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Figure 2 | Fluids and Barriers of the CNS

Figure 2

From: Mechanisms of fluid movement into, through and out of the brain: evaluation of the evidence

Figure 2

Key features of a) blood-brain barrier and b) choroid plexus. a) Sketch based on electron micrographs [34] of brain microvessel walls showing endothelial cells linked by tight junctions. These cells form a complete lining of the microvessel lumen and are in turn surrounded by glial end-feet. Occasional pericytes embedded in the basement membrane that separates the endothelial cells and the end-feet are not shown. The tight junctions limit the transport of solutes between the endothelial cells but the basement membrane, the gaps between the glial end-feet and the extracellular spaces within the parenchyma allow passage of molecules as big as proteins. Mitochondria occupy up to 10 % of the endothelial cell volume [35] and provide a substantial source of energy for transport. b) Diagram of one side of a choroid plexus villus as seen in light micrographs (e.g. [2]). Note the 100-fold difference in scales. Each choroid plexus has many such villi, each consisting of a layer of epithelial cells linked by tight junctions and surrounding a core of connective tissue containing capillaries. The endothelial cell layer lining these capillaries is not sealed by tight junctions. The epithelial cells have a prominent apical brush border facing the ventricle and a band of tight junctions separating the apical and basolateral domains of the cell membrane. There is folding of the basolateral membranes, which like the individual microvilli of the brush border are not visible in light micrographs (for electron micrographs see Figures two & twelve in [15]). The microvilli and basolateral folds increase the surface area of the membrane domains and hence the number of transporters that can be located on the two sides of the cells. Choroid plexus epithelium has the structure and properties of a leaky epithelium capable of transporting large quantities of isosmotic fluid.

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