2011
DOI: 10.1590/s0103-507x2011000200016
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Mecanismos de disfunção da barreira hematoencefálica no paciente criticamente enfermo: ênfase no papel das metaloproteinases de matriz

Abstract: This paper aims to describe the physiological basis of the blood-brain barrier components and its properties. Additionally, the particular effects of metalloproteinases and their control over the extracellular matrix and its relationship with blood-brain barrier dysfunction are discussed. Finally, the role of metalloproteinases on changes in the central nervous system in critically ill patients is discussed.

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Cited by 15 publications
(7 citation statements)
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“…However, for a drug lacking CNS activity, as investigated here, a low penetration value is desired, to minimize side effects. 47,48 For the structure 6 (log PBH* = 0.367), the values were higher than those presented by 7 (log PBH = -0.322) and N,N-DHL (log PBH = -0.292). The literature 49 suggests that PBH values less than 1 (brain/ /blood < 1) assign the molecule to the inactive status in the CNS.…”
Section: Pharmacokinetic and Toxicity Predictions Studiesmentioning
confidence: 79%
“…However, for a drug lacking CNS activity, as investigated here, a low penetration value is desired, to minimize side effects. 47,48 For the structure 6 (log PBH* = 0.367), the values were higher than those presented by 7 (log PBH = -0.322) and N,N-DHL (log PBH = -0.292). The literature 49 suggests that PBH values less than 1 (brain/ /blood < 1) assign the molecule to the inactive status in the CNS.…”
Section: Pharmacokinetic and Toxicity Predictions Studiesmentioning
confidence: 79%
“…For example, Iqgap1 regulates the function of claudin (e.g., CLDN5), while LCK regulates the function of PECAM1 [34,35]. Timp 1 and Timp4 regulate Mmp2 [36,37].…”
Section: Resultsmentioning
confidence: 99%
“…Exposure to DEP deregulated the expression of several transporters and receptors that are critically involved in BBB functionality namely ABCB1, multidrug-resistance associated proteins (MRP)1, MRP2, MRP4, breast cancer resistance protein (BCRP), glucose transporter (GLUT)1, and the metabolizing enzyme glutathione S-transferase (GST)π (Hartz et al, 2008). Several reports have demonstrated an increased BBB permeability following exposure to a mixed vehicular emission, translated essentially by deregulation of the TJs (Rojas et al, 2011;Oppenheim et al, 2013;Bernardi et al, 2021). For instance, human brain microvascular endothelial cells in culture exposed to nanoparticles of aluminum oxide exhibit reduced cell viability, altered mitochondrial function, increased oxidative stress, and diminished expression of the TJs proteins claudin-5 and occludin (Chen et al, 2008;Block and Calderón-Garcidueñas, 2009).…”
Section: Impact On Endothelial Functionsmentioning
confidence: 99%