“…In normal circumstances, only a small number of inflammatory factors such as TNF-α, IL-1, and IL-6, from the systemic circulation may pass through the BBB to enter the brain ( Tauber et al, 2017 ). However, the disruption of BBB will make a wide range of inflammatory cytokines, neurotoxins, complement as well as pathogens to enter the brain tissue when systemic inflammation occurs ( Dhaya et al, 2018 ; Nwafor et al, 2019 ; Ren et al, 2020 ). Not only that, the NVU that makes up the BBB also mediates partial inflammatory responses, oxidative stress, and other reactions, for example, activating microglia to release NO, cytokines, and ROS, to aggravate BBB dysfunction in turn, so BBB disruption can be not only a cause but also a consequence of SAE ( da Fonseca et al, 2014 ; Danielski et al, 2018 ).…”