PMID- 28957666 OWN - NLM STAT- MEDLINE DCOM- 20171010 LR - 20220410 IS - 1097-4199 (Electronic) IS - 0896-6273 (Print) IS - 0896-6273 (Linking) VI - 96 IP - 1 DP - 2017 Sep 27 TI - The Neurovascular Unit Coming of Age: A Journey through Neurovascular Coupling in Health and Disease. PG - 17-42 LID - S0896-6273(17)30652-9 [pii] LID - 10.1016/j.neuron.2017.07.030 [doi] AB - The concept of the neurovascular unit (NVU), formalized at the 2001 Stroke Progress Review Group meeting of the National Institute of Neurological Disorders and Stroke, emphasizes the intimate relationship between the brain and its vessels. Since then, the NVU has attracted the interest of the neuroscience community, resulting in considerable advances in the field. Here the current state of knowledge of the NVU will be assessed, focusing on one of its most vital roles: the coupling between neural activity and blood flow. The evidence supports a conceptual shift in the mechanisms of neurovascular coupling, from a unidimensional process involving neuronal-astrocytic signaling to local blood vessels to a multidimensional one in which mediators released from multiple cells engage distinct signaling pathways and effector systems across the entire cerebrovascular network in a highly orchestrated manner. The recently appreciated NVU dysfunction in neurodegenerative diseases, although still poorly understood, supports emerging concepts that maintaining neurovascular health promotes brain health. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Iadecola, Costantino AU - Iadecola C AD - Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY 10065, USA. Electronic address: coi2001@med.cornell.edu. LA - eng GR - R01 NS037853/NS/NINDS NIH HHS/United States GR - R01 NS100447/NS/NINDS NIH HHS/United States GR - R01 NS034179/NS/NINDS NIH HHS/United States GR - R01 NS095441/NS/NINDS NIH HHS/United States GR - R37 NS089323/NS/NINDS NIH HHS/United States PT - Journal Article PT - Review PL - United States TA - Neuron JT - Neuron JID - 8809320 SB - IM MH - Astrocytes/physiology MH - Brain/*blood supply MH - *Health MH - Humans MH - Models, Neurological MH - Neurodegenerative Diseases/*physiopathology MH - Neurons/physiology MH - Neurovascular Coupling/*physiology MH - Signal Transduction/physiology PMC - PMC5657612 MID - NIHMS895921 OTO - NOTNLM OT - astrocytes OT - cerebral blood flow OT - endothelium OT - functional hyperemia OT - neurodegeneration OT - neuroimaging OT - pericytes OT - smooth muscle cells EDAT- 2017/09/29 06:00 MHDA- 2017/10/11 06:00 PMCR- 2018/09/27 CRDT- 2017/09/29 06:00 PHST- 2017/06/16 00:00 [received] PHST- 2017/07/20 00:00 [revised] PHST- 2017/07/25 00:00 [accepted] PHST- 2017/09/29 06:00 [entrez] PHST- 2017/09/29 06:00 [pubmed] PHST- 2017/10/11 06:00 [medline] PHST- 2018/09/27 00:00 [pmc-release] AID - S0896-6273(17)30652-9 [pii] AID - 10.1016/j.neuron.2017.07.030 [doi] PST - ppublish SO - Neuron. 2017 Sep 27;96(1):17-42. doi: 10.1016/j.neuron.2017.07.030.