PMID- 34225598 OWN - NLM STAT- MEDLINE DCOM- 20210715 LR - 20210715 IS - 1608-3040 (Electronic) IS - 0006-2979 (Linking) VI - 86 IP - 6 DP - 2021 Jun TI - Blood-Brain Barrier Breakdown in Stress and Neurodegeneration: Biochemical Mechanisms and New Models for Translational Research. PG - 746-760 LID - 10.1134/S0006297921060122 [doi] AB - Blood-brain barrier (BBB) is a structural and functional element of the neurovascular unit (NVU), which includes cells of neuronal, glial, and endothelial nature. The main functions of NVU include maintenance of the control of metabolism and chemical homeostasis in the brain tissue, ensuring adequate blood flow in active regions, regulation of neuroplasticity processes, which is realized through intercellular interactions under normal conditions, under stress, in neurodegeneration, neuroinfection, and neurodevelopmental diseases. Current versions of the BBB and NVU models, static and dynamic, have significantly expanded research capabilities, but a number of issues remain unresolved, in particular, personification of the models for a patient. In addition, application of both static and dynamic models has an important problem associated with the difficulty in reproducing pathophysiological mechanisms responsible for the damage of the structural and functional integrity of the barrier in the diseases of the central nervous system. More knowledge on the cellular and molecular mechanisms of BBB and NVU damage in pathology is required to solve this problem. This review discusses current state of the cellular and molecular mechanisms that control BBB permeability, pathobiochemical mechanisms and manifestations of BBB breakdown in stress and neurodegenerative diseases, as well as the problems and prospects of creating in vitro BBB and NVU models for translational studies in neurology and neuropharmacology. Deciphering BBB (patho)physiology will open up new opportunities for further development in the related areas of medicine such as regenerative medicine, neuropharmacology, and neurorehabilitation. FAU - Salmina, Alla B AU - Salmina AB AD - Division of Brain Sciences, Research Center of Neurology, Moscow, 125367, Russia. allasalmina@mail.ru. AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Komleva, Yuliya K AU - Komleva YK AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Malinovskaya, Nataliya A AU - Malinovskaya NA AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Morgun, Andrey V AU - Morgun AV AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Teplyashina, Elena A AU - Teplyashina EA AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Lopatina, Olga L AU - Lopatina OL AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Gorina, Yana V AU - Gorina YV AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Kharitonova, Ekaterina V AU - Kharitonova EV AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Khilazheva, Elena D AU - Khilazheva ED AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. FAU - Shuvaev, Anton N AU - Shuvaev AN AD - Research Institute of Molecular Medicine and Pathobiochemistry, Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, 660022, Russia. LA - eng PT - Journal Article PT - Review PL - United States TA - Biochemistry (Mosc) JT - Biochemistry. Biokhimiia JID - 0376536 SB - IM MH - Blood-Brain Barrier/metabolism/*physiopathology MH - Humans MH - Neurodegenerative Diseases/metabolism/*physiopathology MH - Stress, Psychological/metabolism/*physiopathology OTO - NOTNLM OT - blood-brain barrier OT - brain OT - neurodegeneration OT - stress EDAT- 2021/07/07 06:00 MHDA- 2021/07/16 06:00 CRDT- 2021/07/06 05:33 PHST- 2021/07/06 05:33 [entrez] PHST- 2021/07/07 06:00 [pubmed] PHST- 2021/07/16 06:00 [medline] AID - BCM86060917 [pii] AID - 10.1134/S0006297921060122 [doi] PST - ppublish SO - Biochemistry (Mosc). 2021 Jun;86(6):746-760. doi: 10.1134/S0006297921060122.