• Certain areas of the brain have a reduced blood-brain barrier and retain a direct connection with the systemic circulation in order to
    • Detect alterations in composition of the blood
    • Allow secretion of hormones
  • Areas that are outside the BBB are known as ‘circumventricular organs’:
Hypothalamus
  • Hypothalamic osmoreceptors monitor the osmolarity of systemic blood
Area postrema
  • Contains a chemoreceptor trigger zone
  • In the presence of noxious substances, sends afferent signals to the vomiting centre triggering vomiting
Anterior & posterior pituitary gland
  • Secretes eight pituitary hormones directly into the systemic circulation
Choroid plexus
  • Uses plasma from systemic blood to produce CSF
Pineal gland
  • Secretes melatonin directly into the systemic circulation.
Subfornical organ
  • Contains a chemoreceptor area
  • Monitors blood angiotension II leveI as part of the regulation of body fluids