Khiany Mathias , Richard Simon Machado , Solange Stork , David dos Santos , Larissa Joaquim , Jaqueline Generoso , Lucinéia Gainski Danielski , Tatiana Barichello , Josiane Somariva Prophiro , Fabricia Petronilho
{"title":"Blood-brain barrier permeability in the ischemic stroke: An update","authors":"Khiany Mathias , Richard Simon Machado , Solange Stork , David dos Santos , Larissa Joaquim , Jaqueline Generoso , Lucinéia Gainski Danielski , Tatiana Barichello , Josiane Somariva Prophiro , Fabricia Petronilho","doi":"10.1016/j.mvr.2023.104621","DOIUrl":null,"url":null,"abstract":"<div><p>Stroke is the second leading cause of death globally and the major cause of long-term disability. Among the types of strokes, ischemic stroke<span><span>, which occurs due to obstruction of blood vessels responsible for cerebral irrigation, is considered the most prevalent, accounting for approximately 86 % of all stroke cases. This interruption of blood supply leads to a critical pathophysiological mechanism, including </span>oxidative stress<span> and neuroinflammation which are responsible for structural alterations of the blood-brain barrier (BBB). The increased BBB permeability associated with cerebral ischemia-reperfusion may contribute to a worse outcome after stroke. Thus, this narrative review aims to update the pathophysiological mechanisms involved in the increase in BBB permeability and to list the possible therapeutic strategies.</span></span></p></div>","PeriodicalId":18534,"journal":{"name":"Microvascular research","volume":"151 ","pages":"Article 104621"},"PeriodicalIF":2.9000,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Microvascular research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0026286223001474","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
Abstract
Stroke is the second leading cause of death globally and the major cause of long-term disability. Among the types of strokes, ischemic stroke, which occurs due to obstruction of blood vessels responsible for cerebral irrigation, is considered the most prevalent, accounting for approximately 86 % of all stroke cases. This interruption of blood supply leads to a critical pathophysiological mechanism, including oxidative stress and neuroinflammation which are responsible for structural alterations of the blood-brain barrier (BBB). The increased BBB permeability associated with cerebral ischemia-reperfusion may contribute to a worse outcome after stroke. Thus, this narrative review aims to update the pathophysiological mechanisms involved in the increase in BBB permeability and to list the possible therapeutic strategies.
期刊介绍:
Microvascular Research is dedicated to the dissemination of fundamental information related to the microvascular field. Full-length articles presenting the results of original research and brief communications are featured.
Research Areas include:
• Angiogenesis
• Biochemistry
• Bioengineering
• Biomathematics
• Biophysics
• Cancer
• Circulatory homeostasis
• Comparative physiology
• Drug delivery
• Neuropharmacology
• Microvascular pathology
• Rheology
• Tissue Engineering.