PMID- 38138976 OWN - NLM STAT- MEDLINE DCOM- 20231225 LR - 20240103 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 24 DP - 2023 Dec 5 TI - Astrocyte Involvement in Blood-Brain Barrier Function: A Critical Update Highlighting Novel, Complex, Neurovascular Interactions. LID - 10.3390/ijms242417146 [doi] LID - 17146 AB - Neurological disorders have been linked to a defective blood-brain barrier (BBB), with dysfunctions triggered by stage-specific disease mechanisms, some of these being generated through interactions in the neurovascular unit (NVU). Advanced knowledge of molecular and signaling mechanisms in the NVU and the emergence of improved experimental models allow BBB permeability prediction and the development of new brain-targeted therapies. As NVU constituents, astrocytes are the most numerous glial cells, characterized by a heterogeneity that occurs as a result of developmental and context-based gene expression profiles and the differential expression of non-coding ribonucleic acids (RNAs). Due to their heterogeneity and dynamic responses to different signals, astrocytes may have a beneficial or detrimental role in the BBB's barrier function, with deep effects on the pathophysiology of (and on the progression of) central nervous system diseases. The implication of astrocytic-derived extracellular vesicles in pathological mechanisms, due to their ability to pass the BBB, must also be considered. The molecular mechanisms of astrocytes' interaction with endothelial cells at the BBB level are considered promising therapeutic targets in different neurological conditions. Nevertheless, a personalized and well-founded approach must be addressed, due to the temporal and spatial heterogeneity of reactive astrogliosis states during disease. FAU - Manu, Doina Ramona AU - Manu DR AUID- ORCID: 0000-0001-8374-4977 AD - Centre for Advanced Medical and Pharmaceutical Research, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania. FAU - Slevin, Mark AU - Slevin M AD - Centre for Advanced Medical and Pharmaceutical Research, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania. AD - Department of Life Sciences, Manchester Metropolitan University, Manchester M15 6BH, UK. FAU - Barcutean, Laura AU - Barcutean L AUID- ORCID: 0000-0002-3033-0583 AD - Neurology 1 Clinic, County Emergency Clinical Hospital, 540136 Targu Mures, Romania. AD - Department of Neurology, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania. FAU - Forro, Timea AU - Forro T AUID- ORCID: 0000-0002-5137-1819 AD - Doctoral School, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania. FAU - Boghitoiu, Tudor AU - Boghitoiu T AD - Psychiatry II Clinic, County Clinical Hospital, 540072 Targu Mures, Romania. FAU - Balasa, Rodica AU - Balasa R AD - Neurology 1 Clinic, County Emergency Clinical Hospital, 540136 Targu Mures, Romania. AD - Department of Neurology, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania. LA - eng GR - 10126/2/17.12.2020./University of Medicine and Pharmacy of Targu Mures/ PT - Journal Article PT - Review DEP - 20231205 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Humans MH - *Astrocytes/metabolism MH - Blood-Brain Barrier/metabolism MH - Endothelial Cells/physiology MH - Brain/metabolism MH - Biological Transport MH - *Nervous System Diseases/metabolism PMC - PMC10743219 OTO - NOTNLM OT - astrocyte OT - blood-brain barrier OT - central nervous system OT - endothelial cell OT - neurovascular unit COIS- The authors declare no conflict of interest. EDAT- 2023/12/23 12:43 MHDA- 2023/12/25 06:42 PMCR- 2023/12/05 CRDT- 2023/12/23 01:19 PHST- 2023/11/03 00:00 [received] PHST- 2023/11/28 00:00 [revised] PHST- 2023/12/02 00:00 [accepted] PHST- 2023/12/25 06:42 [medline] PHST- 2023/12/23 12:43 [pubmed] PHST- 2023/12/23 01:19 [entrez] PHST- 2023/12/05 00:00 [pmc-release] AID - ijms242417146 [pii] AID - ijms-24-17146 [pii] AID - 10.3390/ijms242417146 [doi] PST - epublish SO - Int J Mol Sci. 2023 Dec 5;24(24):17146. doi: 10.3390/ijms242417146.