PMID- 33171539 OWN - NLM STAT- MEDLINE DCOM- 20220125 LR - 20221101 IS - 1549-8719 (Electronic) IS - 1073-9688 (Linking) VI - 28 IP - 3 DP - 2021 Apr TI - The cerebral microvasculature: Basic and clinical perspectives on stroke and glioma. PG - e12671 LID - 10.1111/micc.12671 [doi] AB - Microvascular networks are vital components of the cardiovascular system, performing many key roles in maintaining the health and homeostasis of the tissues and organs in which they develop. As discussed in this review, the molecular and cellular components within the microcirculation orchestrate critical processes to establish functional capillary beds, including organization of endothelial cell (EC) polarity, guiding investment of vascular pericytes (PCs), and building the specialized extracellular matrix (ECM) that comprises the vascular basement membrane (vBM). Herein, we further discuss the unique features of the microvasculature in the central nervous system (CNS), focusing on the cells contributing to the neurovascular unit (NVU) that form and maintain the blood-brain barrier (BBB). With a focus on vascular PCs, we offer basic and clinical perspectives on neurovascular-related pathologies that involve defects within the cerebral microvasculature. Specifically, we present microvascular anomalies associated with glioblastoma multiforme (GBM) including defects in vascular-immune cell interactions and associated clinical therapies targeting microvessels (ie, vascular-disrupting/anti-angiogenic agents and focused ultrasound). We also discuss the involvement of the microcirculation in stroke responses and potential therapeutic approaches. Our goal was to compare the cellular and molecular changes that occur in the microvasculature and NVU, and to provide a commentary on factors driving disease progression in GBM and stroke. We conclude with a forward-looking perspective on the importance of microcirculation research in developing clinical treatments for these devastating conditions. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Hoque, Maruf M AU - Hoque MM AD - Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute at Virginia Tech-Carilion, Roanoke, VA, USA. AD - Graduate Program in Translational Biology, Medicine and Health, Virginia Tech, Blacksburg, VA, USA. FAU - Abdelazim, Hanaa AU - Abdelazim H AD - Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute at Virginia Tech-Carilion, Roanoke, VA, USA. AD - Graduate Program in Translational Biology, Medicine and Health, Virginia Tech, Blacksburg, VA, USA. FAU - Jenkins-Houk, Clifton AU - Jenkins-Houk C AD - Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. FAU - Wright, Dawn AU - Wright D AD - Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. FAU - Patel, Biraj M AU - Patel BM AD - Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. AD - Department of Radiology, Carilion Clinic, Roanoke, VA, USA. FAU - Chappell, John C AU - Chappell JC AUID- ORCID: 0000-0002-0427-5170 AD - Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute at Virginia Tech-Carilion, Roanoke, VA, USA. AD - Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. AD - Department of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA, USA. LA - eng GR - R01 HL146596/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20201122 PL - United States TA - Microcirculation JT - Microcirculation (New York, N.Y. : 1994) JID - 9434935 SB - IM MH - Blood-Brain Barrier MH - *Glioma MH - Humans MH - Microvessels MH - Pericytes MH - *Stroke OTO - NOTNLM OT - glioblastoma OT - microcirculation OT - pericyte OT - stroke EDAT- 2020/11/11 06:00 MHDA- 2022/01/27 06:00 CRDT- 2020/11/10 20:16 PHST- 2020/10/13 00:00 [revised] PHST- 2020/07/10 00:00 [received] PHST- 2020/11/04 00:00 [accepted] PHST- 2020/11/11 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2020/11/10 20:16 [entrez] AID - 10.1111/micc.12671 [doi] PST - ppublish SO - Microcirculation. 2021 Apr;28(3):e12671. doi: 10.1111/micc.12671. Epub 2020 Nov 22.