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Journal article : Review

Vascular smooth muscle cell dysfunction in neurodegeneration

Abstract:
Vascular smooth muscle cells (VSMCs) are the key moderators of cerebrovascular dynamics in response to the brain’s oxygen and nutrient demands. Crucially, VSMCs may provide a sensitive biomarker for neurodegenerative pathologies where vasculature is compromised. An increasing body of research suggests that VSMCs have remarkable plasticity and their pathophysiology may play a key role in the complex process of neurodegeneration. Furthermore, extrinsic risk factors, including environmental conditions and traumatic events can impact vascular function through changes in VSMC morphology. VSMC dysfunction can be characterised at the molecular level both preclinically, and clinically ex vivo. However the identification of VSMC dysfunction in living individuals is important to understand changes in vascular function at the onset and progression of neurological disorders such as dementia, Alzheimer’s disease, and Parkinson’s disease. A promising technique to identify changes in the state of cerebral smooth muscle is cerebrovascular reactivity (CVR) which reflects the intrinsic dynamic response of blood vessels in the brain to vasoactive stimuli in order to modulate regional cerebral blood flow (CBF). In this work, we review the role of VSMCs in the most common neurodegenerative disorders and identify physiological systems that may contribute to VSMC dysfunction. The evidence collected here identifies VSMC dysfunction as a strong candidate for novel therapeutics to combat the development and progression of neurodegeneration, and highlights the need for more research on the role of VSMCs and cerebrovascular dynamics in healthy and diseased states.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.3389/fnins.2022.1010164

Authors

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Institution:
University of Oxford
Division:
MPLS
Department:
Engineering Science
Oxford college:
St John's College
Role:
Author
ORCID:
0000-0003-4658-9925


Publisher:
Frontiers Media
Journal:
Frontiers in Neuroscience More from this journal
Volume:
16
Article number:
1010164
Publication date:
2022-11-10
Acceptance date:
2022-10-24
DOI:
EISSN:
1662-453X
ISSN:
1662-4548
Pmid:
36440263


Language:
English
Keywords:
Subtype:
Review
Pubs id:
1312447
Local pid:
pubs:1312447
Deposit date:
2022-12-12
ARK identifier:

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