My brain
Creative Commons License photo credit: Digital Shotgun

Just in case you didn’t know, the blood-brain barrier (BBB), serves as a veritable “surge protector” guarding against certain drugs, chemicals and toxins that find their way into your blood stream.

Depending on the biochemical characteristics of specific molecules, they may never find their way into the brain. Good thing, since most drugs are medicines first and neurotoxins second.

But what exactly constitutes the blood-brain barrier?

Blood vessels in the brain (unlike the rest of the body) are lined with endothelial cells that form tight junctions where they meet.

In other words, the space between cells that line the blood vessels in the brain is so small as to only permit specific nutritional substances, and nothing else.

More specifically, size matters when it comes to the blood-brain barrier. Large proteins are excluded entirely and unless small molecules are lipophilic (soluble in fat), they too will be discriminated against. In short, the brain is very, very particular about what substances cross the blood-brain barrier and be thankful that’s the case.

All bets are off however when inflammation due to infection or any number of other diseases is present. Under these conditions, integrity of the blood-brain barrier is compromised and a neurotoxic “free-for-all” assault on the brain ensues.

Recent advances in nanomedicine seek to exploit this particular vulnerability of the blood-brain barrier by developing a drug delivery system utilizing nanoparticles. Unfortunately, nanoparticles themselves may ultimately be found to possess neurotoxic properties thus exemplifying the inherent truth the traditional French proverb:

“Plus ça change, plus c’est la même chose”, that is,

“the more things change, the more they stay the same”

So what’s an every-day-ordinary blood-brain barrier to do? Nano-neuro-nonsense on one hand or fledgling nutritional neuroscience on the other.

Well consider this for starters. Some of the most innocuous substances on planet earth serve as penultimate blood-brain barrier bolsterers. (I think bolsterers is a word).

Coffee, and the caffeine associated with it, has recently emerged as a neuroprotective agent. It’s clear now, the mechanism behind it’s neuroprotective properties includes caffeine’s ability to enhance the integrity of the BBB in addition to coffee’s inherent antioxidant properties.

Fortunately, flavonoids (a.k.a. phytochemicals, isoflavones, proanthocyanidines) can also traverse the BBB, bringing with them potent antioxidant and anti-inflammatory properties. The next time you enjoy fresh grapefruit juice, relish the bitterness. The citrus bioflavonoid naringenin accounts for both the bitterness and neuroprotective efficacy.

Not surprisingly, regular exercise improves BBB function even in the event of an ischemic stroke.

Ultimately, maintaining the integrity of the BBB may very well be the most effective way of ensuring life-long” cognitive reserve” and perhaps more importantly, establishing a neurobiological foundation for the “neuroprotective lifestyle”.

Coffee anyone?

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Posted Tuesday, June 17th, 2008 at 2:18 am
Filed Under Category: Neurobiology And Beyond
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5

Responses to “How To Bolster Your Blood-Brain Barrier”

David Prestridge

Dr. K,

Excellent information from and excellent source, the finest medical mind anywhere around. ( I’m talking about yours).
You’ve obviously got some good “surge protection” going on there. Me, I’m just gonna have another cup of coffee.
Thanks for being a super physician and super friend.

David

Kerry Friesen, M.D.

Hi David. Those are kind words. I accept them coming from the finest spiritual mind around. ( Yes I’m talking about you!).
Come back often and invite friends and family!

Namaste friend!

ClinicallyClueless

I just found your site via EntreCard and love it. I’m going to RSS it. My mind is facinated with neurology and mental illness. I have major depressive disorder and PTSD.

In terms of this article, to me it means that you can slow the aging process down a bit. I have no problem drinking coffee, I like grapefruit juice and the fruit…now, the exercise is always a work in progress…but, aren’t we all, a work in progress.

ClinicallyClueless’s last blog post..Over doing it…again!!!

Kerry Friesen, M.D.

Hi “Clueless”, (I’m sure you’re not) thanks for stopping by. Why not check out my post on depression categorized under Nutritional Neuroscience. “Depression: A Novel Nutritional Neuroscientific Approach”.
Come back often!

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