Blood-brain Barrier Dysfunction in Ischemic Stroke and Diabetes: the Underlying Link, Mechanisms and Future Possible Therapeutic Targets

Piyawadee Wicha, Srijit Das, Pasuk Mahakkanukrauh*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Ischemic stroke caused by occlusion of cerebral artery is responsible for the majority of stroke that increases the morbidity and mortality worldwide. Diabetes mellitus (DM) is a crucial risk factor for ischemic stroke. Prolonged DM causes various microvascular and macrovascular changes, and blood-brain barrier (BBB) permeability that facilitates inflammatory response following stroke. In the acute phase following stroke, BBB disruption has been considered the initial step that induces neurological deficit and functional disabilities. Stroke outcomes are significantly worse among DM. In this article, we review stroke with diabetes-induce BBB damage, as well as underlying mechanism and possible therapeutic targets for stroke with diabetes.

Original languageEnglish
Pages (from-to)165-177
Number of pages13
JournalAnatomy and Cell Biology
Issue number2
Publication statusPublished - Jun 2021
Externally publishedYes


  • Blood-brain barrier
  • Diabetes mellitus
  • Hyperglycemia
  • Inflammation
  • Ischemic stroke

ASJC Scopus subject areas

  • Anatomy
  • Histology
  • Developmental Biology
  • Cellular and Molecular Neuroscience
  • Cell Biology

Cite this