blood-brain barrier integrity, playing a key role in cerebral ischemia/reperfusion injury. Understanding pericyte function offers insights into treating neurological disabilities.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pathology

Background:

  • Cerebral ischemia/reperfusion injury (CIRI) from cardiac arrest, CPR, and stroke causes cognitive decline and neurological disability.
  • Damage to the neurovascular unit (NVU), including blood-brain barrier (BBB) disruption, altered cerebral blood flow, and neuroinflammation, is central to CIRI.
  • The NVU concept highlights cell-environment interactions vital for tissue repair and recovery.

Purpose of the Study:

  • To review the role of pericytes within the NVU in the context of CIRI.
  • To provide a comprehensive overview of pericyte interactions and their implications for future research and clinical applications.

Main Methods:

  • Literature review of studies up to 2025 from databases like PubMed and Web of Science.
  • Focus on pericyte biology and their involvement in the NVU and CIRI.

Main Results:

  • Pericytes are essential for BBB integrity, permeability, and cerebral blood flow regulation.
  • Pericytes contribute to contractility, immune responses, migration, angiogenesis, and stem cell functions.
  • Pericyte dysfunction is implicated in the pathology of CIRI, but specific biomarkers are lacking.

Conclusions:

  • Enhanced understanding of pericytes will clarify their NVU role.
  • Insights into pericyte interactions within the NVU and CIRI are valuable for future research and clinical strategies.
  • Further research is needed to identify specific pericyte biomarkers for better therapeutic targeting.
Abstract