PMID- 36683511 OWN - NLM STAT- MEDLINE DCOM- 20230905 LR - 20230906 IS - 1875-8908 (Electronic) IS - 1387-2877 (Print) IS - 1387-2877 (Linking) VI - 94 IP - s1 DP - 2023 TI - Microglia-Mediated Neurovascular Unit Dysfunction in Alzheimer's Disease. PG - S335-S354 LID - 10.3233/JAD-221064 [doi] AB - The neurovascular unit (NVU) is involved in the pathological changes in Alzheimer's disease (AD). The NVU is a structural and functional complex that maintains microenvironmental homeostasis and metabolic balance in the central nervous system. As one of the most important components of the NVU, microglia not only induce blood-brain barrier breakdown by promoting neuroinflammation, the infiltration of peripheral white blood cells and oxidative stress but also mediate neurovascular uncoupling by inducing mitochondrial dysfunction in neurons, abnormal contraction of cerebral vessels, and pericyte loss in AD. In addition, microglia-mediated dysfunction of cellular components in the NVU, such as astrocytes and pericytes, can destroy the integrity of the NVU and lead to NVU impairment. Therefore, we review the mechanisms of microglia-mediated NVU dysfunction in AD. Furthermore, existing therapeutic advancements aimed at restoring the function of microglia and the NVU in AD are discussed. Finally, we predict the role of pericytes in microglia-mediated NVU dysfunction in AD is the hotspot in the future. FAU - Huang, Wenhao AU - Huang W AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Xia, Qing AU - Xia Q AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. AD - Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China. FAU - Zheng, Feifei AU - Zheng F AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Zhao, Xue AU - Zhao X AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Ge, Fangliang AU - Ge F AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Xiao, Jiaying AU - Xiao J AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Liu, Zijie AU - Liu Z AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Shen, Yingying AU - Shen Y AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Ye, Ke AU - Ye K AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Wang, Dayong AU - Wang D AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. AD - Basic Medical Institute, Heilongjiang Medical Science Academy, Harbin, Heilongjiang Province, China. AD - Translational Medicine Center of Northern China, Harbin, Heilongjiang Province, China. AD - Key Laboratory of Heilongjiang Province for Genetically Modified Animals, Harbin Medical University, Harbin, Heilongjiang Province, China. FAU - Li, Yanze AU - Li Y AD - Department of Biochemistry and Molecular Biology, Harbin Medical University, Harbin, Heilongjiang Province, China. AD - Basic Medical Institute, Heilongjiang Medical Science Academy, Harbin, Heilongjiang Province, China. AD - Translational Medicine Center of Northern China, Harbin, Heilongjiang Province, China. AD - Key Laboratory of Heilongjiang Province for Genetically Modified Animals, Harbin Medical University, Harbin, Heilongjiang Province, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 SB - IM MH - Humans MH - *Alzheimer Disease/pathology MH - Microglia/metabolism MH - Blood-Brain Barrier/metabolism MH - Astrocytes/metabolism MH - Neurons/metabolism PMC - PMC10473143 OTO - NOTNLM OT - Alzheimer's disease OT - blood-brain barrier OT - microglia OT - neurovascular uncoupling OT - neurovascular unit OT - pericyte COIS- The authors have no conflict of interest to report. EDAT- 2023/01/24 06:00 MHDA- 2023/09/05 06:42 PMCR- 2023/09/01 CRDT- 2023/01/23 03:33 PHST- 2023/09/05 06:42 [medline] PHST- 2023/01/24 06:00 [pubmed] PHST- 2023/01/23 03:33 [entrez] PHST- 2023/09/01 00:00 [pmc-release] AID - JAD221064 [pii] AID - 10.3233/JAD-221064 [doi] PST - ppublish SO - J Alzheimers Dis. 2023;94(s1):S335-S354. doi: 10.3233/JAD-221064.