Cerebrovascular-mediated dynamic alterations in neurovascular coupling: a key pathological mechanism of depression.

Publication date: Jul 07, 2025

Neurovascular coupling (NVC) is a vital regulatory mechanism that synchronizes neural activity with vascular responses to support brain function. Although the precise mechanisms of NVC remain incompletely elucidated, its dysfunction is increasingly implicated in the pathogenesis of various neurological disorders. This review synthesizes recent advancements in understanding the vascular cascade, emphasizing key dynamic regulators of NVC, including mechanical forces and diffusible signals mediated by blood flow. We explore the intricate bidirectional interactions between the vasculature and neurons, highlighting their interdependent roles in neurovascular regulation. Using major depressive disorder (MDD) as a case study, we further discuss emerging evidence linking vascular dysfunction and impaired NVC to MDD pathophysiology. These insights position NVC as a promising therapeutic target for emotional disorders, underscoring the pivotal roles of hemodynamic signaling in neurovascular regulation.

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Concepts Keywords
Biosci Cerebral blood flow
Depressive Dynamic regulation
Hemodynamic Major depressive disorder
Neurovascular Neurovascular coupling
Pathogenesis

Semantics

Type Source Name
disease MESH depression
disease MESH pathogenesis
disease MESH neurological disorders
disease MESH major depressive disorder
drug DRUGBANK Oxygen
pathway REACTOME Reproduction
disease MESH psychiatric disorders
disease MESH abnormalities
disease MESH autism spectrum disorder
disease MESH mood disorder
drug DRUGBANK Sulodexide
drug DRUGBANK Tretamine
drug DRUGBANK Coenzyme M
disease MESH hyperemia
drug DRUGBANK ATP
drug DRUGBANK L-Tryptophan
drug DRUGBANK Somatostatin
drug DRUGBANK Isoxaflutole
drug DRUGBANK Adenosine
pathway REACTOME Release
drug DRUGBANK Nitric Oxide
drug DRUGBANK Calcium
disease MESH Neuroinflammation
disease MESH Gait
disease MESH memory disorder
drug DRUGBANK Angiotensin II
disease MESH oxidative stress
pathway REACTOME Mitochondrial biogenesis
drug DRUGBANK Cholesterol
pathway REACTOME Signal Transduction
drug DRUGBANK Water
disease MESH tic
drug DRUGBANK Gonadorelin
drug DRUGBANK Indoleacetic acid
disease MESH suicidal ideation
drug DRUGBANK Escitalopram
drug DRUGBANK Fluoxetine
drug DRUGBANK Esomeprazole
disease MESH cognitive impairment
disease MESH early life stress
disease MESH cerebrovascular diseases
disease MESH Autoimmune diseases
disease MESH comorbidity
disease MESH inflammation
disease MESH hypoxia
disease MESH anhedonia
drug DRUGBANK Acetylcysteine
disease MESH hypertrophy
disease MESH weight loss
disease MESH anxiety
disease MESH metabolic stress
pathway KEGG Metabolic pathways
pathway REACTOME Glycolysis
drug DRUGBANK Naproxen
pathway REACTOME Potassium Channels
drug DRUGBANK Inositol
disease MESH brain inflammation
disease MESH dementia
disease MESH Schizophrenia
disease MESH glucocorticoid resistance
disease MESH cardiovascular diseases
disease MESH autism
disease MESH syndrome
disease MESH respiration disorders
disease MESH dysthymia
disease MESH depressive disorder
drug DRUGBANK Ketamine
disease MESH ischemia
pathway REACTOME Signal amplification
disease MESH stroke
drug DRUGBANK gamma-Aminobutyric acid
disease MESH cerebral aneurysm
drug DRUGBANK Progesterone
drug DRUGBANK Ranitidine
drug DRUGBANK Melatonin
pathway KEGG Circadian rhythm
disease MESH hypertension
drug DRUGBANK Thioredoxin
pathway KEGG Ferroptosis
disease MESH cardiac arrhythmias
disease MESH hypothermia
drug DRUGBANK Isosorbide Mononitrate
pathway REACTOME TRP channels
disease MESH brain edema
disease MESH hyperthermia
drug DRUGBANK Trestolone
drug DRUGBANK Sertraline
disease MESH bipolar disorder
disease MESH morbidity
disease MESH vascular diseases
pathway REACTOME Immune System
disease MESH seizures
drug DRUGBANK (S)-Des-Me-Ampa
drug DRUGBANK Diethylstilbestrol
drug DRUGBANK Corticosterone
pathway REACTOME Metabolism
pathway REACTOME Glucose metabolism
drug DRUGBANK Dextrose unspecified form
drug DRUGBANK Potassium
drug DRUGBANK Epoprostenol
drug DRUGBANK Cyclic Adenosine Monophosphate
disease MESH death
disease MESH choroidal neovascularization

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