Overgaard Wichmann Thea, Hedegaard Højsager Marie, Hasager Damkier Helle
Department of Neurosurgery, CENSE-Spine, Aarhus University Hospital, Aarhus, Denmark.
Department of Biomedicine, Aarhus University, Aarhus, Denmark.
Front Cell Neurosci. 2024 May 16;18:1414662. doi: 10.3389/fncel.2024.1414662. eCollection 2024.
Knowledge about the mechanisms underlying the fluid flow in the brain and spinal cord is essential for discovering the mechanisms implicated in the pathophysiology of central nervous system diseases. During recent years, research has highlighted the complexity of the fluid flow movement in the brain through a glymphatic system and a lymphatic network. Less is known about these pathways in the spinal cord. An important aspect of fluid flow movement through the glymphatic pathway is the role of water channels, especially aquaporin 1 and 4. This review provides an overview of the role of these aquaporins in brain and spinal cord, and give a short introduction to the fluid flow in brain and spinal cord during in the healthy brain and spinal cord as well as during traumatic brain and spinal cord injury. Finally, this review gives an overview of the current knowledge about the role of aquaporins in traumatic brain and spinal cord injury, highlighting some of the complexities and knowledge gaps in the field.
了解大脑和脊髓中流体流动的潜在机制对于发现中枢神经系统疾病病理生理学中的相关机制至关重要。近年来,研究突出了通过神经胶质淋巴系统和淋巴网络的大脑中流体流动运动的复杂性。关于脊髓中这些途径的了解较少。通过神经胶质淋巴途径的流体流动运动的一个重要方面是水通道的作用,尤其是水通道蛋白1和4。本综述概述了这些水通道蛋白在大脑和脊髓中的作用,并简要介绍了健康大脑和脊髓以及创伤性脑和脊髓损伤期间大脑和脊髓中的流体流动。最后,本综述概述了关于水通道蛋白在创伤性脑和脊髓损伤中作用的当前知识,突出了该领域的一些复杂性和知识空白。