Blood-Brain Barrier Dynamics to Maintain Brain Homeostasis

Trends Neurosci. 2021 May;44(5):393-405. doi: 10.1016/j.tins.2020.12.002. Epub 2021 Jan 7.

Abstract

The blood-brain barrier (BBB) is a dynamic platform for exchange of substances between the blood and the brain parenchyma, and it is an essential functional gatekeeper for the central nervous system (CNS). While it is widely recognized that BBB disruption is a hallmark of several neurovascular pathologies, an aspect of the BBB that has received somewhat less attention is the dynamic modulation of BBB tightness to maintain brain homeostasis in response to extrinsic environmental factors and physiological changes. In this review, we summarize how BBB integrity adjusts in critical stages along the life span, as well as how BBB permeability can be altered by common stressors derived from nutritional habits, environmental factors and psychological stress.

Keywords: aging; brain vasculature; development; environmental stress; nutrition; psychological stress.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biological Transport
  • Blood-Brain Barrier*
  • Brain*
  • Central Nervous System
  • Homeostasis
  • Humans