PMID- 22048062 OWN - NLM STAT- MEDLINE DCOM- 20120127 LR - 20220409 IS - 1471-0048 (Electronic) IS - 1471-003X (Print) IS - 1471-003X (Linking) VI - 12 IP - 12 DP - 2011 Nov 3 TI - Neurovascular pathways to neurodegeneration in Alzheimer's disease and other disorders. PG - 723-38 LID - 10.1038/nrn3114 [doi] AB - The neurovascular unit (NVU) comprises brain endothelial cells, pericytes or vascular smooth muscle cells, glia and neurons. The NVU controls blood-brain barrier (BBB) permeability and cerebral blood flow, and maintains the chemical composition of the neuronal 'milieu', which is required for proper functioning of neuronal circuits. Recent evidence indicates that BBB dysfunction is associated with the accumulation of several vasculotoxic and neurotoxic molecules within brain parenchyma, a reduction in cerebral blood flow, and hypoxia. Together, these vascular-derived insults might initiate and/or contribute to neuronal degeneration. This article examines mechanisms of BBB dysfunction in neurodegenerative disorders, notably Alzheimer's disease, and highlights therapeutic opportunities relating to these neurovascular deficits. FAU - Zlokovic, Berislav V AU - Zlokovic BV AD - Department of Physiology and Biophysics, and Center for Neurodegeneration and Regeneration at the Zilkha Neurogenetic Institute, University of Southern California, Keck School of Medicine, 1501 San Pablo Street, Los Angeles, California 90089, USA. bzlokovi@usc.edu LA - eng GR - R37 NS034467/NS/NINDS NIH HHS/United States GR - R01 HL063290/HL/NHLBI NIH HHS/United States GR - R37 NS34467/NS/NINDS NIH HHS/United States GR - R37 AG023084/AG/NIA NIH HHS/United States GR - HL63290/HL/NHLBI NIH HHS/United States GR - R01 NS034467/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20111103 PL - England TA - Nat Rev Neurosci JT - Nature reviews. Neuroscience JID - 100962781 SB - IM MH - Alzheimer Disease/*complications/pathology MH - Animals MH - Biological Transport/physiology MH - Blood-Testis Barrier/*physiopathology MH - Cerebrovascular Circulation/*physiology MH - Endothelium/physiopathology MH - Humans MH - Muscle, Smooth, Vascular/physiopathology MH - Myocytes, Smooth Muscle/pathology MH - Neurodegenerative Diseases/*etiology/*pathology MH - Pericytes/physiology PMC - PMC4036520 MID - NIHMS582230 COIS- Competing interests statement The author declares competing financial interests: see web version for details. EDAT- 2011/11/04 06:00 MHDA- 2012/01/28 06:00 PMCR- 2014/05/28 CRDT- 2011/11/04 06:00 PHST- 2011/11/04 06:00 [entrez] PHST- 2011/11/04 06:00 [pubmed] PHST- 2012/01/28 06:00 [medline] PHST- 2014/05/28 00:00 [pmc-release] AID - nrn3114 [pii] AID - 10.1038/nrn3114 [doi] PST - epublish SO - Nat Rev Neurosci. 2011 Nov 3;12(12):723-38. doi: 10.1038/nrn3114.