Targeting blood-brain barrier for sepsis-associated encephalopathy : Regulation of immune cells and ncRNAs

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..

Sepsis causes significant morbidity and mortality worldwide, most surviving patients show acute or chronic mental disorders, which are known as sepsis-associated encephalopathy (SAE). SAE involves many pathological processes, including the blood-brain barrier (BBB) damage. The BBB is located at the interface between the central nervous system and the surrounding environment, which protects the central nervous system (CNS) from the invasion of exogenous molecules, harmful substances or microorganisms in the blood. Recently, a growing number of studies have indicated that the BBB destruction was involved in SAE and played an important role in SAE-induced brain injury. In the present review, we firstly reveal the pathological processes of SAE such as the neurotransmitter disorders, oxidative stress, immune dysfunction and BBB destruction. Moreover, we introduce the structure of BBB, and describe the immune cells including microglia and astrocytes that participate in the BBB destruction after SAE. Furthermore, in view of the current research on non-coding RNAs (ncRNAs), we explain the regulatory mechanism of ncRNAs including long noncoding RNAs (lncRNAs), microRNAs (miRNAs) and circular RNAs (circRNAs) on BBB in the processes of SAE. Finally, we propose some challenges and perspectives of regulating BBB functions in SAE. Hence, on the basis of these effects, both immune cells and ncRNAs may be developed as therapeutic targets to protect BBB for SAE patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:209

Enthalten in:

Brain research bulletin - 209(2024) vom: 23. März, Seite 110922

Sprache:

Englisch

Beteiligte Personen:

Tian, Mi [VerfasserIn]
Zhan, Yunliang [VerfasserIn]
Cao, Jinyuan [VerfasserIn]
Gao, Jinqi [VerfasserIn]
Sun, Jie [VerfasserIn]
Zhang, Li [VerfasserIn]

Links:

Volltext

Themen:

Blood brain barrier
Immune cell
Journal Article
Non-coding RNAs
Phagocytosis
Polarization
Review
Sepsis-associated encephalopathy

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.brainresbull.2024.110922

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369478738