From the, The Department of Developmental Biology and Cancer Research, Institute for Medical Research IMRIC, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Institute of Neurology (Edinger Institute), University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
J Intern Med. 2022 Jul;292(1):31-46. doi: 10.1111/joim.13263. Epub 2021 Mar 4.
The blood-brain barrier (BBB) is essential for creating and maintaining tissue homeostasis in the central nervous system (CNS), which is key for proper neuronal function. In most vertebrates, the BBB is localized to microvascular endothelial cells that acquire barrier properties during angiogenesis of the neuroectoderm. Complex and continuous tight junctions, and the lack of fenestrae combined with low pinocytotic activity render the BBB endothelium a tight barrier for water-soluble molecules that may only enter the CNS via specific transporters. The differentiation of these unique endothelial properties during embryonic development is initiated by endothelial-specific flavours of the Wnt/β-catenin pathway in a precise spatiotemporal manner. In this review, we summarize the currently known cellular (neural precursor and endothelial cells) and molecular (VEGF and Wnt/β-catenin) mechanisms mediating brain angiogenesis and barrier formation. Moreover, we introduce more recently discovered crosstalk with cellular and acellular elements within the developing CNS such as the extracellular matrix. We discuss recent insights into the downstream molecular mechanisms of Wnt/β-catenin in particular, the recently identified target genes like Foxf2, Foxl2, Foxq1, Lef1, Ppard, Zfp551, Zic3, Sox17, Apcdd1 and Fgfbp1 that are involved in refining and maintaining barrier characteristics in the mature BBB endothelium. Additionally, we elute to recent insight into barrier heterogeneity and differential endothelial barrier properties within the CNS, focussing on the circumventricular organs as well as on the neurogenic niches in the subventricular zone and the hippocampus. Finally, open questions and future BBB research directions are highlighted in the context of taking benefit from understanding BBB development for strategies to modulate BBB function under pathological conditions.
血脑屏障(BBB)对于中枢神经系统(CNS)中组织内环境的稳定至关重要,这是神经元功能正常的关键。在大多数脊椎动物中,BBB 定位于神经外胚层血管生成过程中获得屏障特性的微血管内皮细胞。复杂且连续的紧密连接以及缺乏窗孔和低胞饮活性使得 BBB 内皮细胞成为水溶性分子的紧密屏障,这些分子只能通过特定的转运体进入 CNS。这些独特的内皮特性在胚胎发育过程中的分化是由内皮特异性的 Wnt/β-连环蛋白途径以精确的时空方式启动的。在这篇综述中,我们总结了目前已知的介导脑血管生成和屏障形成的细胞(神经前体细胞和内皮细胞)和分子(VEGF 和 Wnt/β-连环蛋白)机制。此外,我们介绍了最近发现的与发育中 CNS 内的细胞和无细胞成分(如细胞外基质)的交叉对话。我们讨论了 Wnt/β-连环蛋白下游分子机制的最新见解,特别是最近确定的靶基因,如 Foxf2、Foxl2、Foxq1、Lef1、Ppard、Zfp551、Zic3、Sox17、Apcdd1 和 Fgfbp1,它们参与了成熟 BBB 内皮中屏障特性的细化和维持。此外,我们还探讨了屏障异质性和 CNS 内不同内皮屏障特性的最新见解,重点关注室周器官以及侧脑室下区和海马体中的神经发生龛。最后,在利用理解 BBB 发育的优势为调节病理条件下 BBB 功能的策略的背景下,强调了 BBB 研究的开放性问题和未来方向。