Bohr Tomas, Hjorth Poul G, Holst Sebastian C, Hrabětová Sabina, Kiviniemi Vesa, Lilius Tuomas, Lundgaard Iben, Mardal Kent-Andre, Martens Erik A, Mori Yuki, Nägerl U Valentin, Nicholson Charles, Tannenbaum Allen, Thomas John H, Tithof Jeffrey, Benveniste Helene, Iliff Jeffrey J, Kelley Douglas H, Nedergaard Maiken
Department of Physics, Technical University of Denmark, 2800 Kgs. Lyngby, Denmark.
Department of Applied Mathematics and Computer Science, Technical University of Denmark, Richard Petersens Plads, 2800 Kgs. Lyngby, Denmark.
iScience. 2022 Aug 20;25(9):104987. doi: 10.1016/j.isci.2022.104987. eCollection 2022 Sep 16.
We review theoretical and numerical models of the glymphatic system, which circulates cerebrospinal fluid and interstitial fluid around the brain, facilitating solute transport. Models enable hypothesis development and predictions of transport, with clinical applications including drug delivery, stroke, cardiac arrest, and neurodegenerative disorders like Alzheimer's disease. We sort existing models into broad categories by anatomical function: Perivascular flow, transport in brain parenchyma, interfaces to perivascular spaces, efflux routes, and links to neuronal activity. Needs and opportunities for future work are highlighted wherever possible; new models, expanded models, and novel experiments to inform models could all have tremendous value for advancing the field.
我们回顾了脑淋巴系统的理论和数值模型,该系统使脑脊液和间质液在大脑周围循环,促进溶质运输。模型有助于提出假设并预测运输情况,其临床应用包括药物递送、中风、心脏骤停以及阿尔茨海默病等神经退行性疾病。我们根据解剖功能将现有模型分为几大类:血管周围流动、脑实质内运输、与血管周围间隙的界面、流出途径以及与神经元活动的联系。我们尽可能突出了未来工作的需求和机遇;新模型、扩展模型以及为模型提供信息的新颖实验,对于推动该领域的发展都可能具有巨大价值。