Evidence map›Paper›PMID 29396480›Full record

ArticleScientific reports2018

Beneficial effects of low alcohol exposure, but adverse effects of high alcohol intake on glymphatic function.

Iben Lundgaard, Wei Wang, Allison Eberhardt, Hanna Sophia Vinitsky, Benjamin Cameron Reeves, Sisi Peng, Nanhong Lou, Rashad Hussain, Maiken Nedergaard

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
4.6field-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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Glymphatic function in humans: indicators, modulators, and measurement strategies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
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  18. Cerebral amyloid angiopathy: a narrative review.Frontiers in aging neuroscience · 2025
    Review
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  20. Review

12 more citing papers are in PubMed but not listed here.

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

9 authors at 2 institutions in 3 countries.

Iben LundgaardCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA. Iben_Lundgaard@URMC.Rochester.edu.
Wei WangCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Allison EberhardtCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Hanna Sophia VinitskyCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Benjamin Cameron ReevesCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Sisi PengCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Nanhong LouCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Rashad HussainCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
Maiken NedergaardCenter for Translational Neuromedicine, Department of Neurosurgery, University of Rochester, Rochester, NY, 14642, USA.
University of Rochester · USUniversity of Copenhagen · DK

Funding

Para-Vascular Basis of Small Vessel DiseaseR01NS100366 · NINDS · UNIVERSITY OF ROCHESTER · PI NEDERGAARD, MAIKEN · 2016 to 2020
$3.8M
Age and AD related bottlenecks in glymphatic-lymphatic waste transportRF1AG057575 · NIA · UNIVERSITY OF ROCHESTER · PI NEDERGAARD, MAIKEN · 2017 to 2017
$3.2M
Glymphatic function in a transgenic rat model of Alzheimer's diseaseR01AG048769 · NIA · UNIVERSITY OF ROCHESTER · PI BENVENISTE, HELENE D, NEDERGAARD, MAIKEN · 2014 to 2018
$1.4M
NIA NIH HHS R01 AG048769NIA NIH HHS RF1 AG057575NINDS NIH HHS R01 NS100366
6 · The paper itself

Abstract

Prolonged intake of excessive amounts of ethanol is known to have adverse effects on the central nervous system (CNS). Here we investigated the effects of acute and chronic ethanol exposure and withdrawal from chronic ethanol exposure on glymphatic function, which is a brain-wide metabolite clearance system connected to the peripheral lymphatic system. Acute and chronic exposure to 1.5 g/kg (binge level) ethanol dramatically suppressed glymphatic function in awake mice. Chronic exposure to 1.5 g/kg ethanol increased GFAP expression and induced mislocation of the astrocyte-specific water channel aquaporin 4 (AQP4), but decreased the levels of several cytokines. Surprisingly, glymphatic function increased in mice treated with 0.5 g/kg (low dose) ethanol following acute exposure, as well as after one month of chronic exposure. Low doses of chronic ethanol intake were associated with a significant decrease in GFAP expression, with little change in the cytokine profile compared with the saline group. These observations suggest that ethanol has a J-shaped effect on the glymphatic system whereby low doses of ethanol increase glymphatic function. Conversely, chronic 1.5 g/kg ethanol intake induced reactive gliosis and perturbed glymphatic function, which possibly may contribute to the higher risk of dementia observed in heavy drinkers.

Indexed as

Alcohol DrinkingAlcoholismAnimalsAquaporin 4CytokinesDementiaEthanolGliosisGlymphatic SystemMaleMiceMice, Inbred C57BLSleepAqp4 protein, mouseAquaporin 4CytokinesEthanol

Identifiers

PMID29396480
PMCPMC5797082
OpenAlexW2794832241

What OpenQuestion 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 OpenQuestion graph.