Perivascular pumping of cerebrospinal fluid in the brain with a valve mechanism
Abstract
The flow of cerebrospinal fluid (CSF) along perivascular spaces (PVSs) is an important part of the brain’s system for clearing metabolic waste. Experiments reveal that arterial motions from cardiac pulsations and functional hyperaemiadrive CSF in the same direction as the blood flow, but the mechanism producing this directionality is unclear. Astrocyte endfeet bound the PVSs of penetrating arteries, separating them from brain extracellular space (ECS) and potentially regulating flow between the two compartments. Here, we present two models, one based on the full equations of fluid dynamics and the other using lumped parameters, in which the astrocyte endfeet function as valves, regulating flow between the PVS and the ECS. In both models, cardiac pulsations drive a net CSF flow consistent with prior experimental observations. Functional hyperaemia, acting with cardiac pulsation, increases the net flow. We also find, in agreement with experiments, a reduced net flow during wakefulness, due to the known decrease in ECS permeability compared to the sleep state. We present in vivo imaging of penetrating arteries in mice, which we use to measure accurately the amplitude of their constrictions and dilations during both cardiac pulsation and functional hyperaemia, an important input for the models. Our models can be used to explore the effects of changes in other input parameters, such as those caused by ageing or disease, as better measurements of these parameters become available.
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Astrocyte endfeet may act as valves that promote CSF flow through the perivascular spaces and prevent backflow.
“astrocyte endfeet may act as valves that promote CSF flow through the perivascular spaces and prevent backflow86,87.”
From Norepinephrine-mediated slow vasomotion drives glymphatic clearance during sleep (2025) · cites this paper as [87]
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Cites
Impairment of paravascular clearance pathways in the aging brain
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“It has been reported that a penetrating artery has pulsatility that increases from the surface to deeper brain regions [23,24].”
Self-citationCerebral Arterial Pulsation Drives Paravascular CSF–Interstitial Fluid Exchange in the Murine Brain
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Mestre, H., Kostrikov, S., Mehta, R. I., & Nedergaard, M. (2017) · Clinical Science · doi:10.1042/cs20160381 · Cited by 403 · see citing works
Self-citationBrain Extracellular Space: The Final Frontier of Neuroscience
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Cited by
Sorted by citations
Norepinephrine-mediated slow vasomotion drives glymphatic clearance during sleep
Hauglund, N. L., Andersen, M., Tokarska, K., Radovanovic, T., Kjaerby, C., Sørensen, F. L., Bojarowska, Z., Untiet, V., Ballestero, S. B., Kolmos, M. G., et al. (2025) · Cell · doi:10.1016/j.cell.2024.11.027 · Cited by 349 · see citing works
Self-citation
- Authors
- Gan, Y., Holstein-Rønsbo, S., Nedergaard, M., Boster, K. A. S., Thomas, J. H., & Kelley, D. H.
- Affiliations
- Department of Mechanical Engineering, University of Rochester, Rochester, NY 14627, USA
- Center for Translational Neuromedicine, University of Copenhagen, Copenhagen, Denmark
- Venue
- Journal of The Royal Society Interface
- Publisher
- The Royal Society
- Published
- 2023-09
- Volume
- 20
- Issue
- 206
- ISSN
- 1742-5662
- Cited by
- 48
- References
- 5
- Language
- en
- Funders
- National Center for Complementary and Integrative Health (R01AT012312)
- National Institutes of Health (U19NS128613)
- U.S. Army (MURI W911NF1910280)
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