Review Article

Oxidative Stress-Mediated Blood-Brain Barrier (BBB) Disruption in Neurological Diseases

Table 1

Oxidative stress-mediated BBB disruption in neurological diseases.

DiseasesModelTargetsPathwaysMechanismsRef
Oxidative stressBBB

ISMCAO, ratMDA, GSH, and NADPHZO-1 and occludinREKOxidative stress and tight junctions[146]
MCAO, ratNOX2, NOX4, ROS, MDA, GPx, and NOOccludin, MMP-9, Nrf2, and Nqo1MAPKMMP, oxidative stress, and inflammatory response[147]
OGD/R, BMVECsROSZO-1 and claudin-5PI3K/Akt/Nrf2Oxidative stress[148]
MCAO, rat; OGD/R, primary cortical neuronsNO, MDA, and ROSIL-6 and TNF-αNF-κBNeuroinflammation and oxidative stress[149]
MCAO, rat; OGD/R, BMVECsROSZO-1mTORCell autophagy and oxidative stress[150]

Hemorrhagic strokeAutologous blood injection, ratROSATP, Bcl-2, Bax, caspase-3, and caspase-9DJ-1/Akt/IKK/NF-κBApoptosis, oxidative stress, and inflammatory response[151]
Collagenase injection, ratROS, GSH-px, and SODZO-1 and occludinMAPKOxidative stress[152]
LPS-activated, microgliaROS, NOX2, and NOX4CD86, Arg1, CD206, IL-1α, IL-1β, TNF-α, and FeSO4Not mentionedOxidative stress, inflammatory response, and iron metabolism[153]
Autologous blood injection, rat; OxyHb, primary rat cortical neuronsROS, NOX1, and NOX2TNF-α, MMP-9, NQO1, Bcl-2, Bax, caspase-3, CD14, CD68, γ-H2AX, and XRCC1HO-1Oxidative stress, apoptosis, inflammation, mitochondria injury, and DNA damage[154]

TBIFree fall brain trauma, ratROS, SOD, and 4-HNEMMP-9, ZO-1, and occludinJNKMMP inhibition and oxidative stress[155]
A cryogenic injury, mice; biaxial stretch SI, BMVECsROSGFAP, IL-6, IL-β, and ICAM-1Nrf2/HO-1 and NF-κBOxidative stress and inflammatory response[156]
Controlled cortical, miceSOD, CAT, and GSHTNF-α, NLRP3, caspase-1, IL-1β, and IL-6AMPK and Nrf2Oxidative stress, inflammation, and apoptosis[157]
Controlled cortical, miceSOD, GPx, and MDANQO1 and BaxNrf2-AREOxidative stress and apoptosis[158]

ADNeuronal damage, neuronsROS, 4HNE, H2O2, SOD, MDA, and GPx4MMPNrf2/HO-1MMP inhibition and oxidative stress[159]
H2O2-induced N2a, SH-SY5Y cellsROSFe2+ and Fe3+Nrf2/HO-1Iron metabolism and oxidative stress[160]
Injection of D-galactose and Aβ25-35-ibotenic acid, ratsSOD, MDA, and GSH-Px5-HT, methionine, glutamine, and tryptophanAMPK-SIRTOxidative stress and energy metabolism[161]
H2O2-induced, PC12 cellsROSCaspase-3, MMPASK1-JNK/MAPKMMP inhibition, apoptosis, and oxidative stress[162]
Aβ-induced, rats and SH-SY5Y cellsROSTXNIPNot mentionedOxidative stress[163]

PDPeople, bloodROSP-gpNot mentionedOxidative stress[164]
H2O2-induced, rat and PC12 cellsSOD and catalaseCaspase-3 and Hsp-70Nrf2/HO-1Oxidative stress and apoptosis[165]
6-OHDA-treated, miceDA, ROS, and SODIL-1β and TNF-αPI3K/AKT and IKK/IκBα/NF-κBNeuronal inflammation and oxidative stress[166]
6-OHDA-induced, mice and SH-SY5Y cellsROS and GSHCaspase-3, Bax, and Bcl-2Nrf2/HO-1Oxidative stress and apoptosis[167]
MPTP-induced, mice and PC12 cellsROSMitochondrial membrane potential and caspase-3ROS/JNKOxidative stress and apoptosis[168]

ALShSOD1-linked, Drosophila and NSC-34 cellsGSH and GCLCHSP70Nrf2/STAT3Oxidative stress[169]
SOD1 mutation, B6SJL-Tg 1Gur/J miceCOX, LDH, thiol groups, and lipid dienesCav-1, respiratory capacity rate, and cholesterolNot mentionedMitochondrial bioenergetics and oxidative stress[170]

CSVDSpontaneously hypertensive, ratSOD, GSH, MDA, and CATIL-6, TNF-α, IL-1β, Bcl-2, caspase-3, and VEGFSTAT3/VEGFOxidative stress and inflammatory response[171]
Spontaneously hypertensive, ratSOD, GSH, MDA, and CATTNF-α, IL-6, IL-1β, MCP-1, and COX-2Not mentionedOxidative stress and inflammatory response[172]

Abbreviations: OGD/R: oxygen-glucose deprivation/reperfusion; MCAO: middle cerebral artery occlusion; OxyHb: Oxygen hemoglobin; SI: stretch injury; SH-SY5Y: human neuroblastoma cells; 4HNE: 4-hydroxynonenal; DA: dopamine; GCLC: glutamate-cysteine ligase catalytic; Bcl-2: B cell lymphoma-2; Bax: Bcl-2-associated X protein; Arg1: arginase 1; XRCC1: X-ray repair crosscomplementing gene 1; GFAP: glial fibrillary acidic protein; NQO1: NAD(P)H:quinone oxidoreductase; 5-HT: 5-hydroxytryptamine; TXNIP: thioredoxin-interacting protein; VEGF: vascular endothelial growth factor; Hsp-70: heat shock protein 70; Cav-1: caveolin-1; COX-2: cyclooxygenase-2; JNK: c-Jun N-terminal kinase; MAPK: mitogen-activated protein kinase; HO-1: heme oxygenase-1; SIRT: sirtuin; ASK1: apoptosis signal-regulating kinase 1; PKC: protein kinase C.