2021
DOI: 10.1097/pr9.0000000000000879
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Changes in blood–spinal cord barrier permeability and neuroimmune interactions in the underlying mechanisms of chronic pain

Abstract: Here, we discuss evidence for changes in blood–spinal cord barrier permeability and consider the possibility of associated neuroimmune communication changes in models of chronic pain.

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Cited by 22 publications
(16 citation statements)
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References 61 publications
(85 reference statements)
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“…An overview of these structural/functional changes is given in Increased paracellular permeability increases free diffusion between CNS and blood. This allows harmful compounds and peptides into the CNS AD [118], cerebral small vessel disease [119], stroke [120], epilepsy [121], peripheral and CNS infections [122], brain tumours [123], Parkinson's disease [124], multiple sclerosis [120], Huntington's disease [124], amyotrophic lateral sclerosis [125], schizophrenia [124], chronic pain [126],…”
Section: In Vivo Imaging Techniques Of the Bbbmentioning
confidence: 99%
“…An overview of these structural/functional changes is given in Increased paracellular permeability increases free diffusion between CNS and blood. This allows harmful compounds and peptides into the CNS AD [118], cerebral small vessel disease [119], stroke [120], epilepsy [121], peripheral and CNS infections [122], brain tumours [123], Parkinson's disease [124], multiple sclerosis [120], Huntington's disease [124], amyotrophic lateral sclerosis [125], schizophrenia [124], chronic pain [126],…”
Section: In Vivo Imaging Techniques Of the Bbbmentioning
confidence: 99%
“…macrophage infiltration) and/or elevated vascular leakiness (e.g. increased penetration of IgG or fluorescent tracers), physiological processes that are underpinned by molecular alterations of the cellular composition and architectural changes in the microvessels within the spinal cord [10][11][12]15]. Experimental approaches to date typically rely upon inherently time locked studies, which only provides a snapshot of the systems in play in relation to vessel function though offering inights into the concept of increased vascular permeability.…”
Section: Discussionmentioning
confidence: 99%
“…Typically these studies have investigated a breakdown in the integrity in the endothelium that subsequently leads to increased levels of vascular permeability [9] and tissue penetrance of invading cell types [11]. This arises due to decreases in endothelial cell production of junction proteins and/or secretion of enzymatic proteases from infiltrating and/or resident cell types that can breakdown these junctional proteins enabling cell infiltration [12][13][14].…”
Section: Introductionmentioning
confidence: 99%
“…One of the biggest challenges in treating SCIs remains the blood-spinal cord barrier. This physical barrier between the blood and spinal cord parenchyma prevents toxins, blood cells, and pathogens from entering, and the spinal cord becomes an obstacle for therapeutic agents' delivery to the injured site [30,31]. This issue can be solved by opening this barrier through various modalities (e.g., magnetic resonance imaging-guided focused ultrasound [32], miRNA-125a-5p silencing [33]) or by creating smart medicines able to penetrate it.…”
Section: Delivery Nanosystemsmentioning
confidence: 99%