C20- Brian barriers
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Questions and Answers

Fenestrated capillaries allow small molecules to pass freely between blood and interstitial fluid.

True (A)

The only molecules that can pass freely through the blood-brain barrier are polar molecules.

False (B)

Paul Ehrlich and Edwin Goldmann first discovered the blood-brain barrier by using trypan blue ink.

True (A)

The blood-CSF barrier allows all types of molecules to pass freely into the cerebrospinal fluid.

<p>False (B)</p> Signup and view all the answers

Endothelial cells in some capillaries are sealed to tightly control exchanges between blood and brain interstitial fluid.

<p>True (A)</p> Signup and view all the answers

Big molecules can pass freely through the blood-brain barrier without any form of transport.

<p>False (B)</p> Signup and view all the answers

The concept of the blood-brain barrier implies that the CNS is completely excluded from blood circulation.

<p>True (A)</p> Signup and view all the answers

Capillary structure remains constant throughout the body with no variations.

<p>False (B)</p> Signup and view all the answers

CSF is primarily produced in the lateral ventricle.

<p>True (A)</p> Signup and view all the answers

The arachnoid membrane contains loose connections between its cells, allowing free communication with CSF.

<p>False (B)</p> Signup and view all the answers

CSF-filled spaces serve only as a mechanical cushion for the central nervous system.

<p>False (B)</p> Signup and view all the answers

Homeostasis of the interstitial fluid is not dependent on the blood-brain barrier (BBB).

<p>False (B)</p> Signup and view all the answers

The blood-cerebrospinal fluid barrier (BCSFB) allows for free diffusion from blood to CSF.

<p>False (B)</p> Signup and view all the answers

Exchanges between CSF and brain interstitial fluid occur freely at the level of the pia mater.

<p>True (A)</p> Signup and view all the answers

The communication between cerebral arterial blood and the brain’s interstitial fluid is facilitated by the BBB.

<p>True (A)</p> Signup and view all the answers

Trypan blue can pass from the ventricular system to the brain due to the ependyma alone.

<p>False (B)</p> Signup and view all the answers

Lipid soluble substances can easily penetrate the blood-brain barrier due to passive diffusion.

<p>True (A)</p> Signup and view all the answers

Facilitated transport proteins rely solely on ATP for transporting substances across the blood-brain barrier.

<p>False (B)</p> Signup and view all the answers

The uptake of D-glucose is low despite being a large water-soluble molecule.

<p>False (B)</p> Signup and view all the answers

Transporters at the blood-brain barrier only work to move substances into the brain.

<p>False (B)</p> Signup and view all the answers

The oil/water partition coefficient helps determine the lipid solubility and uptake rate of solutes.

<p>True (A)</p> Signup and view all the answers

Energy-dependent transporters include Na+/K+ ATPase and are crucial for moving substrates against their concentration gradient.

<p>True (A)</p> Signup and view all the answers

Morphine and penicillin are both physiological substrates that have high uptake rates at the blood-brain barrier.

<p>False (B)</p> Signup and view all the answers

Enzymes like monoamine oxidase serve solely as transporters in the blood-brain barrier.

<p>False (B)</p> Signup and view all the answers

The MCT1 at the BBB assists in lactate removal to prevent its accumulation in the blood.

<p>False (B)</p> Signup and view all the answers

During starvation or a ketogenic diet, the plasma levels of lactate and ketone bodies increase.

<p>True (A)</p> Signup and view all the answers

The L-system of amino acid transporters is independent of sodium (Na+).

<p>True (A)</p> Signup and view all the answers

The A-system of amino acid transporters operates without the need for Na+.

<p>False (B)</p> Signup and view all the answers

The ASC-system preferentially recognizes small neutral amino acids like valine and leucine.

<p>False (B)</p> Signup and view all the answers

The excitatory amino acid transporters (EEAT) facilitate the net removal of glutamate from the brain.

<p>True (A)</p> Signup and view all the answers

Alanine and serine are preferred amino acids in the A-system.

<p>True (A)</p> Signup and view all the answers

Glutamate is classified as a neutral amino acid and is transported by the ASC system.

<p>False (B)</p> Signup and view all the answers

Glutamate concentration in the brain ISF is normally kept above 2 mM.

<p>False (B)</p> Signup and view all the answers

Circumventricular organs in the nervous system are free from the blood-brain barrier.

<p>True (A)</p> Signup and view all the answers

The two lateral ventricles are the primary producers of cerebrospinal fluid (CSF).

<p>True (A)</p> Signup and view all the answers

The blood-cerebrospinal fluid barrier (BCSFB) contains fenestrated capillaries.

<p>False (B)</p> Signup and view all the answers

Glutamate can cause neurotoxicity if it accumulates in the blood plasma.

<p>False (B)</p> Signup and view all the answers

The foramen of Luschka allows cerebrospinal fluid to enter the subarachnoid space.

<p>True (A)</p> Signup and view all the answers

The choroid plexus membrane is similar in structure to that of the blood-brain barrier (BBB).

<p>True (A)</p> Signup and view all the answers

Arachnoid granulations are located in the venous sinus where CSF is reabsorbed.

<p>True (A)</p> Signup and view all the answers

The production rate of cerebrospinal fluid (CSF) is 500mL per day.

<p>True (A)</p> Signup and view all the answers

The total cerebrospinal fluid volume is approximately 200mL.

<p>False (B)</p> Signup and view all the answers

CSF flows from the choroid plexus directly to the 3rd ventricle.

<p>False (B)</p> Signup and view all the answers

CSF is renewed four times a day in its entirety.

<p>True (A)</p> Signup and view all the answers

The hydrostatic pressure is higher at the reabsorption sites compared to the production sites.

<p>False (B)</p> Signup and view all the answers

Arachnoidal villi facilitate the drainage of CSF into blood and lymph.

<p>True (A)</p> Signup and view all the answers

The pressure at the level of arachnoidal villi is approximately 10 mmHg.

<p>False (B)</p> Signup and view all the answers

Ion exchange and channels in the choroid cells are similar to those found in the blood-brain barrier.

<p>True (A)</p> Signup and view all the answers

Flashcards

Blood Brain Barrier (BBB)

A specialized structure that regulates the passage of substances between blood and the brain's interstitial fluid.

Tight Junctions in BBB

Capillaries in the brain with tightly joined endothelial cells, preventing free passage of most substances.

Lipophilic Molecules

Molecules that can readily pass through the plasma membrane of BBB endothelial cells, bypassing the tight junctions.

Brain Interstitial Fluid

A special fluid surrounding the brain, distinct from blood, influenced by the BBB.

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Transcytosis

The process of transporting substances across the BBB through membrane vesicles.

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Blood-CSF Barrier (BCSFB)

A barrier between blood and cerebrospinal fluid (CSF), a fluid found in the brain and spinal cord.

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Pharmacokinetics of BBB

The study of how the BBB influences the distribution of drugs and other substances in the brain.

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Neurophysiology

The process of studying the brain's physiology and how it functions.

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What is cerebrospinal fluid (CSF)?

A protective fluid that circulates through the brain and spinal cord, providing cushioning and support to the central nervous system.

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What is the choroid plexus?

A network of capillaries located within the ventricles of the brain, responsible for producing cerebrospinal fluid (CSF).

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Describe the circulation of CSF.

The movement of CSF from its production in the ventricles to the subarachnoid space and its eventual reabsorption into the blood.

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What is the meningeal barrier?

A barrier formed by the arachnoid membrane that separates the CSF in the subarachnoid space from the overlying structures of the brain and spinal cord.

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What is the arachnoid membrane's role in CSF circulation?

A barrier formed by tight junctions between epithelial cells lining the subarachnoid space, preventing free communication between the CSF and the blood.

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What is the ventricular ependyma?

A barrier formed by tight junctions between epithelial cells lining the ventricles of the brain, regulating the exchange between CSF and the brain's interstitial fluid.

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What are the blood-brain barrier (BBB) and the blood-cerebrospinal fluid barrier (BCSFB)?

Two crucial barriers that regulate the passage of substances between the blood and the brain's internal environment.

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How do the BBB and BCSFB maintain the brain's internal environment?

These barriers restrict the movement of substances from the blood into the brain and CSF, while allowing essential nutrients and removing metabolic waste products.

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Passive Transport across the BBB

The movement of substances across the Blood-Brain Barrier (BBB) that occurs without the assistance of proteins or energy.

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Passive Diffusion across the BBB

The process by which lipid-soluble molecules pass through the BBB by dissolving in the lipid bilayer of the cell membrane.

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Transporters in the BBB

Specific proteins embedded in the cell membrane that assist in the transport of molecules across the BBB.

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Facilitative Transporters in the BBB

Proteins that actively move substances across the BBB, requiring energy. Examples include GLUT1, LAT1, and MCT1.

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Energy-Dependent Transporters in the BBB

Proteins that actively move substances across the BBB against their concentration gradient, using energy from ATP.

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Transcytosis across the BBB

A process by which large molecules or particles are transported across the BBB by being enclosed in a vesicle and moved through the cell.

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Efflux Transporters in the BBB

Proteins that actively move substances from the brain back into the bloodstream, preventing the accumulation of certain substances in the brain.

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Glutamate Excitotoxicity

Glutamate is a neurotransmitter that plays a crucial role in brain function. However, high levels of glutamate in the brain's interstitial fluid (ISF) can lead to excitotoxicity, causing neuronal damage or death.

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Astrocyte Role in Glutamate Removal

Astrocytes are star-shaped glial cells that play a vital role in maintaining the brain's environment by actively removing excess glutamate from the ISF. They help prevent glutamate accumulation and its toxic effects.

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Circumventricular Organs (CVOs)

The circumventricular organs (CVOs) are specialized regions in the brain that lack the blood-brain barrier (BBB). This allows them to directly monitor and interact with the composition of blood.

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Choroid Plexus and CSF Production

The choroid plexus is a network of specialized capillaries located in the ventricles of the brain. It produces cerebrospinal fluid (CSF) by selectively filtering blood.

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Cerebrospinal Fluid (CSF)

The cerebrospinal fluid (CSF) is a clear fluid that bathes the brain and spinal cord. It provides cushioning, transports nutrients, and removes waste products.

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Brain Interstitial Fluid (ISF)

The brain's interstitial fluid (ISF) is a fluid that surrounds the neurons and glial cells of the brain, providing a medium for communication and nutrient exchange.

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What is the Blood-CSF Barrier (BCSFB)?

The blood-cerebrospinal fluid barrier (BCSFB) is a specialized barrier that separates the bloodstream from the cerebrospinal fluid (CSF) in the brain and spinal cord. Like the blood-brain barrier (BBB), it regulates the passage of substances between the two compartments, but with distinct characteristics.

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How does the BCSFB differ from BBB in transport?

Compared to BBB, BCSFB has specific transporters for nutrients like folate, vitamin C, and vitamin B6. It also facilitates amino acid import and utilizes ion exchange and channels for transport.

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What is the CSF volume and turnover rate?

The CSF volume is around 150 mL, and it is completely replaced around 4 times per day, meaning a high turnover rate.

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Explain the CSF flow pattern.

CSF flows from its production site in the choroid plexus downwards along the neuraxis, through the fourth ventricle, and into the subarachnoid space. It then flows to the cisterna magna and into the subarachnoid space in basal regions.

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What are some key elements involved in CSF clearance?

CSF outflow resistance, arachnoid villi, olfactory drainage routes, fluid reabsorption along spinal nerves, and reabsorption across capillary aquaporin channels are key elements in clearing CSF.

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How does pressure affect CSF flow?

The pressure gradient between the CSF production site and the reabsorption site, driven by hydrostatic pressure, is critical for CSF flow.

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What is the pressure difference between CSF production and reabsorption?

The CSF pressure at the arachnoid villi is around 5 mmHg, while the production site has a higher pressure. This pressure gradient ensures CSF flows from the production site to the reabsorption site.

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What is the composition of CSF?

It's an ultrafiltrate of plasma - very similar to the interstitial fluid surrounding the brain.

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MCT1 at the BBB

A protein in the blood-brain barrier responsible for transporting lactate from the brain's interstitial fluid to the blood.

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Transcytosis across BBB

The process of transporting substances across the BBB using membrane vesicles.

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Amino acid transporter systems in BBB

The three main types of amino acid transporters in the blood-brain barrier, classified based on the types of amino acids they transport.

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L-system in BBB

The L-system transports large neutral amino acids with branched or ringed side chains, such as leucine and valine.

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A-system in BBB

The A-system transports glycine and neutral amino acids with short linear or polar side chains, such as alanine or serine.

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ASC-system in BBB

The ASC-system is an energy-dependent and Na+ dependent transporter that preferentially recognizes alanine, serine, and cysteine.

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Excitatory Amino Acid Transporters (EEAT)

Specialized sodium-dependent transporters that remove glutamate from the brain, ensuring a constant concentration of this neurotransmitter.

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Glutamate

The most prevalent excitatory neurotransmitter in the brain.

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Study Notes

Blood-Brain Barrier (BBB)

  • The BBB separates blood from the interstitial fluid of the brain
  • Capillary structures vary throughout the body; endothelial cell junctions can change
  • Fenestrated capillaries allow passage of small molecules and ions but larger molecules require other transport methods
  • In the brain, capillaries have tight junctions, limiting molecule passage without control
  • Only lipophilic (fat-soluble) molecules pass freely
  • Ions, large molecules, proteins, and polar molecules cannot pass freely

Evidence of a BBB

  • Paul Ehrlich and Edwin Goldmann (1885) were pioneers in observing brain interstitial fluid differences
  • They injected trypan blue into the bloodstream, expecting it to diffuse everywhere. However, the CNS remained uncolored, indicating a barrier
  • Injecting the dye into the ventricular system (containing CSF) colored the CNS, showing barrier between blood and interstitial fluid but not between CSF and CNS interstitial fluid
  • The choroid plexus, which produces CSF, acts as another barrier, the blood-CSF barrier (BCSFB)

Brain Vascularization

  • Blood is filtered in choroid plexuses (in ventricles), circulated throughout the ventricular system and subarachnoid space, and reabsorbed into the venous system through arachnoid granulations.
  • Blood-brain barrier (BBB): exists between plasma and interstitial fluid in brain parenchyma capillaries.
  • Blood-cerebrospinal fluid barrier (BCSFB): made of choroid plexus epithelium
  • Meninges barrier: between CSF in subarachnoid space and overlying structures
  • Ventricular ependyma: between CSF and interstitial fluid; allows for some exchange

Blood-Brain Barrier Components

  • Endothelial cells: connected with tight junctions
  • Basement membrane: surrounds endothelial cells
  • Pericytes: surround and cover endothelial cells
  • Astrocyte foot processes: surround capillary endothelial cells

Neurovascular Unit

  • Microglia, astrocytes, and neurons form a functional unit. This affects blood-brain barrier (BBB) permeability
  • BBB permeability may be altered by components of this unit

Solute Carriers

  • Facilitative transport proteins (GLUT1, LAT1, MCT1) help move glucose, amino acids, and other substances
  • Active transporters (e.g., Na+/K+ ATPase) actively move molecules against concentration gradients
  • Lipid-soluble molecules move through passive diffusion
  • Transcytosis and ion channels are limited in role in transportation

Glucose Transport

  • GLUT1 transporters facilitate glucose uptake and are insulin independent and are expressed on both capillary sides
  • Their expression is regulated by glucose levels
  • The brain relies almost entirely on the supply of glucose from the circulation

Monocarboxylate Transporters (MCTs)

  • MCTs transport monocarboxylic acids (e.g., lactate, B-hydroxybutyrate)
  • MCT1 is a lactate transporter. It is important for glucose metabolism in the brain, transferring lactate

Amino Acid Transport

  • Three systems (L-system, A-system, and ASC-system are involved in amino acid transport
  • They transport different types of amino acids, and there is competition for the transporters

Blood-CSF Barrier

  • The blood-CSF barrier is made of choroid plexus epithelial cells, and not fenestrated capillaries
  • Tight junctions prevent free communication between blood and interstitial fluid

CSF Clearance

  • CSF is drained through the arachnoid villi and into the venous sinuses
  • The pressure at the level of these arachnoidal villi is about 5 mmHg

CSF Functions

  • Mechanical support for brain and spinal cord
  • Regulation of ambient pressure

Circumventricular Organs (CVOs)

  • CVOs are areas of the brain that lack a fully functional blood-brain barrier, allowing direct access to the blood

BBB Dysfunction

  • Damage can result from infections, tumors, or other pathologies.
  • This can impact the homeostasis of the brain and has consequences to the function and signal processing of the CNS

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Description

Explore the fascinating biology of the blood-brain barrier and its functions in the central nervous system. This quiz covers key concepts such as capillary structures, molecular exchange, and the role of cerebrospinal fluid. Test your understanding and learn important facts about the barriers that protect the brain.

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