脉络膜血-脑脊液屏障的分子解剖结构和功能在健康和疾病中的作用。
Molecular anatomy and functions of the choroidal blood-cerebrospinal fluid barrier in health and disease.
机构信息
Fluid Team, Lyon Neurosciences Research Center, INSERM U1028, CNRS, UMR5292, University Lyon-1, Lyon, France.
Brain-i, Lyon, France.
出版信息
Acta Neuropathol. 2018 Mar;135(3):337-361. doi: 10.1007/s00401-018-1807-1. Epub 2018 Jan 24.
The barrier between the blood and the ventricular cerebrospinal fluid (CSF) is located at the choroid plexuses. At the interface between two circulating fluids, these richly vascularized veil-like structures display a peculiar morphology explained by their developmental origin, and fulfill several functions essential for CNS homeostasis. They form a neuroprotective barrier preventing the accumulation of noxious compounds into the CSF and brain, and secrete CSF, which participates in the maintenance of a stable CNS internal environment. The CSF circulation plays an important role in volume transmission within the developing and adult brain, and CSF compartments are key to the immune surveillance of the CNS. In these contexts, the choroid plexuses are an important source of biologically active molecules involved in brain development, stem cell proliferation and differentiation, and brain repair. By sensing both physiological changes in brain homeostasis and peripheral or central insults such as inflammation, they also act as sentinels for the CNS. Finally, their role in the control of immune cell traffic between the blood and the CSF confers on the choroid plexuses a function in neuroimmune regulation and implicates them in neuroinflammation. The choroid plexuses, therefore, deserve more attention while investigating the pathophysiology of CNS diseases and related comorbidities.
血-脑脊髓液(CSF)屏障位于脉络丛。在两种循环液的界面处,这些富含血管的面纱状结构具有特殊的形态,这可以用它们的发育起源来解释,并发挥了几个对中枢神经系统稳态至关重要的功能。它们形成了一个神经保护屏障,防止有害物质进入 CSF 和大脑,并且分泌 CSF,有助于维持中枢神经系统内部环境的稳定。CSF 循环在发育中和成人脑的容积传递中起着重要作用,CSF 隔室是中枢神经系统免疫监视的关键。在这些情况下,脉络丛是参与脑发育、干细胞增殖和分化以及脑修复的生物活性分子的重要来源。通过感知脑稳态的生理变化以及炎症等外周或中枢损伤,它们也充当中枢神经系统的哨兵。最后,它们在控制血液和 CSF 之间免疫细胞迁移中的作用赋予脉络丛在神经免疫调节中的功能,并使它们与神经炎症有关。因此,在研究中枢神经系统疾病及其相关合并症的病理生理学时,脉络丛值得更多关注。