Evidence map›Paper›PMID 32819402›Full record

ArticleFluids and barriers of the CNS2020

Functional hyperemia drives fluid exchange in the paravascular space.

Ravi Teja Kedarasetti, Kevin L Turner, Christina Echagarruga, Bruce J Gluckman, Patrick J Drew, Francesco Costanzo

Open access · goldAbstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 70 citations in OpenAlex.

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  4. Stretch and flow at the gliovascular interface: High-fidelity modeling of astrocyte endfeet.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  9. The blood-brain barrier: a help and a hindrance.Brain : a journal of neurology · 2025
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  11. Navigating Central Oxytocin Transport: Known Realms and Uncharted Territories.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2025
    Review
  12. Article
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  15. A brain-wide solute transport model of the glymphatic system.Journal of the Royal Society, Interface · 2024
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ravi Teja KedarasettiCenter for Neural Engineering, The Pennsylvania State University, University Park, PA, USA.
Kevin L TurnerCenter for Neural Engineering, The Pennsylvania State University, University Park, PA, USA.
Christina EchagarrugaCenter for Neural Engineering, The Pennsylvania State University, University Park, PA, USA.
Bruce J GluckmanCenter for Neural Engineering, The Pennsylvania State University, University Park, PA, USA.
Patrick J DrewCenter for Neural Engineering, The Pennsylvania State University, University Park, PA, USA. pjd17@psu.edu.ORCID http://orcid.org/0000-0002-7483-7378
Francesco CostanzoCenter for Neural Engineering, The Pennsylvania State University, University Park, PA, USA. fxc8@psu.edu.
Pennsylvania State University · US

Funding

National Science Foundation (US) CBET 1705854
6 · The paper itself

Abstract

The brain lacks a conventional lymphatic system to remove metabolic waste. It has been proposed that directional fluid movement through the arteriolar paravascular space (PVS) promotes metabolite clearance. We performed simulations to examine if arteriolar pulsations and dilations can drive directional CSF flow in the PVS and found that arteriolar wall movements do not drive directional CSF flow. We propose an alternative method of metabolite clearance from the PVS, namely fluid exchange between the PVS and the subarachnoid space (SAS). In simulations with compliant brain tissue, arteriolar pulsations did not drive appreciable fluid exchange between the PVS and the SAS. However, when the arteriole dilated, as seen during functional hyperemia, there was a marked exchange of fluid. Simulations suggest that functional hyperemia may serve to increase metabolite clearance from the PVS. We measured blood vessels and brain tissue displacement simultaneously in awake, head-fixed mice using two-photon microscopy. These measurements showed that brain deforms in response to pressure changes in PVS, consistent with our simulations. Our results show that the deformability of the brain tissue needs to be accounted for when studying fluid flow and metabolite transport.

Indexed as

AnimalsArteriolesBrainCerebrospinal FluidHumansHyperemiaModels, NeurologicalSubarachnoid Space

Identifiers

PMID32819402
PMCPMC7441569
OpenAlexW3066520761

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.