Evidence map›Paper›PMID 42229063›Full record

ReviewPharmacological reviews2026

Friend or foe? Glial-vascular interactions in health and neurodegenerative disease.

Conor McQuaid, Michael Sewell, Axel Montagne

Abstract readReview
In one paragraph

Review in Pharmacological reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Conor McQuaidUK Dementia Research Institute at the University of Edinburgh, Edinburgh, United Kingdom; British Heart Foundation - UK Dementia Research Institute Centre for Vascular Dementia Research at the University of Edinburgh, Edinburgh, United Kingdom; Institute for Neuroscience and Cardiovascular Research (INCR), The University of Edinburgh, Edinburgh, United Kingdom.
Michael SewellUK Dementia Research Institute at the University of Edinburgh, Edinburgh, United Kingdom; British Heart Foundation - UK Dementia Research Institute Centre for Vascular Dementia Research at the University of Edinburgh, Edinburgh, United Kingdom; Institute for Neuroscience and Cardiovascular Research (INCR), The University of Edinburgh, Edinburgh, United Kingdom.
Axel MontagneUK Dementia Research Institute at the University of Edinburgh, Edinburgh, United Kingdom; British Heart Foundation - UK Dementia Research Institute Centre for Vascular Dementia Research at the University of Edinburgh, Edinburgh, United Kingdom; Institute for Neuroscience and Cardiovascular Research (INCR), The University of Edinburgh, Edinburgh, United Kingdom. Electronic address: axel.montagne@ed.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysfunction of glial and vascular cells is increasingly recognized as a central feature of neurodegenerative diseases. Growing evidence points to disruptions in glial-vascular interactions, which are critical for maintaining the functions of the neurogliovascular unit throughout the lifespan, as key contributors to disease initiation and progression. However, the mechanisms governing this complex intercellular crosstalk and its potential role in disease pathogenesis remain incompletely understood. In this review, we summarize the current understanding of glial-vascular communication across health and disease, with a particular focus on Alzheimer disease, stroke, cerebral small vessel disease, Parkinson disease, Huntington disease, and multiple sclerosis. We highlight emerging cellular and molecular interactions of interest, outline major gaps in our understanding, and discuss innovative tools, including transcriptomics, which are reshaping the study of neurogliovascular dynamics. A central unresolved question is whether glial and/or vascular dysfunction represents the primary initiating event across neurodegenerative diseases, or whether these processes emerge in parallel through shared upstream drivers. Unraveling these interactions may ultimately reveal novel therapeutic opportunities for a broad range of neurodegenerative conditions. SIGNIFICANCE STATEMENT: Neurogliovascular unit interactions are fundamental to brain homeostasis, yet the molecular basis of this crosstalk and its disruption in neurodegeneration remains poorly understood. This review provides the first comprehensive synthesis of molecular mechanisms governing the Neurogliovascular unit interface across physiological and pathological conditions, integrating evidence from related disorders. By consolidating key signaling pathways, disease-associated alterations, and emerging experimental approaches, this review offers a unifying framework to guide biomarker development and therapeutic targeting.

Indexed as

BrainNeurodegenerative DiseasesNeurogliaAnimalsHumans

Identifiers

PMID42229063
PMCPMC13494197

What Socratic holds

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LicenceCC BY
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 Socratic graph.