neurovascular coupling

Mechanisms and consequences of cerebrovascular dysfunction in preeclampsia

PROJECT SUMMARY/ABSTRACT Preeclampsia (PE) is a common hypertensive disorder of pregnancy that causes significant maternal and fetal morbidity and mortality worldwide. PE women are at a high risk of stroke, including intracerebral hemorrhage, during the peripartum period, suggesting the sequelae of PE adversely impacts the cerebral circulation to promote hemorrhage. In addition, women with severe early-onset PE are at an 85-fold increased risk of death from intracerebral hemorrhage, importantly suggesting severity of disease promotes greater vulnerability of the cerebral circulation to degradation and rupture. However, the consequences of PE extend far beyond pregnancy and are associated with excessive cardiovascular and cerebrovascular disease risk later in life. Women with previous pregnancy complicated by PE can develop cognitive impairment as early as in their 30’s and 40’s, suggesting PE predisposes the brain to early-onset cognitive impairment. Studies have shown that formerly PE women have changes in gray matter volume and increased white matter lesion burden that occurs as a function of time from pregnancy, suggesting that PE continues to progressively damage the brain long after the affected pregnancy. Thus, our overall goal is to elucidate mechanisms by which women with PE are at risk of intracerebral hemorrhage in pregnancy and cognitive decline later in life. Our preliminary studies found greater vascular degradation, hematoma and cerebral edema in a model of severe PE that was associated with vascular inflammation and microglia activation (neuroinflammation). In addition, we found endothelial dysfunction and diminished neurovascular coupling in PE rats that persisted 5 months postpartum. Impaired neurovascular coupling is well-recognized as an underlying contributor to cognitive decline. These effects in postpartum animals with previous exposure to PE were associated with memory impairment that was not present in the pregnant state, suggesting neurovascular dysfunction precedes cognitive decline. Our central hypothesis is that the sequela of PE accelerates hypertension-induced cerebrovascular dysfunction that predisposes to intracerebral hemorrhage during pregnancy and its persistence postpartum results in early-onset cognitive decline. We will therefore elucidate mechanisms by which PE accelerates vascular degradation and worsens outcome from hemorrhagic stroke, probing pathways involved in oxidative degradative processes using multi-omics and multivariate analysis (Aim 1). We will also determine underlying molecular mechanisms that cause persistent cerebral microvascular dysfunction and cognitive decline postpartum, including oxidative stress-induced BBB leakage and persistent neuroinflammation that drives potassium channel dysfunction, reduced neurovascular coupling and neurovascular uncoupling (Aim 2). We will also use machine learning approaches together with multi-omics and outcome measures to identify factors and cellular pathways that are most impactful for prediction of intracerebral hemorrhage and cognitive impairment. The ability to predict and prevent devasting neurovascular disorders associated with PE has the potential to have long-lasting impacts on the lives of women with PE.

Neurovascular signaling pathways in the mammalian retina

As a developmental outpocket of the brain, the retina exhibits features commonly found in most brain areas, including neurovascular interactions. In this presentation I will discuss various pathways that contribute to neurovascular interactions in the mammalian retina and present newly uncovered elements that likely participate in these pathways. Information obtained from retina could improve our understanding of neurovascular coupling pathways throughout the brain.

Computational modeling of neurovascular coupling at the gliovascular unit

COSYNE 2025

Astrocytic Ca2+ signals partake in inhibitory neurovascular coupling in a brain state-dependent manner

Bidirectional control of neurovascular coupling by pyramidal neurons

Cerebrovascular reactivity to hypercapnia and neurovascular coupling explore different vascular beds

Hippocampal neurovascular coupling and spatial working memory impairment in a rodent model of type 2 diabetes: impact of dietary nitrate intervention

Spreading depolarization disrupts neurovascular coupling after global cerebral ischemia in mice

Mitochondrial dysfunction underlies impaired neurovascular coupling following traumatic brain injury

FENS Forum 2024

Neurovascular coupling along the optic nerve: Insights from two-photon imaging, functional ultrasound, and high-resolution BOLD fMRI

FENS Forum 2024

Spreading depolarization disrupts neurovascular coupling after experimental acute ischemic stroke

FENS Forum 2024