TY - JOUR
T1 - The blood brain barrier and neuropsychiatric lupus
T2 - new perspectives in light of advances in understanding the neuroimmune interface
AU - Stock, Ariel D.
AU - Gelb, Sivan
AU - Pasternak, Ofer
AU - Ben-Zvi, Ayal
AU - Putterman, Chaim
N1 - Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/6
Y1 - 2017/6
N2 - Experts have previously postulated a linkage between lupus associated vascular pathology and abnormal brain barriers in the immunopathogenesis of neuropsychiatric lupus. Nevertheless, there are some discrepancies between the experimental evidence, or its interpretation, and the working hypotheses prevalent in this field; specifically, that a primary contributor to neuropsychiatric disease in lupus is permeabilization of the blood brain barrier. In this commonly held view, any contribution of the other known brain barriers, including the blood-cerebrospinal fluid and meningeal barriers, is mostly excluded from the discussion. In this review we will shed light on some of the blood brain barrier hypotheses and try to trace their roots. In addition, we will suggest new research directions to allow for confirmation of alternative interpretations of the experimental evidence linking the pathology of intra-cerebral vasculature to the pathogenesis of neuropsychiatric lupus.
AB - Experts have previously postulated a linkage between lupus associated vascular pathology and abnormal brain barriers in the immunopathogenesis of neuropsychiatric lupus. Nevertheless, there are some discrepancies between the experimental evidence, or its interpretation, and the working hypotheses prevalent in this field; specifically, that a primary contributor to neuropsychiatric disease in lupus is permeabilization of the blood brain barrier. In this commonly held view, any contribution of the other known brain barriers, including the blood-cerebrospinal fluid and meningeal barriers, is mostly excluded from the discussion. In this review we will shed light on some of the blood brain barrier hypotheses and try to trace their roots. In addition, we will suggest new research directions to allow for confirmation of alternative interpretations of the experimental evidence linking the pathology of intra-cerebral vasculature to the pathogenesis of neuropsychiatric lupus.
KW - Blood-CSF barrier
KW - Blood-brain-barrier
KW - Choroid plexus
KW - Glymphatics
KW - Neuropsychiatric lupus
KW - SLE
UR - http://www.scopus.com/inward/record.url?scp=85018706648&partnerID=8YFLogxK
U2 - 10.1016/j.autrev.2017.04.008
DO - 10.1016/j.autrev.2017.04.008
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C2 - 28428121
AN - SCOPUS:85018706648
SN - 1568-9972
VL - 16
SP - 612
EP - 619
JO - Autoimmunity Reviews
JF - Autoimmunity Reviews
IS - 6
ER -