Blood Brain Barrier

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2–3 minutes

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Ependymal Cells

The blood brain barrier is not a structure you can touch. It’s also not a membrane you could color on a diagram.  The blood brain barrier refers to the barrier that controls the ability of molecules to enter the cerebrospinal fluid. It also regulates the movement into the interstitial fluids between neurons

Recall that ependymal cells were neuroglia that make the cerebrospinal fluid.  These cells exist in the choroid plexuses in the ventricles.  These cells take blood from a blood vessel and filter it to become cerebrospinal fluid.  Ependymal cells are only one of the neuroglia that participates in this barrier.


Astrocytes

Astrocytes also maintain the blood brain barrier.  These were the cells that take substances from the blood vessels and feed it to neurons.  By doing so, astrocytes are tasked with regulating the interstitial environment of the central nervous system.  In the inset picture on the right, we can see the purple feet of the astrocytes. They are encircling a blood vessel.  Although not neuroglia, the simple squamous epithelial cells that line blood vessels also have very tight junctions in the brain.  This lowers the probability that substances will leak from the blood capillaries and enter into the interstitial environment.


Who gets in

This is a closer-up picture of an astrocyte interacting with a blood vessel.  You can see the purple foot of the astrocyte at the bottom of the picture. The endothelial cell lines the vessel. Blood flows through the vessel.  As you can see, there are various ways to transport a substance across the endothelial cells. These methods allow it to reach the interstitial environment.  What is allowed to enter are substances that are essential for brain function: oxygen and glucose.  Nonpolar gases such as oxygen are able to enter. Carbon dioxide can also enter. It can rapidly change the pH of the interstitial environment.  Other, larger nonpolar substances can also enter such as ketone bodies and other fatty acids.  These, too, can lower the pH of the interstitial environment. 

What is prevented from entering are any toxins or wastes.  We can’t prevent carbon dioxide from entering. Astrocytes do a great job at limiting those nitrogen-based waste products. Your liver is constantly producing these from protein catabolism.  The blood brain barrier treats antibiotics as toxins.  So does your kidney.  This is why you may take an antibiotic that you have to take three times a day.  Your kidney keeps clearing it out.  This is problematic for bacterial infections, such as meningitis, in the central nervous system.  Currently, we have few antibiotics that we can get across this barrier.  So, for good or for bad, this blood brain barrier will do its job.


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