The enhancement of the physiological link ensuring that localized neuronal activity triggers a proportional and timely increase in cerebral blood flow to supply necessary oxygen and metabolic substrates. This coupling efficiency is critical for high-level cognitive function, as breakdowns lead to localized energy deficits. We aim to optimize the communication between active neurons and the surrounding microvasculature.
Origin
This term merges “Neurovascular Coupling,” a well-established concept in cerebrovascular physiology, with “Improvement,” indicating a targeted therapeutic goal. Its relevance stems from its dependency on healthy endothelial function and nitric oxide bioavailability, both influenced by systemic hormonal status. The term signifies addressing the supply-side limitations of brain energy metabolism.
Mechanism
Improvement often targets the production and responsiveness to vasoactive molecules, particularly nitric oxide (NO), which mediates local vasodilation in response to neuronal depolarization. Endothelial health, often supported by optimal sex hormone levels, is paramount for efficient NO synthesis. Strategies might involve interventions that enhance endothelial function or reduce systemic inflammation that stiffens arterioles supplying the brain.
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