Neurovascular unit: Basic and clinical imaging with emphasis on advantages of ferumoxytol

Joao Prola Netto, Jeffrey Iliff, Danica Stanimirovic, Kenneth A. Krohn, Bronwyn Hamilton, Csanad Varallyay, Seymur Gahramanov, Heike Daldrup-Link, Christopher D'Esterre, Berislav Zlokovic, Haris Sair, Yueh Lee, Saeid Taheri, Rajan Jain, Ashok Panigrahy, Daniel S. Reich, Lester R. Drewes, Mauricio Castillo, Edward A. Neuwelt

Research output: Contribution to journalReview articlepeer-review

35 Scopus citations

Abstract

Physiological and pathological processes that increase or decrease the central nervoussystem's need for nutrients and oxygen via changes in local blood supply act primarilyat the level of the neurovascular unit (NVU). The NVU consists of endothelial cells,associated blood-brain barrier tight junctions, basal lamina, pericytes, and parenchymalcells, including astrocytes, neurons, and interneurons. Knowledge of the NVU is essentialfor interpretation of central nervous system physiology and pathology as revealed byconventional and advanced imaging techniques. This article reviews current strategies forinterrogating the NVU, focusing on vascular permeability, blood volume, and functionalimaging, as assessed by ferumoxytol an iron oxide nanoparticle.

Original languageEnglish (US)
Pages (from-to)770-780
Number of pages11
JournalNeurosurgery
Volume82
Issue number6
DOIs
StatePublished - Jun 1 2018

Bibliographical note

Funding Information:
This work was supported in part by National Institute of Health grants R13 CA086959, NS053468, and CA137488-15S1, in part with federal funds from the National Cancer Institute, National Institutes of Health, under Contract No. HHSN261200800001E, and by the Walter S. and Lucienne Driskill Foundation, all to EAN. Funding by P01 CA042045 went to KAK. HED was funded by R01 HD081123A and R21 CA176519. HS received funding support from the RSNA Carestream Health Research Scholar Grant and ImmunArray. DSR is funded by the Intramural Research Programs of the NINDS and has received research funding from Vertex Pharmaceuticals and the Myelin Repair Foundation. The authors have no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article.

Funding Information:
This work was supported in part by National Institute of Health grants R13 CA086959, NS053468, and CA137488-15S1, in part with federal funds from the National Cancer Institute, National Institutes of Health, under Contract No. HHSN261200800001E, and by the Walter S. and Lucienne Driskill Foundation, all to EAN. Funding by P01 CA042045 went to KAK. HED was funded by R01 HD081123A and R21 CA176519.

Publisher Copyright:
© 2017 by the Congress of Neurological Surgeons.

Keywords

  • Blood-brain barrier
  • Imaging
  • Neurovascular unit

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