Arterial pulsations drive oscillatory flow of CSF but not directional pumping.

Abstract:

:The brain lacks a traditional lymphatic system for metabolite clearance. The existence of a "glymphatic system" where metabolites are removed from the brain's extracellular space by convective exchange between interstitial fluid (ISF) and cerebrospinal fluid (CSF) along the paravascular spaces (PVS) around cerebral blood vessels has been controversial. While recent work has shown clear evidence of directional flow of CSF in the PVS in anesthetized mice, the driving force for the observed fluid flow remains elusive. The heartbeat-driven peristaltic pulsation of arteries has been proposed as a probable driver of directed CSF flow. In this study, we use rigorous fluid dynamic simulations to provide a physical interpretation for peristaltic pumping of fluids. Our simulations match the experimental results and show that arterial pulsations only drive oscillatory motion of CSF in the PVS. The observed directional CSF flow can be explained by naturally occurring and/or experimenter-generated pressure differences.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Kedarasetti RT,Drew PJ,Costanzo F

doi

10.1038/s41598-020-66887-w

subject

Has Abstract

pub_date

2020-06-22 00:00:00

pages

10102

issue

1

issn

2045-2322

pii

10.1038/s41598-020-66887-w

journal_volume

10

pub_type

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