Blood-brain barrier: a definition of normal and altered function

Neurosurgery
|June 1, 1980
PubMed
Summary

The blood-brain barrier (BBB) is a protective structure that limits what substances can enter the brain from the bloodstream. Under normal conditions, the BBB is made up of tightly connected endothelial cells in cerebral capillaries. These cells do not have channels or vesicles that allow free passage of molecules. Instead, substances must either be small and lipid-soluble or use specialized transport systems to cross the BBB. These systems help move important compounds like sugars and amino acids into the brain. However, in certain diseases, the BBB can become more permeable, allowing harmful substances like plasma proteins to enter brain tissue. This can lead to swelling (cerebral edema) and changes in brain chemistry. Understanding how the BBB functions and how it changes in disease can help develop better treatments for neurological disorders.

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