Department of Neuroscience, The Alfred Centre, Monash University, Melbourne, Victoria, Australia.
Department of Pathology, Boston Children's Hospital, Boston, Massachusetts.
Physiol Rev. 2023 Jan 1;103(1):919-956. doi: 10.1152/physrev.00060.2021. Epub 2022 Sep 29.
Studies of the choroid plexus lag behind those of the more widely known blood-brain barrier, despite a much longer history. This review has two overall aims. The first is to outline long-standing areas of research where there are unanswered questions, such as control of cerebrospinal fluid (CSF) secretion and blood flow. The second aim is to review research over the past 10 years where the focus has shifted to the idea that there are choroid plexuses located in each of the brain's ventricles that make specific contributions to brain development and function through molecules they generate for delivery via the CSF. These factors appear to be particularly important for aspects of normal brain growth. Most research carried out during the twentieth century dealt with the choroid plexus, a brain barrier interface making critical contributions to the composition and stability of the brain's internal environment throughout life. More recent research in the twenty-first century has shown the importance of choroid plexus-generated CSF in neurogenesis, influence of sex and other hormones on choroid plexus function, and choroid plexus involvement in circadian rhythms and sleep. The advancement of technologies to facilitate delivery of brain-specific therapies via the CSF to treat neurological disorders is a rapidly growing area of research. Conversely, understanding the basic mechanisms and implications of how maternal drug exposure during pregnancy impacts the developing brain represents another key area of research.
脉络丛的研究落后于更为人所知的血脑屏障,尽管脉络丛的历史要长得多。这篇综述有两个总体目标。第一个是概述长期存在的研究领域,这些领域仍有未解决的问题,例如脑脊液(CSF)分泌和血流的控制。第二个目标是回顾过去 10 年的研究,重点转移到这样一个观点,即每个脑室内都有脉络丛,它们通过产生的分子通过 CSF 传递,对大脑发育和功能做出特定的贡献。这些因素似乎对正常大脑生长的各个方面尤为重要。在 20 世纪进行的大多数研究都涉及脉络丛,作为脑屏障的一个界面,它对大脑内部环境的组成和稳定性做出了至关重要的贡献。在 21 世纪的最新研究表明,脉络丛产生的 CSF 在神经发生、性别和其他激素对脉络丛功能的影响以及脉络丛在昼夜节律和睡眠中的作用方面具有重要意义。为了通过 CSF 将针对大脑的治疗方法递送至大脑以治疗神经疾病,技术的进步是一个快速发展的研究领域。相反,了解母体在怀孕期间暴露于药物如何影响发育中的大脑的基本机制和影响是另一个关键的研究领域。
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