Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models

The blood-brain barrier is a unique function of the microvasculature in the brain parenchyma that maintains homeostasis in the central nervous system. Blood-brain barrier breakdown is a common pathology in various neurological diseases, such as Alzheimer's disease, stroke, multiple sclerosis, a...

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Main Authors: Kinya Matsuo, Hideaki Nshihara
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2024;volume=19;issue=9;spage=1954;epage=1960;aulast=
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author Kinya Matsuo
Hideaki Nshihara
author_facet Kinya Matsuo
Hideaki Nshihara
author_sort Kinya Matsuo
collection DOAJ
description The blood-brain barrier is a unique function of the microvasculature in the brain parenchyma that maintains homeostasis in the central nervous system. Blood-brain barrier breakdown is a common pathology in various neurological diseases, such as Alzheimer's disease, stroke, multiple sclerosis, and Parkinson's disease. Traditionally, it has been considered a consequence of neuroinflammation or neurodegeneration, but recent advanced imaging techniques and detailed studies in animal models show that blood-brain barrier breakdown occurs early in the disease process and may precede neuronal loss. Thus, the blood-brain barrier is attractive as a potential therapeutic target for neurological diseases that lack effective therapeutics. To elucidate the molecular mechanism underlying blood-brain barrier breakdown and translate them into therapeutic strategies for neurological diseases, there is a growing demand for experimental models of human origin that allow for functional assessments. Recently, several human induced pluripotent stem cell-derived blood-brain barrier models have been established and various in vitro blood-brain barrier models using microdevices have been proposed. Especially in the Alzheimer's disease field, the human evidence for blood-brain barrier dysfunction has been demonstrated and human induced pluripotent stem cell-derived blood-brain barrier models have suggested the putative molecular mechanisms of pathological blood-brain barrier. In this review, we summarize recent evidence of blood-brain barrier dysfunction in Alzheimer's disease from pathological analyses, imaging studies, animal models, and stem cell sources. Additionally, we discuss the potential future directions for blood-brain barrier research.
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spelling doaj.art-52c4eea4fb5748068e4f6637ac66f8252024-02-22T15:19:04ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742024-01-011991954196010.4103/1673-5374.390978Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier modelsKinya MatsuoHideaki NshiharaThe blood-brain barrier is a unique function of the microvasculature in the brain parenchyma that maintains homeostasis in the central nervous system. Blood-brain barrier breakdown is a common pathology in various neurological diseases, such as Alzheimer's disease, stroke, multiple sclerosis, and Parkinson's disease. Traditionally, it has been considered a consequence of neuroinflammation or neurodegeneration, but recent advanced imaging techniques and detailed studies in animal models show that blood-brain barrier breakdown occurs early in the disease process and may precede neuronal loss. Thus, the blood-brain barrier is attractive as a potential therapeutic target for neurological diseases that lack effective therapeutics. To elucidate the molecular mechanism underlying blood-brain barrier breakdown and translate them into therapeutic strategies for neurological diseases, there is a growing demand for experimental models of human origin that allow for functional assessments. Recently, several human induced pluripotent stem cell-derived blood-brain barrier models have been established and various in vitro blood-brain barrier models using microdevices have been proposed. Especially in the Alzheimer's disease field, the human evidence for blood-brain barrier dysfunction has been demonstrated and human induced pluripotent stem cell-derived blood-brain barrier models have suggested the putative molecular mechanisms of pathological blood-brain barrier. In this review, we summarize recent evidence of blood-brain barrier dysfunction in Alzheimer's disease from pathological analyses, imaging studies, animal models, and stem cell sources. Additionally, we discuss the potential future directions for blood-brain barrier research.http://www.nrronline.org/article.asp?issn=1673-5374;year=2024;volume=19;issue=9;spage=1954;epage=1960;aulast=alzheimer's disease; blood-brain barrier; human induced pluripotent stem cells
spellingShingle Kinya Matsuo
Hideaki Nshihara
Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models
Neural Regeneration Research
alzheimer's disease; blood-brain barrier; human induced pluripotent stem cells
title Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models
title_full Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models
title_fullStr Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models
title_full_unstemmed Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models
title_short Rebuilding insight into the pathophysiology of Alzheimer's disease through new blood-brain barrier models
title_sort rebuilding insight into the pathophysiology of alzheimer s disease through new blood brain barrier models
topic alzheimer's disease; blood-brain barrier; human induced pluripotent stem cells
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2024;volume=19;issue=9;spage=1954;epage=1960;aulast=
work_keys_str_mv AT kinyamatsuo rebuildinginsightintothepathophysiologyofalzheimersdiseasethroughnewbloodbrainbarriermodels
AT hideakinshihara rebuildinginsightintothepathophysiologyofalzheimersdiseasethroughnewbloodbrainbarriermodels