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DOI10.1126/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
ISSN10959203
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
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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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