The neurovascular unit is a physiological unit present in the brain, which is constituted
by elements of the nervous system (neurons and astrocytes) and the vascular system (endothelial
and mural cells). This unit is responsible for the homeostasis and regulation of cerebral blood flow.
There are two major types of mural cells in the brain, pericytes and smooth muscle cells. At the arterial
level, smooth muscle cells are the main components that wrap around the outside of cerebral
blood vessels and the major contributors to basal tone maintenance, blood pressure and blood flow
distribution. They present several mechanisms by which they regulate both vasodilation and vasoconstriction
of cerebral blood vessels and their regulation becomes even more important in situations
of injury or pathology. In this review, we discuss the main regulatory mechanisms of brain
smooth muscle cells and their contributions to the correct brain homeostasis.
Biliary atresia is a rare inflammatory sclerosing obstructive cholangiopathy that initiates in infancy as complete choledochal blockage and progresses to the involvement of intrahepatic biliary epithelium. Growing evidence show that biliary atresia is not a single entity with a single etiology, but a phenotype resulting from multifactorial events whose common path is obliterative cholangiopathy. The etiology of biliary atresia has been explained as resulting from genetic variants, toxins, viral infection, chronic inflammation or bile duct lesions mediated by autoimmunity, abnormalities in the development of the bile ducts, defects in embryogenesis, abnormal fetal or prenatal circulation and susceptibility factors. It is increasingly evident that the genetic and epigenetic predisposition combined with the environmental factors to which the mother is exposed are potential triggers for biliary atresia. There is also indication that a progressive thickening of the arterial middle layer occurs in this disease, suggestive of vascular remodeling and disappearance of the interlobular bile ducts. It is suggested that hypoxia/ischemia process can affect portal structures in biliary atresia and is associated with both the extent of biliary proliferation and thickening of the medial layer.
are Co-senior authors. Abbreviations Used:: ABT 702, 4-Amino-5-(3-bromophenyl)-7-(6-morpholinopyridin-3-yl)pyrido[2,3-d]pyrimidine; ADA, adenosine deaminase; ADK, adenosine kinase; DPCPX, 8-cyclopentyl-1,3-dipropylxanthine; HA, Human astrocytes; ITU, 5-iodotubercidin; LDH, lactate dehydrogenase;
AbstractBrain adenosine concentrations can reach micromolar concentrations in stressful situations such as stroke, neurodegenerative diseases or hypoxic regions of brain tumours. Adenosine can act by receptor-independent mechanism by reversing the reaction catalysed by S-adenosylhomocysteine (SAH) hydrolase, leading to SAH accumulation and inhibition of S-adenosylmethionine (SAM)-dependent methyl-
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