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Temporal Evolution of Brain Inflammation in the Bilateral Common Carotid Artery Stenosis Model of Chronic Cerebral Hypoperfusion - PubMed

6 hours ago
  • #BCAS model
  • #chronic cerebral hypoperfusion
  • #neuroinflammation
  • Chronic cerebral hypoperfusion contributes to vascular cognitive impairment and dementia by disrupting white matter integrity and promoting neuroinflammation.
  • The bilateral common carotid artery stenosis (BCAS) model is a key experimental approach for studying chronic cerebral hypoperfusion, especially in aging contexts.
  • The review focuses on the temporal progression and functional consequences of inflammatory responses in the BCAS model.
  • Early neurovascular unit dysfunction involves endothelial cells, pericytes, and astrocytes, leading to blood-brain barrier compromise.
  • Inflammatory mediators like IL-1β, TNF-α, and IL-6 amplify injury, while microglia transition from acute responders to chronic effectors of white matter damage.
  • There is a need for more causal tests to validate the shift from adaptive responses to maladaptive, self-sustaining inflammation.
  • Future research should focus on cell-specific and time-resolved approaches to identify therapeutic targets for mitigating hypoperfusion-driven cognitive decline.