Department of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, 1000 Wall St Rm, Ann Arbor, MI, 7317, USA.
Fluids Barriers CNS. 2022 Nov 1;19(1):86. doi: 10.1186/s12987-022-00386-0.
The unique environment of the brain and retina is tightly regulated by blood-brain barrier and the blood-retinal barrier, respectively, to ensure proper neuronal function. Endothelial cells within these tissues possess distinct properties that allow for controlled passage of solutes and fluids. Pericytes, glia cells and neurons signal to endothelial cells (ECs) to form and maintain the barriers and control blood flow, helping to create the neurovascular unit. This barrier is lost in a wide range of diseases affecting the central nervous system (CNS) and retina such as brain tumors, stroke, dementia, and in the eye, diabetic retinopathy, retinal vein occlusions and age-related macular degeneration to name prominent examples. Recent studies directly link barrier changes to promotion of disease pathology and degradation of neuronal function. Understanding how these barriers form and how to restore these barriers in disease provides an important point for therapeutic intervention. This review aims to describe the fundamentals of the blood-tissue barriers of the CNS and how the use of transgenic animal models led to our current understanding of the molecular framework of these barriers. The review also highlights examples of targeting barrier properties to protect neuronal function in disease states.
大脑和视网膜的独特环境分别受到血脑屏障和血视网膜屏障的严格调节,以确保神经元功能正常。这些组织中的内皮细胞具有独特的特性,允许溶质和液体的受控通过。周细胞、神经胶质细胞和神经元向内皮细胞 (ECs) 发出信号,以形成和维持屏障并控制血流,有助于创建神经血管单元。这种屏障在广泛影响中枢神经系统 (CNS) 和视网膜的疾病中丧失,例如脑肿瘤、中风、痴呆症,以及眼部的糖尿病性视网膜病变、视网膜静脉阻塞和年龄相关性黄斑变性等显著例子。最近的研究直接将屏障变化与疾病病理学的促进和神经元功能的退化联系起来。了解这些屏障是如何形成的,以及如何在疾病中恢复这些屏障,为治疗干预提供了一个重要的切入点。本综述旨在描述中枢神经系统血组织屏障的基础知识,以及转基因动物模型的使用如何导致我们目前对这些屏障的分子框架的理解。该综述还强调了针对屏障特性的靶向治疗,以在疾病状态下保护神经元功能的例子。