Evidence map›Paper›PMID 35962479›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2022

Effects of increased intracranial pressure on cerebrospinal fluid influx, cerebral vascular hemodynamic indexes, and cerebrospinal fluid lymphatic efflux.

Tangtang Xiang, Dongyi Feng, Xinjie Zhang, Yupeng Chen, Hanhua Wang, Xuanhui Liu, Zhitao Gong, Jiangyuan Yuan, Mingqi Liu, Zhuang Sha and 10 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.2field-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

32 citing papers in PubMed, 47 citations in OpenAlex.

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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

20 authors at 3 institutions in 2 countries.

Tangtang XiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Dongyi FengDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Xinjie ZhangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yupeng ChenDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Hanhua WangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Xuanhui LiuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0002-1015-9416
Zhitao GongDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Jiangyuan YuanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Mingqi LiuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Zhuang ShaDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Chuanxiang LvDepartment of Neurosurgery, The First Clinical Hospital, Jilin University, Changchun, China.
Weiwei JiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Meng NieDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yibing FanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Di WuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Shiying DongDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Jiancheng FengDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Eugene D PonomarevSchool of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China.
Jianning ZhangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Rongcai JiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Tianjin Medical University General Hospital · CNChinese University of Hong Kong · HKJilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The glymphatic-lymphatic fluid transport system (GLFTS) consists of glymphatic pathway and cerebrospinal fluid (CSF) lymphatic outflow routes, allowing biological liquids from the brain parenchyma to access the CSF along with perivascular space and to be cleaned out of the skull through lymphatic vessels. It is known that increased local pressure due to physical compression of tissue improves lymphatic transport in peripheral organs, but little is known about the exact relationship between increased intracranial pressure (IICP) and GLFTS. In this study, we verify our hypothesis that IICP significantly impacts GLFTS, and this effect depends on severity of the IICP. Using a previously developed inflating balloon model to induce IICP and inject fluorescent tracers into the cisterna magna, we found significant impairment of the glymphatic circulation after IICP. We further found that cerebrovascular occlusion occurred, and cerebrovascular pulsation decreased after IICP. IICP also interrupted the drainage of deep cervical lymph nodes and dorsal meningeal lymphatic function, enhancing spinal lymphatic outflow to the sacral lymph nodes. Notably, these effects were associated with the severity of IICP. Thus, our findings proved that the intensity of IICP significantly impacts GLFTS. This may have translational applications for preventing and treating related neurological disorders.

Indexed as

Glymphatic SystemIntracranial HypertensionLymphatic VesselsBrainCerebrospinal FluidHemodynamicsHumansIntracranial PressureLymphatic Systemcerebrospinal fluidGlymphatic systemincreased intracranial pressuremeningeal lymphatic vesselstraumatic brain injury

Identifiers

PMID35962479
PMCPMC9670008
OpenAlexW4291128466

What OpenQuestion 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 OpenQuestion graph.