Ghersi-Egea J F, Finnegan W, Chen J L, Fenstermacher J D
Department of Neurological Surgery, State University of New York, Stony Brook, USA.
Neuroscience. 1996 Dec;75(4):1271-88. doi: 10.1016/0306-4522(96)00281-3.
The intracranial distribution of [14C]sucrose, an extracellular marker infused for 30 s into one lateral ventricle, was determined by autoradiography of frozen-dried brain sections. Within 3.5 min [14C]sucrose appeared in: (i) the third ventricle, including optic, infundibular and mammillary recesses; (ii) the aqueduct of Sylvius; (iii) the velum interpositum, a part of the subarachnoid space that runs along the roof of the third ventricle and contains many blood vessels; (iv) the mesencephalic and fourth ventricles; and (v) the superior medullary velum, a highly vascular extension of the subarachnoid space that terminates at the walls of the mesencephalic and fourth ventricles. Within 5 min, radioactivity was present in the interpeduncular, ambient and quadrigeminal cisterns, which encircle the midbrain. By 10 min, approximately 11% of the radioactivity had passed into the subarachnoid space via a previously undescribed flow pathway that included the velum interpositum and superior medullary velum. At many places along the ventricular system, [14C]sucrose appeared to move from cerebrospinal fluid into the adjacent tissue by simple diffusion, as reported previously (Blasberg R. G. et al. (1974) J. Pharmac. exp. Ther. 195, 73-83; Levin V. A. et al. (1970) Am. J. Physiol. 219, 1528-1533; Patlak C. and Fenstermacher J.D. (1975) Am. J. Physiol. 229, 877-884; Rosenberg G. A. and Kyner W.T. (1980) Brain Res. 193, 56-66; Rosenberg G. A. et al. (1986) Am. J. Physiol 251, F485-F489). Little sucrose was, however, taken up by: (i) circumventricular organs such as the subfornical organ; (ii) medullary and cerebellar tissue next to the lateral recesses; and (iii) the superior and inferior colliculi and cerebral peduncles. For the latter two groups of structures, entry from cerebrospinal fluid was apparently blocked by a thick, multilayered glia limitans. Although [14C]sucrose was virtually absent from the rest of the subarachnoid system after 1 h, it remained in the perivascular spaces and/or walls of pial arteries and arterioles for more than 3 h. Certain transport proteins, protease inhibitors, growth factors and other neurobiologically active materials are present in cerebrospinal fluid, and their distribution to the brain and its blood vessels may be important. The present work shows, in the rat, that the flow of cerebrospinal fluid and the disposition of its constituents is fairly complex and differs among regions. Flow was rapid throughout the ventricular system and into various subarachnoid velae and cisterns, but was surprisingly slow and slight over the cerebral and cerebellar cortices. The cerebrospinal fluid-to-tissue flux of material was relatively free at many interfaces, but was greatly restricted at others, the latter indicating that the old concept of a "cerebrospinal fluid-brain barrier" may hold at such places. Finally, radiolabeled sucrose was retained longer within the walls and perivascular spaces of pial arteries and arterioles than in other subarachnoid tissues; one function of the cerebrospinal fluid system or "third circulation" may thus be delivering factors and agents to these pial blood vessels.
将[¹⁴C]蔗糖(一种细胞外标记物,向一侧脑室注入30秒)的颅内分布情况,通过对冻干脑切片进行放射自显影来确定。在3.5分钟内,[¹⁴C]蔗糖出现在:(i)第三脑室,包括视隐窝、漏斗隐窝和乳头体隐窝;(ii)中脑导水管;(iii)中间帆,它是蛛网膜下腔的一部分,沿着第三脑室顶部延伸并含有许多血管;(iv)中脑和第四脑室;以及(v)上髓帆,它是蛛网膜下腔的高度血管化延伸部分,终止于中脑和第四脑室壁。在5分钟内,放射性出现在环绕中脑的脚间池、环池和四叠体池。到10分钟时,约11%的放射性通过一条先前未描述的流动途径进入蛛网膜下腔,该途径包括中间帆和上髓帆。在脑室系统的许多部位,[¹⁴C]蔗糖似乎通过简单扩散从脑脊液进入相邻组织,如先前报道的那样(布拉斯伯格R.G.等人(1974年)《药理学与实验治疗学杂志》195卷,73 - 83页;莱文V.A.等人(1970年)《美国生理学杂志》219卷,1528 - 1533页;帕特拉克C.和芬斯特马赫J.D.(1975年)《美国生理学杂志》229卷,877 - 884页;罗森伯格G.A.和凯纳W.T.(1980年)《脑研究》193卷,56 - 66页;罗森伯格G.A.等人(1986年)《美国生理学杂志》251卷,F485 - F489页)。然而,很少有蔗糖被以下部位摄取:(i)室周器官,如穹窿下器官;(ii)外侧隐窝旁的延髓和小脑组织;以及(iii)上丘和下丘以及大脑脚。对于后两组结构,从脑脊液进入显然被一层厚厚的多层胶质界膜所阻断。尽管1小时后蛛网膜下腔系统的其余部分几乎没有[¹⁴C]蔗糖,但它在软脑膜动脉和小动脉的血管周围间隙和/或壁中保留了3个多小时。某些转运蛋白、蛋白酶抑制剂、生长因子和其他神经生物学活性物质存在于脑脊液中,它们在脑及其血管中的分布可能很重要。目前的研究表明,在大鼠中,脑脊液的流动及其成分的分布相当复杂,且各区域有所不同。整个脑室系统以及进入各种蛛网膜下腔帆和池的流动很快,但在大脑和小脑皮质上却惊人地缓慢且微弱。物质从脑脊液到组织的通量在许多界面处相对自由,但在其他一些界面处则受到极大限制,后者表明“脑脊液 - 脑屏障”这一旧概念在这些部位可能成立。最后,放射性标记的蔗糖在软脑膜动脉和小动脉的壁及血管周围间隙中保留的时间比在其他蛛网膜下腔组织中更长;因此,脑脊液系统或“第三循环”的一个功能可能是将因子和物质输送到这些软脑膜血管。