From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review

Neurovascular coupling (NVC) refers to the process of local changes in cerebral blood flow (CBF) after neuronal activity, which ensures the timely and adequate supply of oxygen, glucose, and substrates to the active regions of the brain. Recent clinical imaging and experimental technology advancemen...

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Main Authors: Lu Yang, Wenbo Zhao, Yuan Kan, Changhong Ren, Xunming Ji
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/14/1/16
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author Lu Yang
Wenbo Zhao
Yuan Kan
Changhong Ren
Xunming Ji
author_facet Lu Yang
Wenbo Zhao
Yuan Kan
Changhong Ren
Xunming Ji
author_sort Lu Yang
collection DOAJ
description Neurovascular coupling (NVC) refers to the process of local changes in cerebral blood flow (CBF) after neuronal activity, which ensures the timely and adequate supply of oxygen, glucose, and substrates to the active regions of the brain. Recent clinical imaging and experimental technology advancements have deepened our understanding of the cellular mechanisms underlying NVC. Pathological conditions such as stroke, subarachnoid hemorrhage, cerebral small vascular disease, and vascular cognitive impairment can disrupt NVC even before clinical symptoms appear. However, the complexity of the underlying mechanism remains unclear. This review discusses basic and clinical experimental evidence on how neural activity sensitively communicates with the vasculature to cause spatial changes in blood flow in cerebrovascular diseases. A deeper understanding of how neurovascular unit-related cells participate in NVC regulation is necessary to better understand blood flow and nerve activity recovery in cerebrovascular diseases.
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issn 2073-4409
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publishDate 2024-12-01
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series Cells
spelling doaj-art-66bbd415d45b4c17ae4d0c6d4bce1cbc2025-01-10T13:16:15ZengMDPI AGCells2073-44092024-12-011411610.3390/cells14010016From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative ReviewLu Yang0Wenbo Zhao1Yuan Kan2Changhong Ren3Xunming Ji4Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaBeijing Institute of Brain Disorders, Capital Medical University, Beijing 100054, ChinaBeijing Institute of Brain Disorders, Capital Medical University, Beijing 100054, ChinaNeurovascular coupling (NVC) refers to the process of local changes in cerebral blood flow (CBF) after neuronal activity, which ensures the timely and adequate supply of oxygen, glucose, and substrates to the active regions of the brain. Recent clinical imaging and experimental technology advancements have deepened our understanding of the cellular mechanisms underlying NVC. Pathological conditions such as stroke, subarachnoid hemorrhage, cerebral small vascular disease, and vascular cognitive impairment can disrupt NVC even before clinical symptoms appear. However, the complexity of the underlying mechanism remains unclear. This review discusses basic and clinical experimental evidence on how neural activity sensitively communicates with the vasculature to cause spatial changes in blood flow in cerebrovascular diseases. A deeper understanding of how neurovascular unit-related cells participate in NVC regulation is necessary to better understand blood flow and nerve activity recovery in cerebrovascular diseases.https://www.mdpi.com/2073-4409/14/1/16neurovascular couplingfunctional hyperemiacerebrovascular diseasesneurovascular unitcerebral blood flow
spellingShingle Lu Yang
Wenbo Zhao
Yuan Kan
Changhong Ren
Xunming Ji
From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review
Cells
neurovascular coupling
functional hyperemia
cerebrovascular diseases
neurovascular unit
cerebral blood flow
title From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review
title_full From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review
title_fullStr From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review
title_full_unstemmed From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review
title_short From Mechanisms to Medicine: Neurovascular Coupling in the Diagnosis and Treatment of Cerebrovascular Disorders: A Narrative Review
title_sort from mechanisms to medicine neurovascular coupling in the diagnosis and treatment of cerebrovascular disorders a narrative review
topic neurovascular coupling
functional hyperemia
cerebrovascular diseases
neurovascular unit
cerebral blood flow
url https://www.mdpi.com/2073-4409/14/1/16
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