Dual Roles of Astrocyte-Derived Factors in Regulation of Blood-Brain Barrier Function after Brain Damage
Open accessAbstract
The blood-brain barrier (BBB) is a major functional barrier in the central nervous system (CNS), and inhibits the extravasation of intravascular contents and transports various essential nutrients between the blood and the brain. After brain damage by traumatic brain injury, cerebral ischemia and several other CNS disorders, the functions of the BBB are disrupted, resulting in severe secondary damage including brain edema and inflammatory injury. Therefore, BBB protection and recovery are considered novel therapeutic strategies for reducing brain damage. Emerging evidence suggests key roles of astrocyte-derived factors in BBB disruption and recovery after brain damage. The astrocyte-derived vascular permeability factors include vascular endothelial growth factors, matrix metalloproteinases, nitric oxide, glutamate and endothelin-1, which enhance BBB permeability leading to BBB disruption. By contrast, the astrocyte-derived protective factors include angiopoietin-1, sonic hedgehog, glial-derived neurotrophic factor, retinoic acid and insulin-like growth factor-1 and apolipoprotein E which attenuate BBB permeability resulting in recovery of BBB function. In this review, the roles of these astrocyte-derived factors in BBB function are summarized, and their significance as therapeutic targets for BBB protection and recovery after brain damage are discussed.
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Reactive astrocytes are a major source of various vascular permeability factors.
“Reactive astrocytes are a major source of various vascular permeability factors [44–47].”
From Chronic stress-induced depression requires the recruitment of peripheral Th17 cells into the brain (2022) · cites this paper as [46]
Section 3.1 (page unavailable) reports that reactive astrocytes produce VEGF and release MMP-2 and MMP-9, factors associated with blood–brain barrier disruption. It does not establish that astrocytes are a major source relative to other cells; the section notes that VEGF and MMPs are also produced by other CNS cell types. (LLM, conf=0.83)
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Blood-Brain Barrier Overview: Structural and Functional Correlation
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Factors influencing the blood-brain barrier permeability
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Astrocyte Endfeet in Brain Function and Pathology: Open Questions
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Blood-Brain Barrier Dysfunction in CNS Disorders and Putative Therapeutic Targets: An Overview
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Dual roles of astrocytes in plasticity and reconstruction after traumatic brain injury
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APOE4 derived from astrocytes leads to blood–brain barrier impairment
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The blood–brain barriers: novel nanocarriers for central nervous system diseases
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Blood-brain barrier leakage in Alzheimer’s disease: From discovery to clinical relevance
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The Role of Astrocytes in the Neurorepair Process
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Improving CNS Delivery to Brain Metastases by Blood–Tumor Barrier Disruption
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Blood-brain barrier disruption: a culprit of cognitive decline?
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Astrocyte-Mediated Neuroinflammation in Neurological Conditions
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Glial Cells as Therapeutic Approaches in Brain Ischemia-Reperfusion Injury
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Inflammatory Pathogenesis of Post-stroke Depression
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The Neuroprotective Role of Reactive Astrocytes after Central Nervous System Injury
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Microglia-Mediated Neurovascular Unit Dysfunction in Alzheimer’s Disease
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Targeting Phosphodiesterases—Towards a Tailor-Made Approach in Multiple Sclerosis Treatment
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White matter and neurological disorders
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Non-coding RNAs: the extensive and interactive regulators of the blood-brain barrier permeability
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Astrocytes and Inflammatory T Helper Cells: A Dangerous Liaison in Multiple Sclerosis
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Clearance Systems in the Brain, From Structure to Function
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Aloin Protects Against Blood–Brain Barrier Damage After Traumatic Brain Injury in Mice
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Endothelin ETB Receptor-Mediated Astrocytic Activation: Pathological Roles in Brain Disorders
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Blood-Brain Barrier Disruption: A Common Driver of Central Nervous System Diseases
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Inflammation: A Mediator Between Hypertension and Neurodegenerative Diseases
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Advancements in modelling human blood brain-barrier on a chip
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Delivery Platforms for CRISPR/Cas9 Genome Editing of Glial Cells in the Central Nervous System
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Astrocytes in the Traumatic Brain Injury: the Good and the Bad
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Hemorrhagic stroke-induced subtype of inflammatory reactive astrocytes disrupts blood-brain barrier
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Function of Astrocytes in Neuroprotection and Repair after Ischemic Stroke
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Central Nervous System Pericytes Contribute to Health and Disease
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Revisiting Astrocytic Roles in Methylmercury Intoxication
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The role of integrins in brain health and neurodegenerative diseases
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Cognitive decline in heart failure: Biomolecular mechanisms and benefits of exercise
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CNS Drug Delivery in Stroke: Improving Therapeutic Translation From the Bench to the Bedside
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Understanding the Blood-Brain Barrier: From Physiology to Pathology
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Advances in Hydrogel-Based Microfluidic Blood–Brain-Barrier Models in Oncology Research
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Reactive astrocytes associated with prion disease impair the blood brain barrier
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A guide for blood–brain barrier models
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Role of mitochondria transmission in ischemic stroke: Friend or foe?
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Brain Barriers and Multiple Sclerosis: Novel Treatment Approaches from a Brain Barriers Perspective
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- Authors
- Michinaga, S., & Koyama, Y.
- Affiliations
- Osaka Ohtani University (JP)
- Laboratory of Pharmacology, Kobe Pharmaceutical University, 4-19-1 Motoyama-Kita Higashinada, Kobe 668-8558, Japan
- ORCID
- Michinaga, Shotaro
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2019-01-29
- Volume
- 20
- Issue
- 3
- Pages
- 571
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC6387062
- OpenAlex
- W2912925231
- Cited by
- 263
- References
- 192
- Citations by year
- 2026: 30 · 2025: 21 · 2024: 38 · 2023: 44 · 2022: 43 · 2021: 48 · 2020: 28 · 2019: 11
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Society for the Promotion of Science (16K18890, 18K06695)
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- blood-brain barrier, astrocytes, blood-brain barrier permeability, brain damage, traumatic brain injury, cerebral ischemia, vascular endothelial growth factor, matrix metalloproteinases, nitric oxide, endothelin-1, glutamate, angiopoietin-1, Sonic hedgehog, glial cell line-derived neurotrophic factor, retinoic acid, insulin-like growth factor I, apolipoprotein E, cerebral edema, neuroinflammation
- MeSH terms
- Animals, Astrocytes, Blood-Brain Barrier, Brain Injuries, Humans, Tight Junctions
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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