Blood-Brain Barrier Disruption and Imaging Assessment in Stroke

被引:6
作者
Liang, Yuchen [1 ]
Jiang, Yueluan [2 ]
Liu, Jiaxin [1 ]
Li, Xuewei [1 ]
Cheng, Xinyue [1 ]
Bao, Lei [1 ]
Zhou, Hongwei [1 ]
Guo, Zhenni [3 ,4 ]
机构
[1] Jilin Univ, Hosp 1, Dept Radiol, Changchun, Peoples R China
[2] Diagnost Imaging Siemens Healthineers Ltd, MR Res & Collaborat Team, Beijing, Peoples R China
[3] Jilin Univ, Hosp 1, Stroke Ctr, Dept Neurol, Changchun, Peoples R China
[4] Jilin Univ, Neurosci Res Ctr, Hosp 1, Dept Neurol, Changchun, Peoples R China
关键词
Blood-brain barrier; Ischemic stroke; Hemorrhagic transformation; PCT; DCE-MRI; ACUTE ISCHEMIC-STROKE; PREDICTS HEMORRHAGIC TRANSFORMATION; PERMEABILITY DERANGEMENTS; MATRIX METALLOPROTEINASES; REVERSIBLE DISRUPTION; HEALTH; PATHOGENESIS; CIRCULATION; EXPRESSION; PATTERNS;
D O I
10.1007/s12975-024-01300-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Disruption of the blood-brain barrier (BBB) is an important pathological hallmark of ischemic stroke. Blood-brain barrier disruption (BBBD) is a consequence of ischemia and may also exacerbate damage to brain parenchyma. Therefore, maintaining BBB integrity is critical for the central nervous system (CNS) homeostasis. This review offers a concise overview of BBB structure and function, along with the mechanisms underlying its impairment following a stroke. In addition, we review the recent imaging techniques employed to study blood-brain barrier permeability (BBBP) in the context of ischemic brain injury with the goal of providing imaging guidance for stroke diagnosis and treatment from the perspective of the BBBD. This knowledge is vital for developing strategies to safeguard the BBB during cerebral ischemia.
引用
收藏
页码:1400 / 1411
页数:12
相关论文
共 95 条
[1]   Structure and function of the blood-brain barrier [J].
Abbott, N. Joan ;
Patabendige, Adjanie A. K. ;
Dolman, Diana E. M. ;
Yusof, Siti R. ;
Begley, David J. .
NEUROBIOLOGY OF DISEASE, 2010, 37 (01) :13-25
[2]   Tissue Plasminogen Activator (tPA) and Matrix Metalloproteinases in the Pathogenesis of Stroke: Therapeutic Strategies [J].
Adibhatla, Rao Muralikrishna ;
Hatcher, James F. .
CNS & NEUROLOGICAL DISORDERS-DRUG TARGETS, 2008, 7 (03) :243-253
[3]   Oxidative stress and its role in the pathogenesis of ischaemic stroke [J].
Allen, C. L. ;
Bayraktutan, U. .
INTERNATIONAL JOURNAL OF STROKE, 2009, 4 (06) :461-470
[4]   Blood-brain barrier leakage and hemorrhagic transformation: The Reperfusion Injury in Ischemic StroKe (RISK) study [J].
Arba, Francesco ;
Piccardi, Benedetta ;
Palumbo, Vanessa ;
Biagini, Silvia ;
Galmozzi, Francesco ;
Iovene, Veronica ;
Giannini, Alessio ;
Testa, Giuseppe Dario ;
Sodero, Alessandro ;
Nesi, Mascia ;
Gadda, Davide ;
Moretti, Marco ;
Lamassa, Maria ;
Pescini, Francesca ;
Poggesi, Anna ;
Sarti, Cristina ;
Nannoni, Stefania ;
Pracucci, Giovanni ;
Limbucci, Nicola ;
Nappini, Sergio ;
Renieri, Leonardo ;
Grifoni, Stefano ;
Fainardi, Enrico ;
Inzitari, Domenico ;
Nencini, Patrizia .
EUROPEAN JOURNAL OF NEUROLOGY, 2021, 28 (09) :3147-3154
[5]   Dual-Energy Computed Tomography Quantification of Extravasated Iodine and Hemorrhagic Transformation after Thrombectomy [J].
Baik, Minyoul ;
Cha, Jihoon ;
Ahn, Sung Soo ;
Lee, Seung-Koo ;
Kim, Young Dae ;
Nam, Hyo Suk ;
Jeon, Soyoung ;
Lee, Hye Sun ;
Heo, Ji Hoe .
JOURNAL OF STROKE, 2022, 24 (01) :152-+
[6]   Prediction of hemorrhagic transformation after recanalization therapy using T2*-: Permeability magnetic resonance imaging [J].
Bang, Oh Young ;
Buck, Brian H. ;
Saver, Jeffrey L. ;
Alger, Jeffry R. ;
Yoon, Sa Rah ;
Starkman, Sidney ;
Ovbiagele, Bruce ;
Kim, Doojin ;
Ali, Latisha K. ;
Sanossian, Nerses ;
Jahan, Reza ;
Duckwiler, Gary R. ;
Vinuela, Fernando ;
Salamon, Noriko ;
Villablanca, J. Pablo ;
Liebeskind, David S. .
ANNALS OF NEUROLOGY, 2007, 62 (02) :170-176
[7]   Collateral Circulation in Ischemic Stroke Assessment Tools and Therapeutic Strategies [J].
Bang, Oh Young ;
Goyal, Mayank ;
Liebeskind, David S. .
STROKE, 2015, 46 (11) :3302-3309
[8]   Patterns and Predictors of Blood-Brain Barrier Permeability Derangements in Acute Ischemic Stroke [J].
Bang, Oh Young ;
Saver, Jeffrey L. ;
Alger, Jeffry R. ;
Shah, Samir H. ;
Buck, Brian H. ;
Starkman, Sidney ;
Ovbiagele, Bruce ;
Liebeskind, David S. .
STROKE, 2009, 40 (02) :454-461
[9]   Cerebral collaterals are associated with pre-treatment brain-blood barrier permeability in acute ischemic stroke patients [J].
Bani-Sadr, Alexandre ;
Mechtouff, Laura ;
Hermier, Marc ;
Eker, Omer F. ;
Rascle, Lucie ;
de Bourguignon, Charles ;
Boutelier, Timothe ;
Martin, Anna ;
Tommasino, Emanuele ;
Ong, Elodie ;
Fontaine, Julia ;
Cho, Tae-Hee ;
Derex, Laurent ;
Nighoghossian, Norbert ;
Berthezene, Yves .
EUROPEAN RADIOLOGY, 2024, 34 (12) :8005-8012
[10]   Optimal acquisition and modeling parameters for accurate assessment of low Ktrans blood-brain barrier permeability using dynamic contrast-enhanced MRI [J].
Barnes, Samuel R. ;
Ng, Thomas S. C. ;
Montagne, Axel ;
Law, Meng ;
Zlokovic, Berislav V. ;
Jacobs, Russell E. .
MAGNETIC RESONANCE IN MEDICINE, 2016, 75 (05) :1967-1977