Evidence map›Paper›PMID 40611635›Full record

ReviewHistology and histopathology2025

The integrity of perivascular spaces is absolutely essential for proper function of the glymphatic system waste and excess water removal from the brain.

Melvin R Hayden, Neetu Tyagi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Histology and histopathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

2 authors.

Melvin R HaydenDepartment of Internal Medicine, Endocrinology Diabetes and Metabolism, Diabetes and Cardiovascular Disease Center1, University of Missouri School of Medicine, One Hospital Drive, Columbia, MO, USA. mrh29pete@gmail.com.
Neetu TyagiDepartment of Physiology, University of Louisville School of Medicine, Louisville, KY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interest in normal perivascular spaces (PVS) and their evolution to a pathogenic, remodeled enlarged perivascular spaces (EPVS) have increased in parallel with the recently described glymphatic system pathway (GS) during the past decade. EPVS on magnetic resonance images have been shown to be a biomarker for neurovascular, neuroinflammatory, and neurodegenerative diseases. Thus, the integrity of the PVS is absolutely essential for the proper function of the GS. The mechanisms involved in the evolution of PVS to EPVS are a hot topic in research and as we better understand the pericapillary venules and vein's role regarding the GS via higher resolution imaging some of the missing pieces of this puzzle will evolve. The GS is currently known to absolutely depend on the brain's existing PVS to provide a channel for the efflux of neurotoxic substances such as accumulated neurodegenerative misfolded proteins, proinflammatory cytokines/chemokines, leukocytes, and metabolic, proteolytic debris. The perivascular unit contains both the normal PVS and the pathologic remodeled EPVS and allows for a space to house incoming leukocytes to undergo excessive cellular crosstalk of leukocytes and the resident perivascular macrophage to result in neuroinflammation. Additionally, the polarized aquaporin 4 water channels are essential in waste and excess water removal by the GS.

Indexed as

Body WaterGlymphatic SystemAnimalsAquaporin 4HumansLeukocytesMacrophagesNeuroinflammatory DiseasesNeurotoxinsAquaporin 4Neurotoxins

Identifiers

PMID40611635

What Socratic holds

Textmetadata
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.