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Epidural Pulsation Accelerates the Drainage of Brain Interstitial Fluid
Aging Dis. 2023 Feb 1;14(1):219-228. doi: 10.14336/AD.2022.0609.
Xianjie Cai 1 2 3, Qingyuan He 2, Wei Wang 4, Chunlin Li 5, Hui Wang 1 3, Feng Yin 6, Tong Li 6, Dongsheng Kong 7, Yanxing Jia 8, Hongfeng Li 1, Junhao Yan 9, Xunbin Wei 1, Qiushi Ren 1 10, Yajuan Gao 2 3, Shuangfeng Yang 11, Huaiyu Tong 7, Yun Peng 11, Hongbin Han 1 2 3 12
Abstract:
Unhindered transportation of substances in the brain extracellular space (ECS) is essential for maintaining brain function. Regulation of transportation is a novel strategy for treating ECS blockage-related brain diseases, but few techniques have been developed to date. In this study, we established a novel approach for accelerating the drainage of brain interstitial fluid (ISF) in the ECS using minimally invasive surgery, in which a branch of the external carotid artery is separated and implanted epidurally (i.e., epidural arterial implantation [EAI]) to promote a pulsation effect on cerebrospinal fluid (CSF) in the frontoparietal region. Tracer-based magnetic resonance imaging was used to evaluate the changes in ISF drainage in rats 7 and 15 days post-EAI. The drainage of the traced ISF from the caudate nucleus to ipsilateral cortex was significantly accelerated by EAI. Significant increases in the volume fraction of the ECS and molecular diffusion rate were demonstrated using the DECS-mapping technique, which may account for the mechanisms underlying the changes in brain ISF. This study provides a novel perspective for encephalopathy treatment via the brain ECS.
PMID: 36818558
Free Full-Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937704/
Tags: CSF clearance, glymphatic system, rats