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Age- and time-of-day dependence of glymphatic function in the human brain measured via two diffusion MRI methods
Front Aging Neurosci. 2023 May 22;15:1173221. doi: 10.3389/fnagi.2023.1173221.
Guangxu Han # 1 2, Ying Zhou # 3, Kemeng Zhang 3, Bingjie Jiao 1 2, Junwen Hu 4 5, Yifan Zhang 1 2, Zejun Wang 1 2, Min Lou 3, Ruiliang Bai 1 2 6
Abstract:
...To study age-related differences in the human glymphatic system, we measured the influx and efflux activities of the glymphatic system via two non-invasive diffusion magnetic resonance imaging (MRI) methods, ultra-long echo time and low-b diffusion tensor imaging (DTIlow-b) measuring the subarachnoid space (SAS) flow along the middle cerebral artery and DTI analysis along the perivascular space (DTI-ALPS) along medullary veins in 22 healthy volunteers (aged 21-75 years). We first evaluated the circadian rhythm dependence of the glymphatic activity by repeating the MRI measurements at five time points from 8:00 to 23:00 and found no time-of-day dependence in the awake state under the current sensitivity of MRI measurements. Further test-retest analysis demonstrated high repeatability of both diffusion MRI measurements, suggesting their reliability. Additionally, the influx rate of the glymphatic system was significantly higher in participants aged >45 years than in participants aged 21-38, while the efflux rate was significantly lower in those aged >45 years. The mismatched influx and efflux activities in the glymphatic system might be due to age-related changes in arterial pulsation and aquaporin-4 polarization.
PMID: 37284019
Free Full-Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239807/