Cerebrospinal fluid is a significant fluid source for anoxic cerebral oedema
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Cerebrospinal fluid is a significant fluid source for anoxic cerebral oedema. / Du, Ting; Mestre, Humberto; Kress, Benjamin T; Liu, Guojun; Sweeney, Amanda M; Samson, Andrew J; Rasmussen, Martin Kaag; Mortensen, Kristian Nygaard; Bork, Peter A R; Peng, Weiguo; Olveda, Genaro E; Bashford, Logan; Toro, Edna R; Tithof, Jeffrey; Kelley, Douglas H; Thomas, John H; Hjorth, Poul G; Martens, Erik A; Mehta, Rupal I; Hirase, Hajime; Mori, Yuki; Nedergaard, Maiken.
In: Brain, Vol. 145, No. 2, 2022, p. 787–797.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cerebrospinal fluid is a significant fluid source for anoxic cerebral oedema
AU - Du, Ting
AU - Mestre, Humberto
AU - Kress, Benjamin T
AU - Liu, Guojun
AU - Sweeney, Amanda M
AU - Samson, Andrew J
AU - Rasmussen, Martin Kaag
AU - Mortensen, Kristian Nygaard
AU - Bork, Peter A R
AU - Peng, Weiguo
AU - Olveda, Genaro E
AU - Bashford, Logan
AU - Toro, Edna R
AU - Tithof, Jeffrey
AU - Kelley, Douglas H
AU - Thomas, John H
AU - Hjorth, Poul G
AU - Martens, Erik A
AU - Mehta, Rupal I
AU - Hirase, Hajime
AU - Mori, Yuki
AU - Nedergaard, Maiken
N1 - © The Author(s) (2021). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For permissions, please email: journals.permissions@oup.com.
PY - 2022
Y1 - 2022
N2 - Cerebral edema develops after anoxic brain injury. In two models of asphyxial and asystolic cardiac arrest without resuscitation, we found that edema develops shortly after anoxia secondary to terminal depolarizations and the abnormal entry of cerebrospinal fluid (CSF). Edema severity correlated with the availability of CSF with the age-dependent increase in CSF volume worsening the severity of edema. Edema was identified primarily in brain regions bordering CSF compartments in mice and humans. The degree of ex vivo tissue swelling was predicted by an osmotic model suggesting that anoxic brain tissue possesses a high intrinsic osmotic potential. This osmotic process was temperature-dependent, proposing an additional mechanism for the beneficial effect of therapeutic hypothermia. These observations show that CSF is a primary source of edema fluid in anoxic brain. This novel insight offers a mechanistic basis for the future development of alternative strategies to prevent cerebral edema formation after cardiac arrest.
AB - Cerebral edema develops after anoxic brain injury. In two models of asphyxial and asystolic cardiac arrest without resuscitation, we found that edema develops shortly after anoxia secondary to terminal depolarizations and the abnormal entry of cerebrospinal fluid (CSF). Edema severity correlated with the availability of CSF with the age-dependent increase in CSF volume worsening the severity of edema. Edema was identified primarily in brain regions bordering CSF compartments in mice and humans. The degree of ex vivo tissue swelling was predicted by an osmotic model suggesting that anoxic brain tissue possesses a high intrinsic osmotic potential. This osmotic process was temperature-dependent, proposing an additional mechanism for the beneficial effect of therapeutic hypothermia. These observations show that CSF is a primary source of edema fluid in anoxic brain. This novel insight offers a mechanistic basis for the future development of alternative strategies to prevent cerebral edema formation after cardiac arrest.
U2 - 10.1093/brain/awab293
DO - 10.1093/brain/awab293
M3 - Journal article
C2 - 34581781
VL - 145
SP - 787
EP - 797
JO - Brain
JF - Brain
SN - 0006-8950
IS - 2
ER -
ID: 286847968