“…However, over the years, reports of increased transport over the BBB without obvious associated changes in interendothelial junctions have been accumulating, suggesting that TJ-independent processes may contribute to BBB permeability changes in many occasions. An increase in the number of cytoplasmic vesicles in BBB endothelium in vivo has been associated with cortical cold injury (Nag et al, 2007), contusion injury , seizure activity (Gurses et al, 2013;Kaya et al, 2013;Orhan et al, 2014), pre-and postnatal stress (Gomez-Gonzalez et al, 2011;Sharma et al, 1995), hyperbaric oxygen treatment , sepsis (Esen et al, 2012;Kaya and Ahishali, 2011), and methamphetamine abuse (Martins et al, 2013). Most evidence for the involvement of vesicular transcytosis in BBB failure comes from the hypoxic/ischemic brain (Cipolla et al, 2004;Ito et al, 1980;Kaur et al, 2006;Knowland et al, 2014;Krueger et al, 2013Krueger et al, , 2015Plateel et al, 1997;Reeson et al, 2015) (Table 2).…”