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DOI | 10.1126/science.aax7171 |
Cerebrospinal fluid influx drives acute ischemic tissue swelling | |
Mestre H.; Du T.; Sweeney A.M.; Liu G.; Samson A.J.; Peng W.; Mortensen K.N.; Stæger F.F.; Bork P.A.R.; Bashford L.; Toro E.R.; Tithof J.; Kelley D.H.; Thomas J.H.; Hjorth P.G.; Martens E.A.; Mehta R.I.; Solis O.; Blinder P.; Kleinfeld D.; Hirase H.; Mori Y.; Nedergaard M. | |
发表日期 | 2020 |
ISSN | 10959203 |
卷号 | 367期号:6483 |
英文摘要 | Stroke affects millions each year. Poststroke brain edema predicts the severity of eventual stroke damage, yet our concept of how edema develops is incomplete and treatment options remain limited. In early stages, fluid accumulation occurs owing to a net gain of ions, widely thought to enter from the vascular compartment. Here, we used magnetic resonance imaging, radiolabeled tracers, and multiphoton imaging in rodents to show instead that cerebrospinal fluid surrounding the brain enters the tissue within minutes of an ischemic insult along perivascular flow channels. This process was initiated by ischemic spreading depolarizations along with subsequent vasoconstriction, which in turn enlarged the perivascular spaces and doubled glymphatic inflow speeds. Thus, our understanding of poststroke edema needs to be revised, and these findings could provide a conceptual basis for development of alternative treatment strategies. Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. |
关键词 | aquaporin 5animalbrain edemaC57BL mousecerebrospinal fluidcerebrovascular accidentcomplicationdiagnostic imagingmalemetabolismmousenuclear magnetic resonance imagingpathophysiologyvasoconstrictionAnimalsAquaporin 5Brain EdemaGlymphatic SystemMagnetic Resonance ImagingMaleMiceMice, Inbred C57BLStrokeVasoconstriction |
语种 | 英语 |
来源机构 | Science (New York, N.Y.) |
文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/133645 |
推荐引用方式 GB/T 7714 | Mestre H.,Du T.,Sweeney A.M.,et al. Cerebrospinal fluid influx drives acute ischemic tissue swelling[J]. Science (New York, N.Y.),2020,367(6483). |
APA | Mestre H..,Du T..,Sweeney A.M..,Liu G..,Samson A.J..,...&Nedergaard M..(2020).Cerebrospinal fluid influx drives acute ischemic tissue swelling.,367(6483). |
MLA | Mestre H.,et al."Cerebrospinal fluid influx drives acute ischemic tissue swelling".367.6483(2020). |
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