Glymphatics Visualization after Focused Ultrasound-Induced Blood-Brain Barrier Opening in Humans.


Journal

Annals of neurology
ISSN: 1531-8249
Titre abrégé: Ann Neurol
Pays: United States
ID NLM: 7707449

Informations de publication

Date de publication:
12 2019
Historique:
received: 04 10 2018
revised: 13 09 2019
accepted: 13 09 2019
pubmed: 17 9 2019
medline: 9 4 2020
entrez: 17 9 2019
Statut: ppublish

Résumé

It is currently unclear whether the glymphatic system, a brain-wide interstitial fluid-cerebrospinal fluid exchange described in rodents, exists in humans. Focal blood-brain barrier disruption using magnetic resonance-guided focused ultrasound allows parenchymal penetration of gadobutrol contrast, creating an opportunity to study glymphatics in vivo noninvasively. We describe patterns of contrast distribution in the perivascular space, subarachnoid space, and space surrounding large veins draining toward the dural sinuses on fluid-attenuated inversion recovery in subjects with Alzheimer disease and amyotrophic lateral sclerosis. This is the first evidence suggesting glymphatic efflux persists in humans. It's relevance to proteinopathies and drug delivery is discussed. ANN NEUROL 2019;86:975-980.

Identifiants

pubmed: 31525269
doi: 10.1002/ana.25604
doi:

Types de publication

Case Reports Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

975-980

Subventions

Organisme : ALS Society of Canada
Pays : International
Organisme : Focused Ultrasound Foundation
Pays : International
Organisme : W. Garfield Weston Foundation
Pays : International

Informations de copyright

© 2019 American Neurological Association.

Références

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Auteurs

Ying Meng (Y)

Division of Neurosurgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto.
Sunnybrook Research Institute, University of Toronto.

Agessandro Abrahao (A)

Sunnybrook Research Institute, University of Toronto.
Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto.
Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto.

Chinthaka C Heyn (CC)

Sunnybrook Research Institute, University of Toronto.
Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto.

Allison J Bethune (AJ)

Division of Neurosurgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto.
Sunnybrook Research Institute, University of Toronto.

Yuexi Huang (Y)

Sunnybrook Research Institute, University of Toronto.

Christopher B Pople (CB)

Sunnybrook Research Institute, University of Toronto.

Isabelle Aubert (I)

Sunnybrook Research Institute, University of Toronto.
Laboratory Medicine and Pathobiology, University of Toronto.

Clement Hamani (C)

Division of Neurosurgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto.
Sunnybrook Research Institute, University of Toronto.
Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto.

Lorne Zinman (L)

Sunnybrook Research Institute, University of Toronto.
Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto.
Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto.

Kullervo Hynynen (K)

Sunnybrook Research Institute, University of Toronto.
Department of Medical Biophysics, University of Toronto.
Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.

Sandra E Black (SE)

Sunnybrook Research Institute, University of Toronto.
Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto.
Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto.

Nir Lipsman (N)

Division of Neurosurgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto.
Sunnybrook Research Institute, University of Toronto.
Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto.

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