Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling

Neurovascular coupling (NVC) refers to the dynamic regulation of cerebral blood flow via neuronal activity, a mechanism crucial for maintaining normal brain function. This review elucidates the intricate physiological mechanisms underlying NVC, emphasizing the coordinated roles of neurons, glial cel...

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Main Authors: Jiawen Zhong, Gen Li, Zexiang Lv, Jingbo Chen, Chunyan Wang, Ansheng Shao, Zhiwei Gong, Junjie Wang, Siqiao Liu, Jun Luo, Shuping Yang, Sibei Wu, Lin Ning, Zhinong Wang, Jiahao Li, Yu Wu
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/12/5/442
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author Jiawen Zhong
Gen Li
Zexiang Lv
Jingbo Chen
Chunyan Wang
Ansheng Shao
Zhiwei Gong
Junjie Wang
Siqiao Liu
Jun Luo
Shuping Yang
Sibei Wu
Lin Ning
Zhinong Wang
Jiahao Li
Yu Wu
author_facet Jiawen Zhong
Gen Li
Zexiang Lv
Jingbo Chen
Chunyan Wang
Ansheng Shao
Zhiwei Gong
Junjie Wang
Siqiao Liu
Jun Luo
Shuping Yang
Sibei Wu
Lin Ning
Zhinong Wang
Jiahao Li
Yu Wu
author_sort Jiawen Zhong
collection DOAJ
description Neurovascular coupling (NVC) refers to the dynamic regulation of cerebral blood flow via neuronal activity, a mechanism crucial for maintaining normal brain function. This review elucidates the intricate physiological mechanisms underlying NVC, emphasizing the coordinated roles of neurons, glial cells, and vascular cells in mediating activity-induced changes in blood flow. We examine how NVC is impaired in neurological disorders such as Alzheimer’s disease and stroke, where the dysfunction of this coupling contributes to neurodegeneration and neurological deficits. A broad range of techniques for assessing NVC is discussed—encompassing the established modalities like transcranial Doppler, near-infrared spectroscopy, and functional magnetic resonance imaging (fMRI), as well as emerging technologies such as functional ultrasound imaging and miniaturized endoscopy that enable high-resolution monitoring in deep brain regions. We also highlight the computational modeling approaches for simulating NVC dynamics and identify the novel biomarkers of NVC dysfunction with potential utility in early diagnosis. Finally, emerging translational applications—including neuromodulation techniques and targeted pharmacological interventions—are explored as means to restore normal neurovascular function. These advancements underscore the clinical significance of NVC research, paving the way for improved diagnostic tools and therapeutic strategies in neurological disorders.
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spelling doaj-art-a262bb796ffa4fe0a2b3d500ef1c71b82025-08-20T03:14:42ZengMDPI AGBioengineering2306-53542025-04-0112544210.3390/bioengineering12050442Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular CouplingJiawen Zhong0Gen Li1Zexiang Lv2Jingbo Chen3Chunyan Wang4Ansheng Shao5Zhiwei Gong6Junjie Wang7Siqiao Liu8Jun Luo9Shuping Yang10Sibei Wu11Lin Ning12Zhinong Wang13Jiahao Li14Yu Wu15School of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaFaculty of Naval Medicine, Naval Medical University, Shanghai 200433, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, ChinaNeurovascular coupling (NVC) refers to the dynamic regulation of cerebral blood flow via neuronal activity, a mechanism crucial for maintaining normal brain function. This review elucidates the intricate physiological mechanisms underlying NVC, emphasizing the coordinated roles of neurons, glial cells, and vascular cells in mediating activity-induced changes in blood flow. We examine how NVC is impaired in neurological disorders such as Alzheimer’s disease and stroke, where the dysfunction of this coupling contributes to neurodegeneration and neurological deficits. A broad range of techniques for assessing NVC is discussed—encompassing the established modalities like transcranial Doppler, near-infrared spectroscopy, and functional magnetic resonance imaging (fMRI), as well as emerging technologies such as functional ultrasound imaging and miniaturized endoscopy that enable high-resolution monitoring in deep brain regions. We also highlight the computational modeling approaches for simulating NVC dynamics and identify the novel biomarkers of NVC dysfunction with potential utility in early diagnosis. Finally, emerging translational applications—including neuromodulation techniques and targeted pharmacological interventions—are explored as means to restore normal neurovascular function. These advancements underscore the clinical significance of NVC research, paving the way for improved diagnostic tools and therapeutic strategies in neurological disorders.https://www.mdpi.com/2306-5354/12/5/442neurovascular couplingcerebral blood flowmultimodal techniques
spellingShingle Jiawen Zhong
Gen Li
Zexiang Lv
Jingbo Chen
Chunyan Wang
Ansheng Shao
Zhiwei Gong
Junjie Wang
Siqiao Liu
Jun Luo
Shuping Yang
Sibei Wu
Lin Ning
Zhinong Wang
Jiahao Li
Yu Wu
Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling
Bioengineering
neurovascular coupling
cerebral blood flow
multimodal techniques
title Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling
title_full Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling
title_fullStr Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling
title_full_unstemmed Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling
title_short Neuromodulation of Cerebral Blood Flow: A Physiological Mechanism and Methodological Review of Neurovascular Coupling
title_sort neuromodulation of cerebral blood flow a physiological mechanism and methodological review of neurovascular coupling
topic neurovascular coupling
cerebral blood flow
multimodal techniques
url https://www.mdpi.com/2306-5354/12/5/442
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