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Blood–brain barrier

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485:. These zones appear to function as rapid transit regions for brain structures involved in diverse neural circuits—like the NTS and arcuate nucleus—to receive blood signals which are then transmitted into neural output. The permeable capillary zone shared between the median eminence and hypothalamic arcuate nucleus is augmented by wide pericapillary spaces, facilitating bidirectional flow of solutes between the two structures, and indicating that the median eminence is not only a secretory organ, but may also be a sensory organ. 3926: 1336: 499:
challenge to treatment of most brain disorders. In its neuroprotective role, the blood–brain barrier functions to hinder the delivery of many potentially important diagnostic and therapeutic agents to the brain. Therapeutic molecules and antibodies that might otherwise be effective in diagnosis and therapy do not cross the BBB in adequate amounts to be clinically effective. To overcome this problem some peptides able to naturally cross the BBB have been widely investigated as a drug delivery system.
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In mice, Claudin-5 loss during development is lethal and results in size-selective (upto 742Da) loosening of the BBB. Mosaic deletion of claudin-5 in adult endothelial cells (in mice) reveals BBB leakage upto 10kDa molecule 6 days after deletion of claudin-5 and lethality after 10 days after deletion
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The brain can be targeted non-invasively via the nasal passage. The drugs that remain in the passage after mucociliary clearance, enter the brain via three pathways: (1) Olfactory nerve-olfactory bulb-brain; (2) Trigeminal nerve-brain; and (3) Lungs/ Gastrointestinal tract-blood–brain The first and
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of animal brains. He found then the brains did become dyed, but the rest of the body did not, demonstrating the existence of a compartmentalization between the two. At that time, it was thought that the blood vessels themselves were responsible for the barrier, since no obvious membrane could be
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The first papers modelling blood-brain barrier permeability identified three properties, i.e., molecular volume, lipophilicity, and hydrogen bonding potential, as contributing to solute transport through the blood-brain barrier. A 2022 dataset selected different classification models based on
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The blood–brain barrier is formed by the brain capillary endothelium and excludes from the brain 100% of large-molecule neurotherapeutics and more than 98% of all small-molecule drugs. Overcoming the difficulty of delivering therapeutic agents to specific regions of the brain presents a major
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The border zones between brain tissue "behind" the blood–brain barrier and zones "open" to blood signals in certain CVOs contain specialized hybrid capillaries that are leakier than typical brain capillaries, but not as permeable as CVO capillaries. Such zones exist at the border of the area
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Permeable capillaries of the sensory CVOs (area postrema, subfornical organ, vascular organ of the lamina terminalis) enable rapid detection of circulating signals in systemic blood, while those of the secretory CVOs (median eminence, pineal gland, pituitary lobes) facilitate transport of
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to move across the BBB. However, in many neurodegenerative diseases, the exact cause and pathology remains unknown. It is still unclear whether the BBB dysfunction in the disease is a causative agent, a result of the disease, or somewhere in the middle.
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between the endothelial cells of brain capillaries, restricting the passage of solutes. At the interface between blood and the brain, endothelial cells are adjoined continuously by these tight junctions, which are composed of smaller subunits of
707:. Stern was a Russian scientist who published her work in Russian and French. Due to the language barrier between her publications and English-speaking scientists, this could have made her work a lesser-known origin of the term. 2487:
Krol S, Macrez R, Docagne F, Defer G, Laurent S, Rahman M, et al. (March 2013). "Therapeutic benefits from nanoparticles: the potential significance of nanoscience in diseases with compromise to the blood brain barrier".
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Blood brain barrier is disrupted in aged mice as opposed to young seen with an increased leakage of IgG into the brain parenchyma, a reduction of the tight junction protein occludin, and a reduction in pericyte coverage.
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Young RC, Mitchell RC, Brown TH, et al. (March 1988). "Development of a new physicochemical model for brain penetration and its application to the design of centrally acting H2 receptor histamine antagonists".
213:. The barrier also restricts the passage of peripheral immune factors, like signaling molecules, antibodies, and immune cells, into the CNS, thus insulating the brain from damage due to peripheral immune events. 3392:
Biedl A, Kraus R (1898). "Über eine bisher unbekannte toxische Wirkung der Gallensäuren auf das Zentralnervensystem" [A previously unknown toxic effect of bile acids on the central nervous system].
1957:"The design of barriers in the hypothalamus allows the median eminence and the arcuate nucleus to enjoy private milieus: the former opens to the portal blood and the latter to the cerebrospinal fluid" 652:
During healthy aging, there is an age-dependent loss of blood brain barrier in hippocampus in individuals with no cognitive impairment. Uptake of Glucose is also reduced in aged healthy individuals.
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second methods involve the nerves, so they use the neuronal pathway and the third is via systemic circulation. However, these methods are less efficient to deliver drugs as they are indirect methods.
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Measurement of brain uptake of various blood-borne solutes showed that newborn endothelial cells were functionally similar to those in adults, indicating that a selective BBB is operative at birth.
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Other methods used to get through the BBB may entail the use of endogenous transport systems, including carrier-mediated transporters, such as glucose and amino acid carriers, receptor-mediated
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Harilal S, Jose J, Parambi DG, Kumar R, Unnikrishnan MK, Uddin MS, et al. (July 2020). "Revisiting the blood-brain barrier: A hard nut to crack in the transportation of drug molecules".
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Gross PM, Wall KM, Pang JJ, Shaver SW, Wainman DS (December 1990). "Microvascular specializations promoting rapid interstitial solute dispersion in nucleus tractus solitarius".
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may have been the first to coin the term "blood–brain barrier" in 1900, referring to the hypothesized semipermeable membrane. There is some debate over the creation of the term
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Vázquez-Liébanas E, Mocci G, Li W, Laviña B, Reddy A, O'Connor C, Hudson N, Elbeck Z, Nikoloudis I, Gaengel K, Vanlandewijck M, Campbell M, Betsholtz C, Mäe MA (2024-03-26).
289:(such as JAM-A). Each of these tight junction proteins is stabilized to the endothelial cell membrane by another protein complex that includes scaffolding proteins such as 1384:
Gilgun-Sherki Y, Melamed E, Offen D (June 2001). "Oxidative stress induced-neurodegenerative diseases: the need for antioxidants that penetrate the blood brain barrier".
635:. Effects such as impaired glucose transport and endothelial degeneration may lead to metabolic dysfunction within the brain, and an increased permeability of the BBB to 669: 296:
The BBB is composed of endothelial cells restricting passage of substances from the blood more selectively than endothelial cells of capillaries elsewhere in the body.
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Montagne A, Barnes SR, Sweeney MD, Halliday MR, Sagare AP, Zhao Z, Toga AW, Jacobs RE, Liu CY, Amezcua L, Harrington MG, Chui HC, Law M, Zlokovic BV (January 2015).
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Yang AC, Stevens MY, Chen MB, Lee DP, Stähli D, Gate D, Contrepois K, Chen W, Iram T, Zhang L, Vest RT, Chaney A, Lehallier B, Olsson N, du Bois H (July 2020).
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of some kinds of animals except for their brains. At that time, Ehrlich attributed this lack of staining to the brain simply not picking up as much of the dye.
2985:"Blood-brain barrier dysfunction developed during normal aging is associated with inflammation and loss of tight junctions but not with leukocyte recruitment" 3799: 3577: 571: 461:
brain-derived signals into the circulating blood. Consequently, the CVO permeable capillaries are the point of bidirectional blood–brain communication for
2871:"Lipoic acid restores age-associated impairment of brain energy metabolism through the modulation of Akt/JNK signaling and PGC1α transcriptional pathway" 2334:"Blood-brain barrier disruption induced by focused ultrasound and circulating preformed microbubbles appears to be characterized by the mechanical index" 2043:
Shaver SW, Pang JJ, Wainman DS, Wall KM, Gross PM (March 1992). "Morphology and function of capillary networks in subregions of the rat tuber cinereum".
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Tsai CE, Daood MJ, Lane RH, Hansen TW, Gruetzmacher EM, Watchko JF (January 2002). "P-glycoprotein expression in mouse brain increases with maturation".
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Zhang L, Zhu H, Oprea TI, Golbraikh A, Tropsha A (14 June 2008). "QSAR Modeling of the Blood–Brain Barrier Permeability for Diverse Organic Compounds".
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are able to pass. In some cases, a drug has to be administered directly into the cerebrospinal fluid where it can enter the brain by crossing the
553:, have been found to remain entrapped in brain endothelial cells of capillaries, instead of being ferried across the BBB into the targeted area. 2777:
Alluri H, Wiggins-Dohlvik K, Davis ML, Huang JH, Tharakan B (October 2015). "Blood-brain barrier dysfunction following traumatic brain injury".
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is under preliminary research for its potential to facilitate the transfer of drugs across the BBB. Capillary endothelial cells and associated
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Ballabh P, Braun A, Nedergaard M (June 2004). "The blood-brain barrier: an overview: structure, regulation, and clinical implications".
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study of brain–blood distribution conducted reported the in vivo values in rats for a large number of H2 receptor histamine agonists.
308:") surround the endothelial cells of the BBB, providing biochemical support to those cells. The BBB is distinct from the quite similar 3850: 3510:"Markers for blood-brain barrier integrity: how appropriate is Evans blue in the twenty-first century and what are the alternatives?" 3684: 1870: 401: 166:, as well as the selective and active transport of various nutrients, ions, organic anions, and macromolecules such as glucose and 3570: 356: 3991: 772: 692:" failed to affect behavior when injected into the blood of animals. Thus, in theory, the salts failed to enter the brain. 433:
endothelial cells unlike those of the blood–brain barrier. Included among CVOs having highly permeable capillaries are the
616: 3916: 1632:"Blood-brain barrier dysfunction in ischemic stroke: targeting tight junctions and transporters for vascular protection" 1488:(January 1980). "Newborn rabbit blood-brain barrier is selectively permeable and differs substantially from the adult". 286: 587:, may contribute to the resistance of brain tumors to therapy using nanoparticles. Fat soluble molecules less than 400 583:
may be abnormal in tumors and the blood–brain barrier may not always be intact in brain tumors. Other factors, such as
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as it is often attributed to Lewandowsky, but it does not appear in his papers. The creator of the term may have been
2442:"Nose-to-brain drug delivery: An update on clinical challenges and progress towards approval of anti-Alzheimer drugs" 2291:
Marcos-Contreras OA, Martinez de Lizarrondo S, Bardou I, Orset C, Pruvost M, Anfray A, et al. (November 2016).
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to make fine biological structures visible using chemical dyes. As Ehrlich injected some of these dyes (notably the
4001: 3738: 546: 503: 210: 2677:"Implications of MMP9 for Blood Brain Barrier Disruption and Hemorrhagic Transformation Following Ischemic Stroke" 1899:"New aspects in fenestrated capillary and tissue dynamics in the sensory circumventricular organs of adult brains" 1250:
Abbott NJ, Rönnbäck L, Hansson E (January 2006). "Astrocyte-endothelial interactions at the blood-brain barrier".
760: 4006: 2383:"Transcytosis and brain uptake of transferrin-containing nanoparticles by tuning avidity to transferrin receptor" 475: 778: 766: 754: 3733: 3721: 3713: 2293:"Hyperfibrinolysis increases blood-brain barrier permeability by a plasmin- and bradykinin-dependent mechanism" 418: 413: 324: 290: 82: 502:
Mechanisms for drug targeting in the brain involve going either "through" or "behind" the BBB. Modalities for
1763:"Novel modified method for injection into the cerebrospinal fluid via the cerebellomedullary cistern in mice" 1582:"Mosaic deletion of claudin-5 reveals rapid non-cell-autonomous consequences of blood-brain barrier leakage" 859: 221: 3925: 1335: 3395: 624: 612: 132: 120: 94: 3214:"Alvascience: A New Software Suite for the QSAR Workflow Applied to the Blood–Brain Barrier Permeability" 903: 3448:"The rights and wrongs of blood-brain barrier permeability studies: a walk through 100 years of history" 1464: 538: 430: 317: 270: 236: 1581: 3694: 2394: 1485: 1350: 1109:
Muldoon LL, Alvarez JI, Begley DJ, Boado RJ, Del Zoppo GJ, Doolittle ND, et al. (January 2013).
677: 604: 550: 343:"directly into the systemic circulation", thus melatonin is not affected by the blood–brain barrier. 39: 3972: 3864: 3782: 3679: 3619: 3446:
Saunders NR, Dreifuss JJ, Dziegielewska KM, Johansson PA, Habgood MD, Møllgård K, Bauer HC (2014).
741: 385: 190: 763: – Part of the blood–ocular barrier that prevents certain substances from entering the retina 664:
There have been many attempts to correlate the experimental blood–brain barrier permeability with
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Agrawal M, Saraf S, Saraf S, Antimisiaris SG, Chougule MB, Shoyele SA, Alexander A (2018-07-10).
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Semipermeable capillary border that allows selective passage of blood constituents into the brain
1006:"A blood-brain barrier overview on structure, function, impairment, and biomarkers of integrity" 781: – Physical barrier between the blood vessels and the seminiferous tubules of animal testes 3421: 1193:
van Leeuwen LM, Evans RJ, Jim KK, Verboom T, Fang X, Bojarczuk A, et al. (February 2018).
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Hashizume H, Baluk P, Morikawa S, McLean JW, Thurston G, Roberge S, et al. (April 2000).
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Not all vessels in the human brain exhibit BBB properties. Some examples of this include the
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Specialized brain structures participating in sensory and secretory integration within brain
3903: 3829: 3743: 3704: 3614: 3531: 3521: 3477: 3459: 3364: 3323: 3276: 3235: 3225: 3162: 3111: 3073: 3055: 3014: 2996: 2955: 2939: 2898: 2882: 2841: 2833: 2786: 2749: 2739: 2698: 2688: 2647: 2639: 2598: 2590: 2549: 2539: 2528:"Nanotechnology approaches to crossing the blood-brain barrier and drug delivery to the CNS" 2497: 2453: 2412: 2402: 2353: 2345: 2304: 2263: 2253: 2206: 2169: 2161: 2107: 2099: 2052: 2014: 1968: 1920: 1910: 1858: 1822: 1774: 1733: 1723: 1651: 1643: 1593: 1552: 1544: 1497: 1436: 1393: 1314: 1306: 1259: 1222: 1214: 1167: 1130: 1122: 1081: 1073: 1027: 1017: 976: 968: 913: 868: 829: 821: 628: 422: 3942: 3820: 3804: 3767: 3662: 3646: 2150:"Blood-brain barrier breakdown in Alzheimer disease and other neurodegenerative disorders" 730: 696: 665: 482: 454: 446: 426: 265: 757: – Physical barrier between the local blood vessels and most parts of the eye itself 3555: 2398: 4011: 3930: 3845: 3825: 3536: 3509: 3482: 3447: 3240: 3213: 3078: 3043: 3019: 2984: 2983:
Elahy M, Jackaman C, Mamo JC, Lam V, Dhaliwal SS, Giles C, Nelson D, Takechi R (2015).
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Circumventricular Organs and Brain Fluid Environment - Molecular and Functional Aspects
1738: 1711: 1656: 1631: 1557: 1532: 1501: 1319: 1294: 1227: 1194: 1135: 1110: 1086: 1061: 1032: 1005: 981: 956: 917: 834: 809: 737: 711: 576: 542: 462: 352: 313: 309: 225: 217: 182: 2594: 2103: 1862: 1397: 3985: 3787: 3777: 3726: 3672: 3609: 2928:"Physiological blood-brain transport is impaired with age by a shift in transcytosis" 2643: 2242:"Biological Membrane-Penetrating Peptides: Computational Prediction and Applications" 2226: 2018: 1310: 1279: 632: 588: 434: 305: 3198: 2806: 2072: 1988: 1956: 1517: 1456: 1413: 935: 248: 3657: 1972: 1680: 888: 714: 636: 608: 526: 479: 450: 336: 332: 301: 205:, hormones) and small non-polar molecules. Cells of the barrier actively transport 151: 57: 17: 2457: 380:
The blood–brain barrier acts effectively to protect brain tissue from circulating
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Journal of Controlled Release: Official Journal of the Controlled Release Society
2309: 2292: 1597: 1533:"Size-selective loosening of the blood-brain barrier in claudin-5-deficient mice" 1111:"Immunologic privilege in the central nervous system and the blood-brain barrier" 907: 87: 3629: 3590: 1531:
Nitta T, Hata M, Gotoh S, Seo Y, Sasaki H, Hashimoto N, et al. (May 2003).
825: 726: 534: 507: 397: 124: 3044:"Age-Associated Changes in the Immune System and Blood⁻Brain Barrier Functions" 2387:
Proceedings of the National Academy of Sciences of the United States of America
1647: 1077: 1022: 3166: 3001: 2943: 2790: 2544: 2258: 2165: 1062:"Brain endothelial cell-cell junctions: how to "open" the blood brain barrier" 872: 704: 640: 584: 515: 393: 206: 194: 186: 167: 3526: 3473: 3464: 3335: 3311: 3288: 3264: 3182: 3174: 3131: 3123: 3069: 3010: 2951: 2894: 2744: 2693: 2579:"Openings between defective endothelial cells explain tumor vessel leakiness" 2465: 1915: 1605: 2441: 2407: 1370: 1295:"Establishment of a human in vitro model of the outer blood-retinal barrier" 722: 689: 580: 389: 340: 297: 241: 155: 148: 144: 3545: 3491: 3343: 3296: 3249: 3190: 3087: 3028: 2969: 2912: 2855: 2798: 2763: 2712: 2661: 2612: 2563: 2509: 2473: 2426: 2367: 2318: 2277: 2218: 2183: 2121: 1980: 1934: 1827: 1810: 1788: 1779: 1762: 1747: 1696: 1665: 1613: 1566: 1448: 1405: 1328: 1271: 1236: 1179: 1144: 1126: 1095: 1041: 990: 880: 843: 3368: 3230: 3139: 2064: 2026: 1880: 1836: 1728: 1548: 1509: 3060: 718: 620: 381: 278: 274: 174: 3115: 2240:
de Oliveira EC, da Costa KS, Taube PS, Lima AH, Junior CS (2022-03-25).
2886: 2088:"Evolving Drug Delivery Strategies to Overcome the Blood Brain Barrier" 2056: 1218: 1171: 530: 511: 3327: 3280: 2501: 1440: 320:, which can be considered a part of the whole realm of such barriers. 100: 3363:. Methods and Principles in Medicinal Chemistry (1 ed.). Wiley. 1625: 1623: 514:
means, or biochemically by the use of vasoactive substances, such as
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Gross PM (1992). "Chapter 31: Circumventricular organ capillaries".
1263: 972: 957:"Development, maintenance and disruption of the blood-brain barrier" 1158:
Kaur C, Ling EA (September 2017). "The circumventricular organs".
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Souza RM, da Silva IC, Delgado AB, da Silva PH, Costa VR (2018).
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in the brain, and are characterized by dense capillary beds with
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are too large to cross the blood–brain barrier, and only certain
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that regulates the transfer of solutes and chemicals between the
3792: 2628:"Focused ultrasound and Alzheimer's disease A systematic review" 519: 143:. The blood–brain barrier is formed by endothelial cells of the 3559: 740:(one of Ehrlich's students) injected the dye directly into the 3508:
Saunders NR, Dziegielewska KM, Møllgård K, Habgood MD (2015).
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Jiang T, Yin F, Yao J, Brinton RD, Cadenas E (December 2013).
2822:"Blood-Brain Barrier Breakdown in the Aging Human Hippocampus" 3948: 1857:. Progress in Brain Research. Vol. 91. pp. 219–33. 260:
Sketch showing constitution of blood vessels inside the brain
162:. This system allows the passage of some small molecules by 1685:
Journal of the College of Physicians and Surgeons--Pakistan
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study of the blood and choroid plexus brain barriers using
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products such as glucose across the barrier using specific
1681:"Penetration and activity of antibiotics in brain abscess" 366:
demonstrating a critical role of Claudin-5 in adult BBB.
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The astrocytes type 1 surrounding capillaries in the brain
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Stamatovic SM, Keep RF, Andjelkovic AV (September 2008).
1055: 1053: 1051: 421:(CVOs) are individual structures located adjacent to the 392:
of the brain that do occur are often difficult to treat.
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Durant JL, Leland BA, Henry DR, Nourse JG (2002-11-01).
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Abdullahi W, Tripathi D, Ronaldson PT (September 2018).
1355:(1st ed.). Fence Creek Publishing. pp. 76–77. 729:
that were then widely used), the dye stained all of the
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The BBB appears to be functional by the time of birth.
3312:"Reoptimization of MDL Keys for Use in Drug Discovery" 2086:
Hersh DS, Wadajkar AS, Roberts N, et al. (2016).
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Obermeier B, Daneman R, Ransohoff RM (December 2013).
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The blood–brain barrier may become damaged in certain
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Journal of Chemical Information and Computer Sciences
1712:"Drug transport in brain via the cerebrospinal fluid" 1679:
Raza MW, Shad A, Pedler SJ, Karamat KA (March 2005).
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and other potentially toxic substances. Accordingly,
331:, capillaries in the pineal gland on the roof of the 312:, which is a function of the choroidal cells of the 3896: 3863: 3838: 3813: 3752: 3712: 3703: 3645: 3597: 81: 73: 68: 56: 51: 32: 2728:"Neuroinflammation after intracerebral hemorrhage" 2381:Wiley DT, Webster P, Gale A, Davis ME (May 2013). 2332:McDannold N, Vykhodtseva N, Hynynen K (May 2008). 1955:Rodríguez EM, Blázquez JL, Guerra M (April 2010). 2148:Sweeney MD, Sagare AP, Zlokovic BV (March 2018). 1469:: CS1 maint: DOI inactive as of September 2024 ( 173:The blood–brain barrier restricts the passage of 2246:Frontiers in Cellular and Infection Microbiology 591:in mass can freely diffuse past the BBB through 228:—have in contrast highly permeable capillaries. 1636:American Journal of Physiology. Cell Physiology 1293:Hamilton RD, Foss AJ, Leach L (December 2007). 1004:Kadry H, Noorani B, Cucullo L (November 2020). 904:"Anatomy and physiology of blood-brain barrier" 359:, exists already in the embryonal endothelium. 688:A 1898 study observed that low-concentration " 639:factors, potentially allowing antibiotics and 3571: 1815:Journal of Cerebral Blood Flow and Metabolism 1115:Journal of Cerebral Blood Flow and Metabolism 8: 3269:Journal of Chemical Information and Modeling 572:Nanoparticles for drug delivery to the brain 264:The BBB results from the selectivity of the 3503: 3501: 3218:International Journal of Molecular Sciences 3048:International Journal of Molecular Sciences 139:from harmful or unwanted substances in the 3709: 3578: 3564: 3556: 3360:Molecular Descriptors for Chemoinformatics 2143: 2141: 2139: 2137: 2135: 2133: 2131: 1811:"Peering through the windows of the brain" 1804: 1802: 1800: 1798: 814:Cold Spring Harbor Perspectives in Biology 775: – Semipermeable anatomical interface 676:molecular fingerprints, MACCS166 keys and 38: 3535: 3525: 3481: 3463: 3239: 3229: 3077: 3059: 3018: 3000: 2959: 2902: 2845: 2753: 2743: 2702: 2692: 2651: 2602: 2553: 2543: 2416: 2406: 2357: 2308: 2267: 2257: 2173: 2111: 1950: 1948: 1946: 1944: 1924: 1914: 1892: 1890: 1848: 1846: 1826: 1778: 1737: 1727: 1655: 1556: 1318: 1226: 1134: 1085: 1031: 1021: 980: 833: 803: 801: 799: 797: 795: 510:through the BBB entail its disruption by 2521: 2519: 769: – Semipermeable biological barrier 736:However, in a later experiment in 1913, 549:targeting BBB transporters, such as the 520:high-intensity focused ultrasound (HIFU) 339:. The pineal gland secretes the hormone 3961: 3921: 3357:Todeschini R, Consonni V (2009-07-15). 1761:Chen Y, Imai H, Ito A, Saito N (2013). 791: 443:vascular organ of the lamina terminalis 2038: 2036: 2000: 1998: 1462: 1195:"A transgenic zebrafish model for the 98: 29: 3416: 3414: 902:Gupta S, Dhanda S, Sandhir R (2019). 648:Blood brain barrier in healthy ageing 170:that are crucial to neural function. 7: 3265:"Extended-Connectivity Fingerprints" 3042:Erickson MA, Banks WA (2019-04-02). 2726:Mracsko E, Veltkamp R (2014-11-20). 2338:Ultrasound in Medicine & Biology 1809:Gross PM, Weindl A (December 1987). 909:Brain Targeted Drug Delivery System 721:, a procedure that is used in many 518:, or even by localized exposure to 327:, the roof of the third and fourth 300:cell projections called astrocytic 2732:Frontiers in Cellular Neuroscience 2681:Frontiers in Cellular Neuroscience 2675:Turner RJ, Sharp FR (2016-03-04). 2350:10.1016/j.ultrasmedbio.2007.10.016 2211:10.1016/j.brainresbull.2020.03.018 2007:The American Journal of Physiology 1767:Acta Neurobiologiae Experimentalis 1502:10.1111/j.1471-4159.1980.tb04633.x 918:10.1016/b978-0-12-814001-7.00002-0 808:Daneman R, Prat A (January 2015). 193:, while allowing the diffusion of 25: 2583:The American Journal of Pathology 2104:10.2174/1381612822666151221150733 1349:Pritchard TC, Alloway KD (1999). 912:. Academic Press. pp. 7–31. 402:blood-cerebrospinal fluid barrier 310:blood-cerebrospinal fluid barrier 3964: 3936: 3924: 3422:"History of Blood-Brain Barrier" 2989:Immunity & Ageing: I & A 2644:10.1590/1980-57642018dn12-040003 2019:10.1152/ajpregu.1990.259.6.R1131 1334: 1311:10.1111/j.1469-7580.2007.00812.x 3263:Rogers D, Hahn M (2010-05-24). 2632:Dementia & Neuropsychologia 668:properties. In 1988, the first 545:. Some studies have shown that 293:(ZO1) and associated proteins. 154:ensheathing the capillary, and 44:Solute permeability at the BBB 3104:Journal of Medicinal Chemistry 1973:10.1016/j.peptides.2010.01.003 1716:Fluids and Barriers of the CNS 1: 2595:10.1016/S0002-9440(10)65006-7 2458:10.1016/j.jconrel.2018.05.011 2092:Current Pharmaceutical Design 1863:10.1016/S0079-6123(08)62338-9 1710:Pardridge WM (January 2011). 1398:10.1016/S0028-3908(01)00019-3 617:amyotrophic lateral sclerosis 2838:10.1016/j.neuron.2014.12.032 2310:10.1182/blood-2016-03-705384 1598:10.1016/j.celrep.2024.113911 1252:Nature Reviews. Neuroscience 1160:Histology and Histopathology 599:Damage in injury and disease 595:mediated passive diffusion. 287:junctional adhesion molecule 3428:. The University of Arizona 3212:Mauri A, Bertola M (2022). 1537:The Journal of Cell Biology 826:10.1101/cshperspect.a020412 478:(NTS), and median eminence— 469:Specialized permeable zones 4033: 2526:Silva GA (December 2008). 1648:10.1152/ajpcell.00095.2018 1078:10.2174/157015908785777210 1023:10.1186/s12987-020-00230-3 906:. In Gao H, Gao X (eds.). 569: 539:active efflux transporters 504:drug delivery to the brain 453:, and three lobes of the 411: 373: 158:embedded in the capillary 3883:Interventricular foramina 3514:Frontiers in Neuroscience 3452:Frontiers in Neuroscience 3167:10.1007/s11095-008-9609-0 3002:10.1186/s12979-015-0029-9 2944:10.1038/s41586-020-2453-z 2791:10.1007/s11011-015-9651-7 2545:10.1186/1471-2202-9-S3-S4 2259:10.3389/fcimb.2022.838259 2166:10.1038/nrneurol.2017.188 2154:Nature Reviews. Neurology 1903:Frontiers in Neuroscience 1490:Journal of Neurochemistry 1066:Current Neuropharmacology 873:10.1016/j.nbd.2003.12.016 810:"The blood-brain barrier" 773:blood–spinal cord barrier 557:Intranasal administration 476:nucleus tractus solitarii 93: 37: 3734:Inferior medullary velum 3722:Superior medullary velum 3527:10.3389/fnins.2015.00385 3465:10.3389/fnins.2014.00404 2745:10.3389/fncel.2014.00388 2694:10.3389/fncel.2016.00056 2045:Cell and Tissue Research 1916:10.3389/fnins.2015.00390 419:Circumventricular organs 414:Circumventricular organs 408:Circumventricular organs 325:circumventricular organs 291:tight junction protein 1 222:circumventricular organs 119:) is a highly selective 3155:Pharmaceutical Research 2779:Metabolic Brain Disease 2408:10.1073/pnas.1307152110 2199:Brain Research Bulletin 1484:Braun LD, Cornford EM, 1443:(inactive 2024-09-11). 860:Neurobiology of Disease 623:, ischemic stroke, and 388:of the brain are rare. 3992:Central nervous system 1828:10.1038/jcbfm.1987.120 1780:10.55782/ane-2013-1938 1429:Biology of the Neonate 1127:10.1038/jcbfm.2012.153 537:, and the blocking of 386:blood-borne infections 271:transmembrane proteins 261: 253: 245: 135:, thus protecting the 133:central nervous system 95:Anatomical terminology 3953:at Knowledge (XXG)'s 3369:10.1002/9783527628766 3231:10.3390/ijms232112882 1729:10.1186/2045-8118-8-7 1549:10.1083/jcb.200302070 761:blood–retinal barrier 678:molecular descriptors 605:neurological diseases 318:blood-retinal barrier 259: 251: 244:supplying brain cells 240:Part of a network of 239: 3695:Posterior commissure 3396:Zentralblatt Inn Med 3061:10.3390/ijms20071632 1352:Medical Neuroscience 779:blood–testis barrier 767:blood–saliva barrier 755:blood–ocular barrier 551:transferrin receptor 489:Therapeutic research 3951:Blood–brain barrier 3873:Blood–brain barrier 3865:Cerebrospinal fluid 3783:Hypoglossal trigone 3680:Hypothalamic sulcus 3663:Infundibular recess 3620:Collateral eminence 3407:4353654721035571173 3116:10.1021/jm00398a028 2399:2013PNAS..110.8662W 2013:(6 Pt 2): R1131-8. 1010:Fluids Barriers CNS 742:cerebrospinal fluid 701:blood–brain barrier 613:Alzheimer's disease 191:cerebrospinal fluid 189:molecules into the 177:, the diffusion of 113:blood–brain barrier 33:Blood–brain barrier 18:Blood-brain barrier 4017:Circulatory system 3888:Perilymphatic duct 3668:Suprapineal recess 3599:Lateral ventricles 3587:Ventricular system 2887:10.1111/acel.12127 2057:10.1007/BF00319366 1299:Journal of Anatomy 1219:10.1242/bio.030494 1172:10.14670/HH-11-881 723:microscopy studies 607:, as indicated by 376:Neuroimmune system 262: 254: 246: 211:transport proteins 181:in the blood, and 129:circulatory system 63:Neuroimmune system 46:vs. choroid plexus 4002:Animal physiology 3912: 3911: 3878:Cerebral aqueduct 3859: 3858: 3763:Facial colliculus 3690:Subfornical organ 3637:Septum pellucidum 3378:978-3-527-31852-0 3328:10.1021/ci010132r 3281:10.1021/ci100050t 2938:(7816): 425–430. 2502:10.1021/cr200472g 2303:(20): 2423–2434. 1897:Miyata S (2015). 1441:10.1159/000047185 1386:Neuropharmacology 1362:978-1-889325-29-3 927:978-0-12-814001-7 695:Two years later, 629:systemic diseases 439:subfornical organ 164:passive diffusion 160:basement membrane 125:endothelial cells 109: 108: 104: 16:(Redirected from 4024: 4007:Pharmacokinetics 3977: 3969: 3968: 3967: 3957: 3941: 3940: 3939: 3929: 3928: 3920: 3904:Ventriculomegaly 3710: 3705:Fourth ventricle 3615:Stria terminalis 3580: 3573: 3566: 3557: 3550: 3549: 3539: 3529: 3505: 3496: 3495: 3485: 3467: 3443: 3437: 3436: 3434: 3433: 3418: 3409: 3405:Google Scholar: 3404: 3389: 3383: 3382: 3354: 3348: 3347: 3322:(6): 1273–1280. 3307: 3301: 3300: 3260: 3254: 3253: 3243: 3233: 3224:(12882): 12882. 3209: 3203: 3202: 3161:(8): 1902–1914. 3150: 3144: 3143: 3098: 3092: 3091: 3081: 3063: 3039: 3033: 3032: 3022: 3004: 2980: 2974: 2973: 2963: 2923: 2917: 2916: 2906: 2881:(6): 1021–1031. 2866: 2860: 2859: 2849: 2817: 2811: 2810: 2785:(5): 1093–1104. 2774: 2768: 2767: 2757: 2747: 2723: 2717: 2716: 2706: 2696: 2672: 2666: 2665: 2655: 2623: 2617: 2616: 2606: 2574: 2568: 2567: 2557: 2547: 2532:BMC Neuroscience 2523: 2514: 2513: 2490:Chemical Reviews 2484: 2478: 2477: 2437: 2431: 2430: 2420: 2410: 2378: 2372: 2371: 2361: 2329: 2323: 2322: 2312: 2288: 2282: 2281: 2271: 2261: 2237: 2231: 2230: 2194: 2188: 2187: 2177: 2145: 2126: 2125: 2115: 2098:(9): 1177–1193. 2083: 2077: 2076: 2040: 2031: 2030: 2002: 1993: 1992: 1952: 1939: 1938: 1928: 1918: 1894: 1885: 1884: 1850: 1841: 1840: 1830: 1806: 1793: 1792: 1782: 1758: 1752: 1751: 1741: 1731: 1707: 1701: 1700: 1676: 1670: 1669: 1659: 1642:(3): C343–C356. 1627: 1618: 1617: 1577: 1571: 1570: 1560: 1528: 1522: 1521: 1481: 1475: 1474: 1468: 1460: 1424: 1418: 1417: 1381: 1375: 1374: 1346: 1340: 1339: 1338: 1332: 1322: 1290: 1284: 1283: 1247: 1241: 1240: 1230: 1213:(2): bio030494. 1190: 1184: 1183: 1155: 1149: 1148: 1138: 1106: 1100: 1099: 1089: 1057: 1046: 1045: 1035: 1025: 1001: 995: 994: 984: 952: 946: 945: 943: 942: 899: 893: 892: 854: 848: 847: 837: 805: 494:As a drug target 423:fourth ventricle 304:(also known as " 101:edit on Wikidata 42: 30: 21: 4032: 4031: 4027: 4026: 4025: 4023: 4022: 4021: 3982: 3981: 3980: 3970: 3965: 3963: 3960: 3956:sister projects 3955: 3947: 3937: 3935: 3923: 3915: 3913: 3908: 3892: 3855: 3834: 3830:Lateral/Luschka 3821:Median/Magendie 3809: 3805:Sulcus limitans 3800:Medial eminence 3768:Locus coeruleus 3748: 3699: 3647:Third ventricle 3641: 3626:Occipital horn 3593: 3584: 3554: 3553: 3507: 3506: 3499: 3445: 3444: 3440: 3431: 3429: 3420: 3419: 3412: 3391: 3390: 3386: 3379: 3356: 3355: 3351: 3309: 3308: 3304: 3262: 3261: 3257: 3211: 3210: 3206: 3152: 3151: 3147: 3100: 3099: 3095: 3041: 3040: 3036: 2982: 2981: 2977: 2925: 2924: 2920: 2868: 2867: 2863: 2819: 2818: 2814: 2776: 2775: 2771: 2725: 2724: 2720: 2674: 2673: 2669: 2625: 2624: 2620: 2576: 2575: 2571: 2538:(Suppl 3): S4. 2525: 2524: 2517: 2496:(3): 1877–903. 2486: 2485: 2481: 2439: 2438: 2434: 2380: 2379: 2375: 2331: 2330: 2326: 2290: 2289: 2285: 2239: 2238: 2234: 2196: 2195: 2191: 2147: 2146: 2129: 2085: 2084: 2080: 2042: 2041: 2034: 2004: 2003: 1996: 1954: 1953: 1942: 1896: 1895: 1888: 1873: 1852: 1851: 1844: 1808: 1807: 1796: 1760: 1759: 1755: 1709: 1708: 1704: 1678: 1677: 1673: 1629: 1628: 1621: 1579: 1578: 1574: 1530: 1529: 1525: 1483: 1482: 1478: 1461: 1426: 1425: 1421: 1383: 1382: 1378: 1363: 1348: 1347: 1343: 1333: 1292: 1291: 1287: 1264:10.1038/nrn1824 1249: 1248: 1244: 1192: 1191: 1187: 1157: 1156: 1152: 1108: 1107: 1103: 1059: 1058: 1049: 1003: 1002: 998: 973:10.1038/nm.3407 967:(12): 1584–96. 961:Nature Medicine 954: 953: 949: 940: 938: 928: 901: 900: 896: 856: 855: 851: 807: 806: 793: 788: 751: 710:All the while, 697:Max Lewandowsky 686: 666:physicochemical 662: 650: 637:proinflammatory 601: 574: 568: 559: 496: 491: 483:arcuate nucleus 471: 455:pituitary gland 447:median eminence 427:third ventricle 416: 410: 378: 372: 349: 316:, and from the 266:tight junctions 234: 218:neural circuits 204: 200: 105: 47: 45: 28: 23: 22: 15: 12: 11: 5: 4030: 4028: 4020: 4019: 4014: 4009: 4004: 3999: 3994: 3984: 3983: 3979: 3978: 3949: 3946: 3945: 3933: 3910: 3909: 3907: 3906: 3900: 3898: 3894: 3893: 3891: 3890: 3885: 3880: 3875: 3869: 3867: 3861: 3860: 3857: 3856: 3854: 3853: 3851:Tela choroidea 3848: 3846:Rhomboid fossa 3842: 3840: 3836: 3835: 3833: 3832: 3826:Lateral recess 3823: 3817: 3815: 3811: 3810: 3808: 3807: 3802: 3797: 3796: 3795: 3790: 3785: 3780: 3772: 3771: 3770: 3765: 3756: 3754: 3750: 3749: 3747: 3746: 3741: 3736: 3731: 3730: 3729: 3718: 3716: 3707: 3701: 3700: 3698: 3697: 3692: 3687: 3685:Tela choroidea 3682: 3677: 3676: 3675: 3670: 3665: 3660: 3651: 3649: 3643: 3642: 3640: 3639: 3634: 3633: 3632: 3624: 3623: 3622: 3617: 3612: 3603: 3601: 3595: 3594: 3585: 3583: 3582: 3575: 3568: 3560: 3552: 3551: 3497: 3438: 3410: 3384: 3377: 3349: 3302: 3275:(5): 742–754. 3255: 3204: 3145: 3110:(3): 656–671. 3093: 3034: 2975: 2918: 2861: 2832:(2): 296–302. 2812: 2769: 2718: 2667: 2638:(4): 353–359. 2618: 2589:(4): 1363–80. 2569: 2515: 2479: 2432: 2393:(21): 8662–7. 2373: 2324: 2283: 2232: 2189: 2160:(3): 133–150. 2127: 2078: 2032: 1994: 1940: 1886: 1871: 1842: 1794: 1773:(2): 304–311. 1753: 1702: 1691:(3): 165–167. 1671: 1619: 1572: 1523: 1476: 1419: 1376: 1361: 1341: 1285: 1242: 1185: 1166:(9): 879–892. 1150: 1101: 1047: 996: 947: 926: 894: 849: 820:(1): a020412. 790: 789: 787: 784: 783: 782: 776: 770: 764: 758: 750: 747: 738:Edwin Goldmann 712:bacteriologist 685: 682: 661: 658: 649: 646: 600: 597: 577:Nanotechnology 570:Main article: 567: 564: 558: 555: 543:p-glycoprotein 495: 492: 490: 487: 470: 467: 463:neuroendocrine 412:Main article: 409: 406: 371: 368: 353:P-glycoprotein 348: 345: 314:choroid plexus 233: 230: 226:choroid plexus 202: 198: 145:capillary wall 107: 106: 97: 91: 90: 85: 79: 78: 75: 71: 70: 66: 65: 60: 54: 53: 49: 48: 43: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4029: 4018: 4015: 4013: 4010: 4008: 4005: 4003: 4000: 3998: 3995: 3993: 3990: 3989: 3987: 3975: 3974: 3962: 3958: 3952: 3944: 3934: 3932: 3927: 3922: 3918: 3905: 3902: 3901: 3899: 3895: 3889: 3886: 3884: 3881: 3879: 3876: 3874: 3871: 3870: 3868: 3866: 3862: 3852: 3849: 3847: 3844: 3843: 3841: 3837: 3831: 3827: 3824: 3822: 3819: 3818: 3816: 3812: 3806: 3803: 3801: 3798: 3794: 3791: 3789: 3788:Area postrema 3786: 3784: 3781: 3779: 3778:Vagal trigone 3776: 3775: 3773: 3769: 3766: 3764: 3761: 3760: 3758: 3757: 3755: 3751: 3745: 3742: 3740: 3737: 3735: 3732: 3728: 3725: 3724: 3723: 3720: 3719: 3717: 3715: 3711: 3708: 3706: 3702: 3696: 3693: 3691: 3688: 3686: 3683: 3681: 3678: 3674: 3673:Pineal recess 3671: 3669: 3666: 3664: 3661: 3659: 3656: 3655: 3653: 3652: 3650: 3648: 3644: 3638: 3635: 3631: 3628: 3627: 3625: 3621: 3618: 3616: 3613: 3611: 3610:Lamina affixa 3608: 3607: 3605: 3604: 3602: 3600: 3596: 3592: 3588: 3581: 3576: 3574: 3569: 3567: 3562: 3561: 3558: 3547: 3543: 3538: 3533: 3528: 3523: 3519: 3515: 3511: 3504: 3502: 3498: 3493: 3489: 3484: 3479: 3475: 3471: 3466: 3461: 3457: 3453: 3449: 3442: 3439: 3427: 3423: 3417: 3415: 3411: 3408: 3402: 3398: 3397: 3388: 3385: 3380: 3374: 3370: 3366: 3362: 3361: 3353: 3350: 3345: 3341: 3337: 3333: 3329: 3325: 3321: 3317: 3313: 3306: 3303: 3298: 3294: 3290: 3286: 3282: 3278: 3274: 3270: 3266: 3259: 3256: 3251: 3247: 3242: 3237: 3232: 3227: 3223: 3219: 3215: 3208: 3205: 3200: 3196: 3192: 3188: 3184: 3180: 3176: 3172: 3168: 3164: 3160: 3156: 3149: 3146: 3141: 3137: 3133: 3129: 3125: 3121: 3117: 3113: 3109: 3105: 3097: 3094: 3089: 3085: 3080: 3075: 3071: 3067: 3062: 3057: 3053: 3049: 3045: 3038: 3035: 3030: 3026: 3021: 3016: 3012: 3008: 3003: 2998: 2994: 2990: 2986: 2979: 2976: 2971: 2967: 2962: 2957: 2953: 2949: 2945: 2941: 2937: 2933: 2929: 2922: 2919: 2914: 2910: 2905: 2900: 2896: 2892: 2888: 2884: 2880: 2876: 2872: 2865: 2862: 2857: 2853: 2848: 2843: 2839: 2835: 2831: 2827: 2823: 2816: 2813: 2808: 2804: 2800: 2796: 2792: 2788: 2784: 2780: 2773: 2770: 2765: 2761: 2756: 2751: 2746: 2741: 2737: 2733: 2729: 2722: 2719: 2714: 2710: 2705: 2700: 2695: 2690: 2686: 2682: 2678: 2671: 2668: 2663: 2659: 2654: 2649: 2645: 2641: 2637: 2633: 2629: 2622: 2619: 2614: 2610: 2605: 2600: 2596: 2592: 2588: 2584: 2580: 2573: 2570: 2565: 2561: 2556: 2551: 2546: 2541: 2537: 2533: 2529: 2522: 2520: 2516: 2511: 2507: 2503: 2499: 2495: 2491: 2483: 2480: 2475: 2471: 2467: 2463: 2459: 2455: 2451: 2447: 2443: 2436: 2433: 2428: 2424: 2419: 2414: 2409: 2404: 2400: 2396: 2392: 2388: 2384: 2377: 2374: 2369: 2365: 2360: 2355: 2351: 2347: 2344:(5): 834–40. 2343: 2339: 2335: 2328: 2325: 2320: 2316: 2311: 2306: 2302: 2298: 2294: 2287: 2284: 2279: 2275: 2270: 2265: 2260: 2255: 2251: 2247: 2243: 2236: 2233: 2228: 2224: 2220: 2216: 2212: 2208: 2204: 2200: 2193: 2190: 2185: 2181: 2176: 2171: 2167: 2163: 2159: 2155: 2151: 2144: 2142: 2140: 2138: 2136: 2134: 2132: 2128: 2123: 2119: 2114: 2109: 2105: 2101: 2097: 2093: 2089: 2082: 2079: 2074: 2070: 2066: 2062: 2058: 2054: 2051:(3): 437–48. 2050: 2046: 2039: 2037: 2033: 2028: 2024: 2020: 2016: 2012: 2008: 2001: 1999: 1995: 1990: 1986: 1982: 1978: 1974: 1970: 1967:(4): 757–76. 1966: 1962: 1958: 1951: 1949: 1947: 1945: 1941: 1936: 1932: 1927: 1922: 1917: 1912: 1908: 1904: 1900: 1893: 1891: 1887: 1882: 1878: 1874: 1872:9780444814197 1868: 1864: 1860: 1856: 1849: 1847: 1843: 1838: 1834: 1829: 1824: 1821:(6): 663–72. 1820: 1816: 1812: 1805: 1803: 1801: 1799: 1795: 1790: 1786: 1781: 1776: 1772: 1768: 1764: 1757: 1754: 1749: 1745: 1740: 1735: 1730: 1725: 1721: 1717: 1713: 1706: 1703: 1698: 1694: 1690: 1686: 1682: 1675: 1672: 1667: 1663: 1658: 1653: 1649: 1645: 1641: 1637: 1633: 1626: 1624: 1620: 1615: 1611: 1607: 1603: 1599: 1595: 1592:(3): 113911. 1591: 1587: 1583: 1576: 1573: 1568: 1564: 1559: 1554: 1550: 1546: 1543:(3): 653–60. 1542: 1538: 1534: 1527: 1524: 1519: 1515: 1511: 1507: 1503: 1499: 1496:(1): 147–52. 1495: 1491: 1487: 1480: 1477: 1472: 1466: 1458: 1454: 1450: 1446: 1442: 1438: 1434: 1430: 1423: 1420: 1415: 1411: 1407: 1403: 1399: 1395: 1392:(8): 959–75. 1391: 1387: 1380: 1377: 1372: 1368: 1364: 1358: 1354: 1353: 1345: 1342: 1337: 1330: 1326: 1321: 1316: 1312: 1308: 1305:(6): 707–16. 1304: 1300: 1296: 1289: 1286: 1281: 1277: 1273: 1269: 1265: 1261: 1257: 1253: 1246: 1243: 1238: 1234: 1229: 1224: 1220: 1216: 1212: 1208: 1204: 1202: 1198: 1189: 1186: 1181: 1177: 1173: 1169: 1165: 1161: 1154: 1151: 1146: 1142: 1137: 1132: 1128: 1124: 1120: 1116: 1112: 1105: 1102: 1097: 1093: 1088: 1083: 1079: 1075: 1072:(3): 179–92. 1071: 1067: 1063: 1056: 1054: 1052: 1048: 1043: 1039: 1034: 1029: 1024: 1019: 1015: 1011: 1007: 1000: 997: 992: 988: 983: 978: 974: 970: 966: 962: 958: 951: 948: 937: 933: 929: 923: 919: 915: 911: 910: 905: 898: 895: 890: 886: 882: 878: 874: 870: 866: 862: 861: 853: 850: 845: 841: 836: 831: 827: 823: 819: 815: 811: 804: 802: 800: 798: 796: 792: 785: 780: 777: 774: 771: 768: 765: 762: 759: 756: 753: 752: 748: 746: 743: 739: 734: 732: 728: 724: 720: 717:was studying 716: 713: 708: 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Index

Blood-brain barrier

System
Neuroimmune system
MeSH
D001812
Anatomical terminology
edit on Wikidata
semipermeable
endothelial cells
circulatory system
central nervous system
brain
blood
capillary wall
astrocyte
end-feet
pericytes
basement membrane
passive diffusion
amino acids
pathogens
solutes
large
hydrophilic
cerebrospinal fluid
hydrophobic
metabolic
transport proteins
neural circuits

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