2008
DOI: 10.2174/138161208784705414
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Chronic Inflammatory Pain and the Neurovascular Unit: A Central Role for Glia in Maintaining BBB Integrity?

Abstract: Pain is a complex phenomenon involving both a peripheral innate immune response and a CNS response as well as activation of the hypothalamic-pituitary-adrenal axis. The peripheral innate immune response to injury involves the rapid production and local release of proinflammatory cytokines such as tumor necrosis factor-alpha (TNF-/alpha), interleukin-1 (IL-1) and IL-6. Recent studies into the CNS response to peripheral chronic inflammatory pain strongly implicates a role for glia, and local synthesis of proinfl… Show more

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Cited by 53 publications
(54 citation statements)
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References 230 publications
(287 reference statements)
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“…The biological rationale for co-culturing astrocytes with endothelial cells is that the astrocytes are affected by substances released from the capillary endothelial cells of the BBB (31). These interactions are essential for a functional neurovascular unit (4,32). The endothelial cells are not directly in physical contact with the astrocytes, and interaction in the model is brought about through the shared medium.…”
Section: Methodsmentioning
confidence: 99%
“…The biological rationale for co-culturing astrocytes with endothelial cells is that the astrocytes are affected by substances released from the capillary endothelial cells of the BBB (31). These interactions are essential for a functional neurovascular unit (4,32). The endothelial cells are not directly in physical contact with the astrocytes, and interaction in the model is brought about through the shared medium.…”
Section: Methodsmentioning
confidence: 99%
“…Toll-like receptors on astrocytes and microglia are considered profound contributors to chronic pain. Figure modified from original (Willis and Davis 2008). Reprinted with permission from Bentham Science Publishers Ltd. 182 WILLIS TOXICOLOGIC PATHOLOGY be attenuated by ibudilast through its glial modulation properties and altered cytokine levels.…”
Section: Pharmacological Modulation Of Glia For the Therapy Of Diseasementioning
confidence: 99%
“…Other components of the neurovascular unit are neurons, pericytes located in the basal lamina, and microglia. Figures reprinted with permission from Bentham Science Publishers Ltd. (Willis and Davis 2008). Vol.…”
Section: Introductionmentioning
confidence: 99%
“…In health, the BBB acts as a crucial homeostatic regulator for promoting neuronal survival and restricts peripherally circulating toxins, blood proteins, and micro-organisms from entering brain tissue (Abbott et al, 2010;Banks and Erickson, 2010). The low permeability of the BBB is due, in part, to tight junction complexes composed of various transmembrane proteins, including claudin, occludin, and junctional adhesion molecule subfamilies (Tsukita et al, 2001;Chiba et al, 2008;Willis et al, 2008Willis et al, , 2010. The integrity of the BBB is compromised in many central nervous system disorders, including demyelinating disorders, such as multiple sclerosis and in cerebral ischemia (Grossman et al, 1986;Hatashita and Hoff, 1990;Lo et al, 1994).…”
Section: Introductionmentioning
confidence: 99%