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Implications of the Blood-Brain Barrier and Its Manipulation - Volume 1 Basic Science Aspects (Paperback, 1989 ed.)
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Implications of the Blood-Brain Barrier and Its Manipulation - Volume 1 Basic Science Aspects (Paperback, 1989 ed.)
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Understanding the structure and function of the blood-brain barrier
(BBB) and recogniz ing its clinical relevance require a concert of
scientific disciplines applied from a view point of integrative
physiology rather than from only molecular or analytical
approaches. It is this broad scope that is emphasized in this book.
In my opinion, four original contributions define the field as it
exists today. The first, a monograph by Broman,1 entitled The
Permeability of the Cerebrospinal Vessels in Normal and
Pathological Conditions, was the model for many subsequent clinical
and 3 experimental studies on BBB pathology. Second, experiments by
Davson, summarized in his book entitled Physiology of the Ocular
and Cerebrospinal Fluids, indicated that passive entry of
nonelectrolytes into brain from blood is governed largely by their
lipid 4 solubility. This research supported the original suggestion
by Gesell and Hertzman that cerebral membranes have the
semipermeability properties of cell membranes. The modem era of the
barrier was introduced with the 1965 paper by Crone,2 entitled
"Facilitated transfer of glucose from blood to brain tissue. " This
paper identified stereospecific, facilitated transport of glucose
as part of a system of regulatory barrier properties at a time when
only a barrier to passive diffusion had been contemplated. Finally,
the 1967 paper by Reese and Kamovsky, 11 entitled "Fine structural
localization of a blood-brain barrier to exogenous peroxidase,"
sited the barrier at the continuous layer of cerebrovascular
endothelial cells, which are connected by tight junctions.
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