Pfizer COVID-19 vaccine appointments are available to our patients. Sign up for Connect today to schedule your vaccination. Continue your routine care with us by scheduling an in-person appointment or Video Visit.

Revisiting the neurovascular unit.

TitleRevisiting the neurovascular unit.
Publication TypeJournal Article
Year of Publication2021
AuthorsSchaeffer S, Iadecola C
JournalNat Neurosci
Date Published2021 Aug 05
ISSN1546-1726
Abstract

The brain is supplied by an elaborate vascular network that originates extracranially and reaches deep into the brain. The concept of the neurovascular unit provides a useful framework to investigate how neuronal signals regulate nearby microvessels to support the metabolic needs of the brain, but it does not consider the role of larger cerebral arteries and systemic vasoactive signals. Furthermore, the recently emerged molecular heterogeneity of cerebrovascular cells indicates that there is no prototypical neurovascular unit replicated at all levels of the vascular network. Here, we examine the cellular and molecular diversity of the cerebrovascular tree and the relative contribution of systemic and brain-intrinsic factors to neurovascular function. Evidence supports the concept of a 'neurovascular complex' composed of segmentally diverse functional modules that implement coordinated vascular responses to central and peripheral signals to maintain homeostasis of the brain. This concept has major implications for neurovascular regulation in health and disease and for brain imaging.

DOI10.1038/s41593-021-00904-7
Alternate JournalNat Neurosci
PubMed ID34354283
Grant ListNS34179, NS100447, R37-NS089323, R01-NS095441, R01-NS/HL37853 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) /