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Stroke Induced Blood-Brain Barrier Disruption

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Advancement in the Pathophysiology of Cerebral Stroke

Abstract

Blood-brain barrier (BBB) is highly ultra-synchronized, structural and biochemical barrier between the peripheral blood circulation and the central nervous system (CNS) coordinate entry of blood-borne entities into the CNS. BBB anatomy is comprised of microvascular endothelium, pericytes, astrocytes and neuronal cells that constitute a neurovascular unit (NVU), participating a crucial role in proper functioning of the CNS. Every cell of NVU forms an indispensable contribution to BBB integrity. BBB functions are mainly controlled by tight and adherens junctional (TJ and AJ) protein complexes. These restrictive angioarchitectures at BBB reduce the paracellular diffusion of molecules, whereas carrier proteins determine which substance can cross the transcellular barrier. Under normal condition, BBB prevents extravasation of blood-borne cell, solute, ions and molecules. However, its disruption can lead to change in paracellular and transcellular permeability and extravasation of leukocytes into brain tissue, contributing oedema formation in neuropathological disorder including brain stroke. This chapter emphasized recently gained information on BBB anatomy and its neuropathogenetic alteration in an ischemic cerebral injury.

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Abbreviations

AJ:

Adherens junction

BBB:

Blood-brain barrier

CNS:

Central nervous system

CSF:

Cerebrospinal fluid

JAM:

Junctional adhesion molecule

MAGUK:

Membrane-associated guanylate kinase

MS:

Multiple sclerosis

NMO:

Neuromyelitis optica

NPSLE:

Neuropsychiatric systemic lupus erythematosus

NVU:

Neurovascular unit

TBI:

Traumatic brain injury

TEMPOL:

4-hydroxy-2,2,6,6-tetramethylpiperidine-N-oxyl

TJ:

Tight junction

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Acknowledgement

AKT gratefully acknowledges the financial support provided by the Department of Science and Technology-Science Engineering Research Board (PDF/2016/002996/LS), New Delhi, India, and Indian Institute of Technology (Banaras Hindu University), Varanasi, Uttar Pradesh for providing facility and support.

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Tripathi, A.K., Dhanesha, N., Kumar, S. (2019). Stroke Induced Blood-Brain Barrier Disruption. In: Patnaik, R., Tripathi, A., Dwivedi, A. (eds) Advancement in the Pathophysiology of Cerebral Stroke. Springer, Singapore. https://doi.org/10.1007/978-981-13-1453-7_3

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