PMID- 37190756 OWN - NLM STAT- MEDLINE DCOM- 20230810 LR - 20230816 IS - 1559-7016 (Electronic) IS - 0271-678X (Print) IS - 0271-678X (Linking) VI - 43 IP - 9 DP - 2023 Sep TI - The neurovascular unit in healthy and injured spinal cord. PG - 1437-1455 LID - 10.1177/0271678X231172008 [doi] AB - The neurovascular unit (NVU) reflects the close temporal and spatial link between neurons and blood vessels. However, the understanding of the NVU in the spinal cord is far from clear and largely based on generalized knowledge obtained from the brain. Herein, we review the present knowledge of the NVU and highlight candidate approaches to investigate the NVU, particularly focusing on the spinal cord. Several unique features maintain the highly regulated microenvironment in the NVU. Autoregulation and neurovascular coupling ensure regional blood flow meets the metabolic demand according to the blood supply or local neural activation. The blood-central nervous system barrier partitions the circulating blood from neural parenchyma and facilitates the selective exchange of substances. Furthermore, we discuss spinal cord injury (SCI) as a common injury from the perspective of NVU dysfunction. Hopefully, this review will help expand the understanding of the NVU in the spinal cord and inspire new insights into SCI. FAU - Zhou, Rubing AU - Zhou R AD - Department of Orthopedics, Peking University Third Hospital, Beijing, China. AD - Neuroscience Research Institute and Department of Neurobiology, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China. FAU - Li, Junzhao AU - Li J AD - Neuroscience Research Institute and Department of Neurobiology, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China. FAU - Wang, Ruideng AU - Wang R AD - Department of Orthopedics, Peking University Third Hospital, Beijing, China. FAU - Chen, Zhengyang AU - Chen Z AD - Department of Orthopedics, Peking University Third Hospital, Beijing, China. FAU - Zhou, Fang AU - Zhou F AUID- ORCID: 0000-0002-7775-069X AD - Department of Orthopedics, Peking University Third Hospital, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230515 PL - United States TA - J Cereb Blood Flow Metab JT - Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism JID - 8112566 SB - IM MH - Humans MH - *Brain/blood supply MH - Neurons/physiology MH - *Spinal Cord Injuries MH - Head MH - Blood-Brain Barrier PMC - PMC10414016 OTO - NOTNLM OT - Blood-spinal cord barrier OT - neurovascular coupling OT - neurovascular unit OT - spinal cord OT - spinal cord injury COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/05/16 06:42 MHDA- 2023/08/10 06:43 PMCR- 2023/05/15 CRDT- 2023/05/16 03:41 PHST- 2023/08/10 06:43 [medline] PHST- 2023/05/16 06:42 [pubmed] PHST- 2023/05/16 03:41 [entrez] PHST- 2023/05/15 00:00 [pmc-release] AID - 10.1177_0271678X231172008 [pii] AID - 10.1177/0271678X231172008 [doi] PST - ppublish SO - J Cereb Blood Flow Metab. 2023 Sep;43(9):1437-1455. doi: 10.1177/0271678X231172008. Epub 2023 May 15.