Evidence map›Paper›PMID 29774535›Full record

ReviewThe Journal of physiology2018

Physiology and molecular biology of barrier mechanisms in the fetal and neonatal brain.

Norman R Saunders, Katarzyna M Dziegielewska, Kjeld Møllgård, Mark D Habgood

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 137 citations in OpenAlex.

  1. Clinical recovery of severe infantileWorld journal of clinical pediatrics · 2026
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  3. Review
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  7. Observational
  8. Doppler Assessment of the Fetal Brain Circulation.Diagnostics (Basel, Switzerland) · 2026
    Review
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  10. Review
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  13. Article
  14. Review
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  17. Article
  18. Article
  19. Article
  20. Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Norman R SaundersDepartment of Pharmacology and Therapeutics, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0001-6660-7639
Katarzyna M DziegielewskaDepartment of Pharmacology and Therapeutics, University of Melbourne, Parkville, Victoria, Australia.
Kjeld MøllgårdDepartment of Pharmacology and Therapeutics, University of Melbourne, Parkville, Victoria, Australia.
Mark D HabgoodDepartment of Pharmacology and Therapeutics, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0003-4227-5769
University of Copenhagen · DK

Funding

Wellcome Trust
6 · The paper itself

Abstract

Properties of the local internal environment of the adult brain are tightly controlled providing a stable milieu essential for its normal function. The mechanisms involved in this complex control are structural, molecular and physiological (influx and efflux transporters) frequently referred to as the 'blood-brain barrier'. These mechanisms include regulation of ion levels in brain interstitial fluid essential for normal neuronal function, supply of nutrients, removal of metabolic products, and prevention of entry or elimination of toxic agents. A key feature is cerebrospinal fluid secretion and turnover. This is much less during development, allowing greater accumulation of permeating molecules. The overall effect of these mechanisms is to tightly control the exchange of molecules into and out of the brain. This review presents experimental evidence currently available on the status of these mechanisms in developing brain. It has been frequently stated for over nearly a century that the blood-brain barrier is not present or at least is functionally deficient in the embryo, fetus and newborn. We suggest the alternative hypothesis that the barrier mechanisms in developing brain are likely to be appropriately matched to each stage of its development. The contributions of different barrier mechanisms, such as changes in constituents of cerebrospinal fluid in relation to specific features of brain development, for example neurogenesis, are only beginning to be studied. The evidence on this previously neglected aspect of brain barrier function is outlined. We also suggest future directions this field could follow with special emphasis on potential applications in a clinical setting.

Indexed as

Fetal DevelopmentAnimalsBrainCerebrospinal Fluid ProteinsFetusHumansInfant, NewbornTight JunctionsCerebrospinal Fluid Proteinsamino acidsblood-brain barrierblood vesselscerebrospinal fluidchoroid plexuselectrolyteselectron microscopeembryoendotheliumepitheliumgene transcriptsimmunohistochemistryion gradientsmeningesproteintight junctionstransport

Identifiers

PMID29774535
PMCPMC6265560
OpenAlexW2889869441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.