Kim Yeonjae, Cho A Yeon, Kim Hong Cheol, Ryu Dajung, Jo Sangmee Ahn, Jung Yi-Sook
College of Pharmacy, Ajou University, Suwon 16499, Korea.
Research Institute of Pharmaceutical Sciences and Technology, Ajou University, Suwon 16499, Korea.
Antioxidants (Basel). 2022 Jan 20;11(2):197. doi: 10.3390/antiox11020197.
The blood-brain barrier (BBB), which consists mainly of brain microvascular endothelial cells and astrocytes connected by tight junctions (TJs) and adhesion molecules (AMs), maintains the homeostatic balance between brain parenchyma and extracellular fluid. Accumulating evidence shows that BBB dysfunction is a common feature of neurodegenerative diseases, including stroke, traumatic brain injury, and Alzheimer's disease. Among the various pathological pathways of BBB dysfunction, reactive oxygen species (ROS) are known to play a key role in inducing BBB disruption mediated via TJ modification, AM induction, cytoskeletal reorganization, and matrix metalloproteinase activation. Thus, antioxidants have been suggested to exert beneficial effects on BBB dysfunction-associated brain diseases. In this review, we summarized the sources of ROS production in multiple cells that constitute or surround the BBB, such as BBB endothelial cells, astrocytes, microglia, and neutrophils. We also reviewed various pathological mechanisms by which BBB disruption is caused by ROS in these cells. Finally, we summarized the effects of various natural polyphenols on BBB dysfunction to suggest a therapeutic strategy for BBB disruption-related brain diseases.
血脑屏障(BBB)主要由通过紧密连接(TJ)和黏附分子(AM)相连的脑微血管内皮细胞和星形胶质细胞组成,它维持着脑实质与细胞外液之间的稳态平衡。越来越多的证据表明,血脑屏障功能障碍是包括中风、创伤性脑损伤和阿尔茨海默病在内的神经退行性疾病的一个共同特征。在血脑屏障功能障碍的各种病理途径中,已知活性氧(ROS)在诱导通过TJ修饰、AM诱导、细胞骨架重组和基质金属蛋白酶激活介导的血脑屏障破坏中起关键作用。因此,有人提出抗氧化剂对与血脑屏障功能障碍相关的脑部疾病具有有益作用。在这篇综述中,我们总结了构成或围绕血脑屏障的多种细胞(如血脑屏障内皮细胞、星形胶质细胞、小胶质细胞和中性粒细胞)中ROS产生的来源。我们还综述了这些细胞中ROS导致血脑屏障破坏的各种病理机制。最后,我们总结了各种天然多酚对血脑屏障功能障碍的影响,以提出针对与血脑屏障破坏相关的脑部疾病的治疗策略。
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