Evidence map›Paper›PMID 31104026›Full record

ArticleJournal of Alzheimer's disease : JAD2019

Impaired Peripheral Lymphatic Function and Cerebrospinal Fluid Outflow in a Mouse Model of Alzheimer's Disease.

Sunkuk Kwon, Ines Moreno-Gonzalez, Kathleen Taylor-Presse, George Edwards Iii, Nazaret Gamez, Olivia Calderon, Banghe Zhu, Fred Christian Velasquez, Claudio Soto, Eva M Sevick-Muraca

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 25% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Intrathecal drug delivery in the era of nanomedicine.Advanced drug delivery reviews · 2020
    Pooled it
  2. Review
  3. [Research progress on vascular endothelial growth factor C in meningeal lymphatic vessel-mediated clearance of amyloid β-protein].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  4. Article
  5. Article
  6. Neuroinflammation in Alzheimer disease.Nature reviews. Immunology · 2025
    Review
  7. Article
  8. T Cells Trafficking into the Brain in Aging and Alzheimer's Disease.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2024
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Arachnoid membrane as a source of sphingosine-1-phosphate that regulates mouse middle cerebral artery tone.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article
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

10 authors at 2 institutions in 1 country.

Sunkuk KwonCenter for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, Houston, TX, USA.
Ines Moreno-GonzalezMitchell Center for Alzheimer's disease and Related Brain Disorders, Department of Neurology, The University of Texas Health Science Center, Houston, TX, USA.
Kathleen Taylor-PresseMitchell Center for Alzheimer's disease and Related Brain Disorders, Department of Neurology, The University of Texas Health Science Center, Houston, TX, USA.
George Edwards IiiMitchell Center for Alzheimer's disease and Related Brain Disorders, Department of Neurology, The University of Texas Health Science Center, Houston, TX, USA.
Nazaret GamezMitchell Center for Alzheimer's disease and Related Brain Disorders, Department of Neurology, The University of Texas Health Science Center, Houston, TX, USA.
Olivia CalderonMitchell Center for Alzheimer's disease and Related Brain Disorders, Department of Neurology, The University of Texas Health Science Center, Houston, TX, USA.
Banghe ZhuCenter for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, Houston, TX, USA.
Fred Christian VelasquezCenter for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, Houston, TX, USA.
Claudio SotoMitchell Center for Alzheimer's disease and Related Brain Disorders, Department of Neurology, The University of Texas Health Science Center, Houston, TX, USA.
Eva M Sevick-MuracaCenter for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, Houston, TX, USA.
The University of Texas Health Science Center at Houston · USBrown Foundation · US

Funding

Age-related lymphatic dysfunction enhances the pathogenesis of Alzheimer's diseaseR56AG057581 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SEVICK, EVA M., SOTO, CLAUDIO · 2018 to 2018
$728k
NIA NIH HHS R56 AG057581
6 · The paper itself

Abstract

Cerebrospinal fluid (CSF) outflow from the brain occurs through absorption into the arachnoid villi and, more predominantly, through meningeal and olfactory lymphatics that ultimately drain into the peripheral lymphatics. Impaired CSF outflow has been postulated as a contributing mechanism in Alzheimer's disease (AD). Herein we conducted near-infrared fluorescence imaging of CSF outflow into the peripheral lymph nodes (LNs) and of peripheral lymphatic function in a transgenic mouse model of AD (5XFAD) and wild-type (WT) littermates. CSF outflow was assessed from change in fluorescence intensity in the submandibular LNs as a function of time following bolus, an intrathecal injection of indocyanine green (ICG). Peripheral lymphatic function was measured by assessing lymphangion contractile function in lymphatics draining into the popliteal LN following intradermal ICG injection in the dorsal aspect of the hind paw. The results show 1) significantly impaired CSF outflow into the submandibular LNs of 5XFAD mice and 2) reduced contractile frequency in the peripheral lymphatics as compared to WT mice. Impaired CSF clearance was also evidenced by reduction of fluorescence on ventral surfaces of extracted brains of 5XFAD mice at euthanasia. These results support the hypothesis that lymphatic congestion caused by reduced peripheral lymphatic function could limit CSF outflow and may contribute to the cause and/or progression of AD.

Indexed as

Alzheimer DiseaseAnimalsBrainBrain ChemistryCerebrospinal FluidEvans BlueFemaleHumansInjections, SpinalLymphatic VesselsMaleMiceMice, TransgenicSpectroscopy, Near-InfraredEvans BlueCerebrospinal fluid outflowfluorescence imagingintrathecallymphatic system

Identifiers

PMID31104026
PMCPMC7891904
OpenAlexW2946392820

What OpenQuestion holds

Textmetadata
LicenceTDM
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.