This refers to the structural and functional support mechanisms necessary to maintain the health and cooperative function of the neurovascular unit (NVU), a complex structure comprising neurons, glial cells, and the cerebral vasculature. This scaffolding is clinically vital for ensuring efficient cerebral blood flow regulation and the integrity of the blood-brain barrier. Optimal NVU function is a prerequisite for sustained cognitive performance and neuronal survival.
Origin
The concept is derived from neurobiology and vascular biology, recognizing that neurons are entirely dependent on the adjacent vasculature for oxygen and nutrient supply. ‘Scaffolding’ is used metaphorically to describe the various biological components, including the extracellular matrix and supporting cells, that maintain the NVU’s structure and function. This concept is central to understanding stroke and neurodegenerative diseases.
Mechanism
The NVU is regulated by pericytes and endothelial cells, which form the physical blood-brain barrier. Astrocytes, a type of glial cell, surround the blood vessels, linking neuronal activity to blood flow changes, a process known as neurovascular coupling. Hormones, particularly estrogen and nitric oxide, modulate the tone of cerebral vessels, ensuring adequate perfusion. Scaffolding mechanisms involve maintaining the tight junctions between endothelial cells and supporting the health of the surrounding glial cells.
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