Ischemic cerebrovascular disease is one of the three deadly diseases. It is characterised by high mortality and high morbidity. Because of no effective treatments of recombinant tissue plasminogen activator (rt-PA) and neuroprotectant, there are more and more research focus on neurovascular unit (NVU), which is composed of brain microvascular endothelial cells (BMECs), neuron, astrocyte(AS) and so on. Cell-cell signaling and coupling between these different compartments form the basis for normal function and repair of brain injury. In this mini-review, we will describe the relationship of CMECs, neuron and AS