New Insights in the Complexity and Functionality of the Neurovascular Unit

Handb Exp Pharmacol. 2022:273:33-57. doi: 10.1007/164_2020_424.

Abstract

The neurovascular unit (NVU) encompasses all brain cells and underlines that neurons, glia and brain vasculature are in intimate physical and functional association. Brain function is dependent on blood flow and local increases in blood flow in response to neural activity - functional hyperaemia takes place at the NVU. Although this is a vital function of the NVU, many studies have demonstrated that the NVU also performs other tasks. Blood vessels in the brain, which are composed of multiple cell types, are essential for correct brain development. They constitute the niche for brain stem cells, sense the environment and communicate changes to neural tissue, and control the immune quiescence of the CNS. In this brief chapter we will discuss new insights into the biology of NVU, which have further revealed the heterogeneity and complexity of the vascular tree and its neurovascular associations.

Keywords: Astrocyte; Endothelium; Microglia; Neurovascular unit; Pericyte; Perivascular fibroblast-like cell; Perivascular macrophage; Structural diversity; Vascular smooth muscle cell.

MeSH terms

  • Blood-Brain Barrier / metabolism
  • Brain*
  • Humans
  • Neuroglia
  • Neurons* / metabolism