Evidence map›Paper›PMID 37727070›Full record

ArticleJournal of the Royal Society, Interface2023

Perivascular pumping of cerebrospinal fluid in the brain with a valve mechanism.

Yiming Gan, Stephanie Holstein-Rønsbo, Maiken Nedergaard, Kimberly A S Boster, John H Thomas, Douglas H Kelley

Open access · greenAbstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 36 citations in OpenAlex.

  1. High frame ratebioRxiv : the preprint server for biology · 2026
    Article
  2. Review
  3. Reconstructing cerebral lymphatic clearance: an emerging target in the Alzheimer's disease therapeutic pipeline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Sleep alters neurovascular and hydrodynamic coupling in the human brain.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Stretch and flow at the gliovascular interface: High-fidelity modeling of astrocyte endfeet.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Navigating Central Oxytocin Transport: Known Realms and Uncharted Territories.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2025
    Review
  17. Astrocytes at the heart of sleep: from genes to network dynamics.Cellular and molecular life sciences : CMLS · 2025
    Review
  18. Article
  19. Article
  20. Review
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

6 authors at 2 institutions in 2 countries.

Yiming GanDepartment of Mechanical Engineering, University of Rochester, Rochester, NY 14627, USA.ORCID 0000-0002-2463-6316
Stephanie Holstein-RønsboCenter for Translational Neuromedicine, University of Copenhagen, Copenhagen, Denmark.
Maiken NedergaardCenter for Translational Neuromedicine, University of Copenhagen, Copenhagen, Denmark.
Kimberly A S BosterDepartment of Mechanical Engineering, University of Rochester, Rochester, NY 14627, USA.ORCID 0000-0001-5178-128X
John H ThomasDepartment of Mechanical Engineering, University of Rochester, Rochester, NY 14627, USA.ORCID 0000-0002-7127-8654
Douglas H KelleyDepartment of Mechanical Engineering, University of Rochester, Rochester, NY 14627, USA.ORCID 0000-0001-9658-2954
University of Rochester · USUniversity of Copenhagen · DK

Funding

Viral Tool Development Core: Visualization and manipulation of brain fluid dynamics by recombinant viral vectorsU19NS128613 · NINDS · UNIVERSITY OF ROCHESTER · PI Maiken Nedergaard · 2022 to 2026
$13.6M
CRCNS: Waste-clearance flows in the brain measured using physics-informed neural networkR01AT012312 · NCCIH · UNIVERSITY OF ROCHESTER · PI Douglas H Kelley · 2022 to 2026
$1.6M
NCCIH NIH HHS R01 AT012312NINDS NIH HHS U19 NS128613
6 · The paper itself

Abstract

The flow of cerebrospinal fluid (CSF) along perivascular spaces (PVSs) is an important part of the brain's system for clearing metabolic waste. Experiments reveal that arterial motions from cardiac pulsations and functional hyperaemiadrive CSF in the same direction as the blood flow, but the mechanism producing this directionality is unclear. Astrocyte endfeet bound the PVSs of penetrating arteries, separating them from brain extracellular space (ECS) and potentially regulating flow between the two compartments. Here, we present two models, one based on the full equations of fluid dynamics and the other using lumped parameters, in which the astrocyte endfeet function as valves, regulating flow between the PVS and the ECS. In both models, cardiac pulsations drive a net CSF flow consistent with prior experimental observations. Functional hyperaemia, acting with cardiac pulsation, increases the net flow. We also find, in agreement with experiments, a reduced net flow during wakefulness, due to the known decrease in ECS permeability compared to the sleep state. We present

Indexed as

HyperemiaAgingAnimalsArteriesBrainHydrodynamicsMicecerebrospinal fluidglymphatic systemperivascular pumpingperivascular spaces

Identifiers

PMID37727070
PMCPMC10509587
OpenAlexW4386878269

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.