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Blood Brain Barrier (BBB)

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The statement that there is hardly anything that doesn't pass through

the BBB is incorrect. It would make such a barrier completely useless.

A substance is checked at the 'border' for suitability to be allowed

or denied entry. This is for the protection of the brain.

An example which will illuminate a currently universally ignored

problem as follow:

The human liver produces most of the cholesterol that the body

requires, constantly. Food cholesterol is almost irrelevant.

Cholesterol molecules are very large and they are not allowed entry

into the brain. The 'guards' at the BBB take one look and issue a

refusal notice.

Now, since the brain needs and is totally dependent on cholesterol

what is the story?

The brain makes its own through its glial cells without which we

would die.

Now, if a doctor, with his/her omnipotent wisdom prescribes statins

for the (idiotic and totally unnecessary ) purpose of reducing blood

cholesterol these statins prevent the liver from making cholesterol.

So far so good, but they also travel (out of curiosity) to the BBB

and demand access. No problem, the molecular size is acceptable, no

other reasons and they are admitted without fuss. Wherupon they start

their job of destroying the brain's vital cholesterol.

Brave new medicine!

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@@@@@@@@@@@@@@

> The human liver produces most of the cholesterol that the body

> requires, constantly. Food cholesterol is almost irrelevant.

> Cholesterol molecules are very large and they are not allowed entry

> into the brain. The 'guards' at the BBB take one look and issue a

> refusal notice.

> Now, since the brain needs and is totally dependent on cholesterol

> what is the story?

> The brain makes its own through its glial cells without which we

> would die.

@@@@@@@@@@@@@@

I had the impression that an increase in dietary cholesterol was

linked to slower mental degeneration in some cases for elderly

patients. Maybe there is no link, but if so, what could the

mechanism be? The common wisdom is that there is a homeostasis

between dietary cholesterol and liver-made cholesterol, such that

dietary cholesterol tweaks can compensate for inadequate liver

synthesis, but your observation suggests there is no such interaction

between dietary cholesterol and brain-made cholesterol. This is a

point of clarification that I haven't encountered in the non-

specialist discussion of cholesterol, which may sometimes

misrepresent the positive aspects of dietary cholesterol. I don't

have any physiology background, so any clarification is helpful.

Mike

SE Pennsylvania

The best way to predict the future is to invent it. --Alan Kay

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> @@@@@@@@@@@@@@

> > The human liver produces most of the cholesterol that the body

> > requires, constantly. Food cholesterol is almost irrelevant.

> > Cholesterol molecules are very large and they are not allowed

entry

> > into the brain. The 'guards' at the BBB take one look and issue a

> > refusal notice.

> > Now, since the brain needs and is totally dependent on

cholesterol

> > what is the story?

> > The brain makes its own through its glial cells without which we

> > would die.

> @@@@@@@@@@@@@@

>

> I had the impression that an increase in dietary cholesterol was

> linked to slower mental degeneration in some cases for elderly

> patients. Maybe there is no link, but if so, what could the

> mechanism be? The common wisdom is that there is a homeostasis

> between dietary cholesterol and liver-made cholesterol, such that

> dietary cholesterol tweaks can compensate for inadequate liver

> synthesis, but your observation suggests there is no such

interaction

> between dietary cholesterol and brain-made cholesterol. This is a

> point of clarification that I haven't encountered in the non-

> specialist discussion of cholesterol, which may sometimes

> misrepresent the positive aspects of dietary cholesterol. I don't

> have any physiology background, so any clarification is helpful.

>

> Mike

> SE Pennsylvania

> You are correct with your comments on the liver making enough

cholesterol for the needs of the body and the dietary intake of

chol.influencing how much is needed to be made. I had wanted to

emphasize the point that dietary cholesterol in the end matters

little and it is futile to try to control total cholesterol through

dietary means. As to the brain's production of cholesterol

for 'domestic' use, there is little reason that it would share with

the greater territory of the body. I suppose in a pinch the brain

could crank up its production to 'help out' but this is not observed

nor is it very likely. All the answers are not in, of course, there

still exists some controversy on whether the BBB is actually always

categorically closed to liver-produced cholesterol.

The intriguing question remains: Is the BBB equally tough on

substances wanting to cross in both directions?

> The best way to predict the future is to invent it. --Alan Kay

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