Blood CNS Barriers in Homeostasis Flashcards
Definition of pericyte
Cells that surround the brain capillaries and trap large macromolecules that have escaped from the lumen
Definition of simple diffusion
Diffusion via paracellular clefts
Definition of passive diffusion
Diffusion through the cell
Definition of the partition coefficient
Increased Pc => increased lipophilicity and uptake into BBB
Where is the blood brain barrier
At the level of the brain capillaries
Describe the vascular supply of the brain
2 carotid arteries
2 vertebral arteries
Circle of Willis at base of brain => pial arteries above pia mater
Penetrating arteries, branch off and penetrate brain tissue but not into pia mater
Penetrating arterioles
Intracerebral arterioles
Capillaries
Describe the brain capillary density in the brain
Why is this adaptation necassery
2500-3000mm3
- no brain cell is 1-2 cell widths away from a capillary
- v efficient for diffusion
Describe the structure of capillaries in the neurovascular unit
Monolayer of endothelial cells that form the paracellular cleft
Surrounded by pericytes and basal lamina
Basal lamina surrounded by end feet of astrocytes, neurones
Oligodendrocytes surround neurones
Describe the structure of the astrocytes within the brain
End feet of astrocytes form a perivascular sheet around the endothelium
Layer found under the pia mater and forms the glia limitans
What are the 5 functions of astrocytes
- energy and nutrient support of neurons
- ion and water homeostasis
- termination of synaptic activity
- maintenance of blood brain barrier
- sense [O2], [CO2] in tissue fluid and regulate breathing
What 2 structures found in brain capillaries to limit paracellular movement
Why are they present
Adherens junctions
- adhesion molecules
- cadherin, both attach to catenin => actin cytoskeleton
Tight junction
- claudin, occludin
- adhesion molecules both attach to zones occludentes => actin cytoskeleton
Limits substance movement between cells => stops simple diffusion
Describe passive diffusion through the blood brain barrier
How does partition coefficient relate to diffusion
Small lipid molecules and blood gases passively diffuse due to lipid bilayer
Increased partition coefficient => increased lipophilicity and uptake into BBB
Describe the diffusion of the drugs
- morphine
- codeine
- heroin into the BBB and their actions
Morphine => not lipophilic, can’t enter
Codeine => lipophilic, can enter
Heroin => very lipophilic, can enter
Heroin in metabolised to morphine which can’t escape BBB with a long half life
Describe the 2 main types of transporter in the lipid bilayer
What are the functions of each main type
Solute carrier transporters (SLC)
- faciliated diffusion
- 2ndary AT
GLUT1 for D glucose
carriers for neutral AA, acidic AA, basic AA
ATP binding cassette (ABC)
- efflux transporter out of brain
- 1ary AT
P-glycoprotein
Describe the polarity of the AA transporters
Not all expressed on both sides of the membrane
Some cotransported with Na