Mechanisms of disease: the blood-brain barrier.

Abstract:

OBJECTIVE:The blood-brain barrier (BBB) is often perceived as a passive membrane. However, evidence has demonstrated that the BBB plays an active role in normal homeostasis and in certain disease processes. METHODS:Approximately 300 peer-reviewed publications that discussed normal or abnormal BBB function were reviewed. RESULTS:The role of the BBB and how it contributes to disorders of the central nervous system vary, depending on the specific disease process. CONCLUSION:In health and disease and extending to old age, endothelial cells, neurons, and glia constitute a neurovascular unit that regulates the BBB. Advances toward penetrating the BBB must account for both normal and abnormal functions of the neurovascular unit.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Neuwelt EA

doi

10.1227/01.neu.0000097715.11966.8e

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

131-40; discussion 141-2

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

54

pub_type

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