“…The cytokines generated by macrophages and neutrophils can induce activation of JAK-STAT [163], NF-κB [164], and Smad [165,166] signaling pathways leading to an inflammatory response involving cell adhesion, permeability, and apoptosis in ECs [167,168]. Further, these pathways modify the activity of vasodilatory mediators such as NO, PGI2, EDHF, and bradykinin, as well as vasoconstrictive mediators such as ET-1 and angiotensin II ( [169][170][171]). In addition, ROS, TNF-α, and IL-1β produced by activated microglia can disrupt the BBB integrity by altering the expression of ZO-1, claudin-5, occludin, and P-glycoprotein [172].…”