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Is bulk flow plausible in perivascular, paravascular and paravenous channels?
Open accessAbstract
BACKGROUND: Transport of solutes has been observed in the spaces surrounding cerebral arteries and veins. Indeed, transport has been found in opposite directions in two different spaces around arteries. These findings have motivated hypotheses of bulk flow within these spaces. The glymphatic circulation hypothesis involves flow of cerebrospinal fluid from the cortical subarachnoid space to the parenchyma along the paraarterial (extramural, Virchow-Robin) space around arteries, and return flow to the cerebrospinal fluid (CSF) space via paravenous channels. The second hypothesis involves flow of interstitial fluid from the parenchyma to lymphatic vessels along basement membranes between arterial smooth muscle cells. METHODS: This article evaluates the plausibility of steady, pressure-driven flow in these channels with one-dimensional branching models. RESULTS: According to the models, the hydraulic resistance of arterial basement membranes is too large to accommodate estimated interstitial perfusion of the brain, unless the flow empties to lymphatic ducts after only several generations (still within the parenchyma). The estimated pressure drops required to drive paraarterial and paravenous flows of the same magnitude are not large, but paravenous flow back to the CSF space means that the total pressure difference driving both flows is limited to local pressure differences among the different CSF compartments, which are estimated to be small. CONCLUSIONS: Periarterial flow and glymphatic circulation driven by steady pressure are both found to be implausible, given current estimates of anatomical and fluid dynamic parameters.
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“based on estimates of anatomical and fluid dynamic parameters, the plausibility of periarterial flow and glymphatic circulation is controversial”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [289]
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Additional file 2 of Quantitative analysis of macroscopic solute transport in the murine brain
Ray, L., Pike, M. M., Simon, M. J., Iliff, J., & Heys, J. J. (2021) · Figshare · doi:10.6084/m9.figshare.17140756
Additional file 3 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604649
Additional file 4 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604652
Additional file 5 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604655
Segeroth, M., Wachsmuth, L., Gagel, M., Albers, F., Heß, A., & Faber, C. (2024) · Figshare · doi:10.6084/m9.figshare.26597168
Segeroth, M., Wachsmuth, L., Gagel, M., Albers, F., Heß, A., & Faber, C. (2024) · Figshare · doi:10.6084/m9.figshare.26597159
Additional file 2 of Intracranial pressure elevation alters CSF clearance pathways
Vinje, V., Eklund, A., Mardal, K.-A., Rognes, M. E., & Støverud, K.-H. (2020) · Figshare · doi:10.6084/m9.figshare.12144285
Additional file 7 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604661
Segeroth, M., Wachsmuth, L., Gagel, M., Albers, F., Heß, A., & Faber, C. (2024) · Figshare · doi:10.6084/m9.figshare.26597156
Segeroth, M., Wachsmuth, L., Gagel, M., Albers, F., Heß, A., & Faber, C. (2024) · Figshare · doi:10.6084/m9.figshare.26597162
Segeroth, M., Wachsmuth, L., Gagel, M., Albers, F., Heß, A., & Faber, C. (2024) · Figshare · doi:10.6084/m9.figshare.26597153
Segeroth, M., Wachsmuth, L., Gagel, M., Albers, F., Heß, A., & Faber, C. (2024) · Figshare · doi:10.6084/m9.figshare.26597165
Additional file 2 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604646
Additional file 1 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604643
Additional file 6 of Sizes and shapes of perivascular spaces surrounding murine pial arteries
Raicevic, N., Forer, J. M., Ladrón-de-Guevara, A., Du, T., Nedergaard, M., Kelley, D. H., & Boster, K. (2024) · Figshare · doi:10.6084/m9.figshare.26604658
Metadata
- Authors
- Faghih, M. M., & Sharp, M. K.
- Affiliations
- University of Louisville (US)
- Corresponding author
- Sharp, M. Keith
- ORCID
- Sharp, M. Keith
- Venue
- Fluids and Barriers of the CNS
- Published
- 2018-06-15
- Volume
- 15
- Issue
- 1
- Pages
- 17-17
- ISSN
- 2045-8118 (ISSN-L)
- PMC
- PMC6003203
- OpenAlex
- W2807029080
- Cited by
- 101
- References
- 56
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 24 · 2023: 10 · 2022: 15 · 2021: 12 · 2020: 17 · 2019: 11 · 2018: 5
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Fluids and Barriers of the CNS (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Cerebrospinal fluid and hydrocephalus
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Keywords
- bulk flow, perivascular spaces, cerebrospinal fluid transport, interstitial fluid, lymphatic drainage, pressure-driven flow, brain parenchyma
- MeSH terms
- Basement Membrane, Blood Vessels, Brain, Cerebrospinal Fluid, Humans, Models, Biological, Viscosity, Extracellular Fluid
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