Aging of the cerebral microcirculation results in significant alterati
on in the blood-brain barrier (BBB). The barrier function appears to r
emain intact in older animals, although it may be more susceptible to
disruption by external factors (hypertension) and drugs (haloperidol).
While overall transport processes do not change with age, aging anima
ls and humans have altered BBB function of select carrier mediated tra
nsport systems including the transport of choline, glucose, butyrate a
nd triiodothyronine. These age-related changes are the result of eithe
r alteration in the carrier molecules or the physiochemical properties
of the cerebral microvessels. At the present time, it is not known wh
ether changes in the BBB contribute to the age-related neurodegenerati
ve diseases or are merely epiphenomena of aging. (C) 1997 Elsevier Sci
ence Inc.