PMID- 33249527 OWN - NLM STAT- MEDLINE DCOM- 20220615 LR - 20220615 IS - 0171-2004 (Print) IS - 0171-2004 (Linking) VI - 273 DP - 2022 TI - Structure and Function of the Blood-Brain Barrier (BBB). PG - 3-31 LID - 10.1007/164_2020_404 [doi] AB - The blood-brain barrier (BBB) protects the vertebrate central nervous system from harmful blood-borne, endogenous and exogenous substances to ensure proper neuronal function. The BBB describes a function that is established by endothelial cells of CNS vessels in conjunction with pericytes, astrocytes, neurons and microglia, together forming the neurovascular unit (NVU). Endothelial barrier function is crucially induced and maintained by the Wnt/beta-catenin pathway and requires intact NVU for proper functionality. The BBB and the NVU are characterized by a specialized assortment of molecular specializations, providing the basis for tightening, transport and immune response functionality.The present chapter introduces state-of-the-art knowledge of BBB structure and function and highlights current research topics, aiming to understanding in more depth the cellular and molecular interactions at the NVU, determining functionality of the BBB in health and disease, and providing novel potential targets for therapeutic BBB modulation. Moreover, we highlight recent advances in understanding BBB and NVU heterogeneity within the CNS as well as their contribution to CNS physiology, such as neurovascular coupling, and pathophysiology, is discussed. Finally, we give an outlook onto new avenues of BBB research. CI - (c) 2020. Springer Nature Switzerland AG. FAU - Benz, Fabienne AU - Benz F AD - Institute of Neurology (Edinger Institute), University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany. FAU - Liebner, Stefan AU - Liebner S AD - Institute of Neurology (Edinger Institute), University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany. Stefan.Liebner@kgu.de. AD - Excellence Cluster Cardio Pulmonary System (CPI), Partner Site Frankfurt, Frankfurt, Germany. Stefan.Liebner@kgu.de. AD - German Center for Cardiovascular Research (DZHK), Partner Site Frankfurt/Mainz, Frankfurt, Germany. Stefan.Liebner@kgu.de. LA - eng PT - Journal Article PL - Germany TA - Handb Exp Pharmacol JT - Handbook of experimental pharmacology JID - 7902231 SB - IM MH - Astrocytes MH - Biological Transport MH - *Blood-Brain Barrier/metabolism MH - *Endothelial Cells/metabolism MH - Humans MH - Pericytes/metabolism OTO - NOTNLM OT - BBB development OT - Blood-brain barrier OT - Circumventricular organs OT - Neurovascular unit OT - Vascular heterogeneity OT - Wnt signalling EDAT- 2020/11/30 06:00 MHDA- 2022/06/16 06:00 CRDT- 2020/11/29 20:35 PHST- 2020/11/30 06:00 [pubmed] PHST- 2022/06/16 06:00 [medline] PHST- 2020/11/29 20:35 [entrez] AID - 10.1007/164_2020_404 [doi] PST - ppublish SO - Handb Exp Pharmacol. 2022;273:3-31. doi: 10.1007/164_2020_404.