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生命功能有助于细胞外液在脑内的扩散:生与死的比较。

Vital Functions Contribute to the Spread of Extracellular Fluids in the Brain: Comparison Between Life and Death.

作者信息

Piotrowska Alina, Winter Karsten, Carare Roxana O, Bechmann Ingo

机构信息

Institute of Anatomy, Leipzig University, Leipzig, Germany.

Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

出版信息

Front Aging Neurosci. 2020 Feb 11;12:15. doi: 10.3389/fnagi.2020.00015. eCollection 2020.

DOI:10.3389/fnagi.2020.00015
PMID:32116648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7027336/
Abstract

Vascular pulsations, contractions of vascular smooth muscle cells and breathing have been reported to foster movement and clearance of interstitial and cerebrospinal fluids from the brain. The aim of this study was to estimate the contribution of these vital functions. We compared the spread of an injected hydrophilic tracer (Fluoro-Emerald, a 10 kDa fluorescein-coupled dextran amine) in the brains of live anesthetized and sacrificed rats at 30 and 90 min after injection. To determine the overall pattern of distribution of tracers, we created 3D-reconstructions of the horizontal transections of the whole brain. Immunofluorescence staining with laminin and collagen IV was performed to determine the pattern of distribution of tracer in relation to the cerebrovascular basement membranes. We found that diffusion was widely restricted to the periventricular region in sacrificed rats with no spread to the contralateral hemisphere, while the bulk flow occurred along the vasculature and reached the surface and the contralateral hemisphere as soon as 30 min after injection in live anesthetized animals. The tracer appeared to be localized along the vascular basement membranes and along fiber tracts as reported previously. Thus, our data indicate that vital functions are essential for the remote movement of extracellular fluids within the cerebral parenchyma.

摘要

据报道,血管搏动、血管平滑肌细胞收缩和呼吸有助于脑间质液和脑脊液的流动与清除。本研究的目的是评估这些重要功能的作用。我们比较了注射亲水性示踪剂(荧光翡翠,一种10 kDa荧光素偶联葡聚糖胺)后30分钟和90分钟时,在活体麻醉大鼠和处死后大鼠脑中的扩散情况。为了确定示踪剂的总体分布模式,我们对整个大脑的水平切片进行了三维重建。用层粘连蛋白和IV型胶原进行免疫荧光染色,以确定示踪剂相对于脑血管基底膜的分布模式。我们发现,在处死后的大鼠中,扩散广泛局限于脑室周围区域,未扩散至对侧半球,而在活体麻醉动物中,注射后30分钟,大量液体沿血管流动并到达表面和对侧半球。如先前报道,示踪剂似乎定位于血管基底膜和纤维束沿线。因此,我们的数据表明,重要功能对于脑实质内细胞外液的远距离流动至关重要。

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本文引用的文献

1
Rapid lymphatic efflux limits cerebrospinal fluid flow to the brain.快速的淋巴液流出限制了脑脊液向大脑的流动。
Acta Neuropathol. 2019 Jan;137(1):151-165. doi: 10.1007/s00401-018-1916-x. Epub 2018 Oct 10.
2
Non-invasive imaging of CSF-mediated brain clearance pathways via assessment of perivascular fluid movement with diffusion tensor MRI.应用扩散张量 MRI 评估血管周围液流动对脑脊液介导的脑内清除途径的无创性成像。
Elife. 2018 Jul 31;7:e34028. doi: 10.7554/eLife.34028.
3
Is bulk flow plausible in perivascular, paravascular and paravenous channels?
在血管周隙、旁血管和旁静脉通道中,整体流动是否合理?
Fluids Barriers CNS. 2018 Jun 15;15(1):17. doi: 10.1186/s12987-018-0103-8.
4
Convective influx/glymphatic system: tracers injected into the CSF enter and leave the brain along separate periarterial basement membrane pathways.对流内渗/神经淋巴系统:注入 CSF 的示踪剂沿着不同的动脉周围基膜途径进入和离开大脑。
Acta Neuropathol. 2018 Jul;136(1):139-152. doi: 10.1007/s00401-018-1862-7. Epub 2018 May 12.
5
The role of brain barriers in fluid movement in the CNS: is there a 'glymphatic' system?脑屏障在中枢神经系统液体运动中的作用:是否存在“类淋巴系统”?
Acta Neuropathol. 2018 Mar;135(3):387-407. doi: 10.1007/s00401-018-1812-4. Epub 2018 Feb 10.
6
General Anesthesia Inhibits the Activity of the "Glymphatic System".全身麻醉抑制“脑淋巴系统”的活性。
Theranostics. 2018 Jan 1;8(3):710-722. doi: 10.7150/thno.19154. eCollection 2018.
7
The Glymphatic System in Central Nervous System Health and Disease: Past, Present, and Future.中枢神经系统健康与疾病中的糖质淋系统:过去、现在和未来。
Annu Rev Pathol. 2018 Jan 24;13:379-394. doi: 10.1146/annurev-pathol-051217-111018.
8
Outflow of cerebrospinal fluid is predominantly through lymphatic vessels and is reduced in aged mice.脑脊液的流出主要通过淋巴管,在老年小鼠中减少。
Nat Commun. 2017 Nov 10;8(1):1434. doi: 10.1038/s41467-017-01484-6.
9
Intrathecal antibody distribution in the rat brain: surface diffusion, perivascular transport and osmotic enhancement of delivery.鞘内抗体在大鼠脑内的分布:表面扩散、血管周围转运和渗透增强递送。
J Physiol. 2018 Feb 1;596(3):445-475. doi: 10.1113/JP275105. Epub 2017 Dec 18.
10
Interstitial solute transport in 3D reconstructed neuropil occurs by diffusion rather than bulk flow.三维重建神经突内的间质溶质转运是通过扩散而不是体流进行的。
Proc Natl Acad Sci U S A. 2017 Sep 12;114(37):9894-9899. doi: 10.1073/pnas.1706942114. Epub 2017 Aug 28.