ImmunoTea Episode 19 - The Blood Brain Barrier and Long COVID
Jul 14, 2024
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Dr. Matthew Campbell, an expert on the blood-brain barrier (BBB), joins to unravel its crucial role in health and disease. He discusses how the BBB operates and its manipulation to improve drug delivery for neurological conditions. The conversation dives into the effects of long COVID, highlighting its connection to cognitive decline and brain fog due to BBB disruptions. Dr. Campbell also shares exciting advancements in therapies aimed at repairing the BBB and enhancing cerebrovascular health, blending serious science with a touch of humor.
The blood-brain barrier is a specialized structure critical for protecting neurons, influenced by unique endothelial cell properties and mechanisms.
Long COVID may compromise the blood-brain barrier, leading to cognitive symptoms, emphasizing the relationship between viral infections and neurological health.
Deep dives
Understanding the Blood-Brain Barrier
The blood-brain barrier is not a solid barrier around the brain but rather a concept representing the properties of cells lining the brain's blood vessels, particularly the endothelial cells. These cells possess distinct receptors and tight junctions that regulate the entry and exit of various molecules, such as glucose, which is essential for brain function. Glucose enters the brain through a receptor-mediated process, allowing it to be delivered to neurons without the ability of the brain to store glucose. The variations in endothelial cell properties compared to peripheral cells illustrate the brain's specialized mechanisms designed to protect its neurons.
Blood-Brain Barrier Disruption in Disease
Blood-brain barrier disruption is closely linked to conditions like multiple sclerosis and glioblastoma, both of which can be observed through MRI scans using gadolinium contrast dye. In multiple sclerosis, sclerotic lesions exhibit increased permeability to the dye, indicating localized immune reactions. Similarly, glioblastomas show leaky blood vessels at the tumor's periphery, allowing the dye to infiltrate the surrounding tissue. Recent research is expanding the understanding of blood-brain barrier impairment to include a variety of neurological and psychiatric disorders, suggesting that disturbances in the cerebrovascular system may contribute to these conditions.
Challenges of Drug Delivery to the Brain
Delivering drugs across the blood-brain barrier remains a significant challenge, particularly for large biologic drugs, which generally cannot penetrate this selective filter. Strategies, such as 'Trojan horse' technology, aim to utilize endogenous receptors to facilitate the entry of therapeutic antibodies by attaching them to ligands that can navigate the barrier. Additionally, techniques like focused ultrasound are being explored to temporarily open the barrier, thus allowing drugs to cross while minimizing damage. However, safely and effectively implementing such methods on a broader scale necessitates extensive research and considerations concerning patient monitoring and drug management.
New Insights on Long COVID and the Blood-Brain Barrier
Recent studies indicate that individuals suffering from long COVID may experience blood-brain barrier disruption, contributing to symptoms such as cognitive decline and 'brain fog.' Research revealed that those with reported cognitive issues displayed increased gadolinium signal in brain scans, suggesting a leaky barrier particularly affecting areas tied to memory. This investigation represented a significant step in understanding how a non-neurotropic virus like SARS-CoV-2 can still impact the integrity of the blood-brain barrier. The findings highlight the need for continued exploration into the relationship between viral infections and neurological health, especially in the context of post-viral syndromes.
On this episode Lara and Vyanka talk to Dr Matthew Campbell all about the blood brain barrier, what it is, how it works, how it's manipulated and the BBB in long COVID. This is ImmunoTea: Your Immunology Podcast, presented by Dr Lara Dungan and Dr Vyanka Redenbaugh. This is the show where we tell you all about the most exciting research going on in the world of immunology. So grab a cup of tea, sit down and relax and we'll fill you in. Contact us at ImmunoTeaPodcast@gmail.com or @ImmunoTea on twitter.