Evidence map›Paper›PMID 40409317›Full record

ReviewThe Lancet. Neurology2025

CSF transport at the brain-meningeal border: effects on neurological health and disease.

Liliana M Pinho-Correia, Samuel J C McCullough, Hashmat Ghanizada, Maiken Nedergaard, Justin Rustenhoven, Sandro Da Mesquita

Abstract readReview
In one paragraph

Review in The Lancet. Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

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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

6 authors.

Liliana M Pinho-CorreiaDepartment of Neuroscience, Mayo Clinic, Jacksonville, FL, USA.
Samuel J C McCulloughDepartment of Pharmacology, University of Auckland, Auckland, New Zealand.
Hashmat GhanizadaCenter for Translational Neuromedicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Maiken NedergaardCenter for Translational Neuromedicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark; Center for Translational Neuromedicine, University of Rochester Medical School, Rochester, NY, USA.
Justin RustenhovenDepartment of Pharmacology, University of Auckland, Auckland, New Zealand.
Sandro Da MesquitaDepartment of Neuroscience, Mayo Clinic, Jacksonville, FL, USA. Electronic address: damesquita@mayo.edu.

Funding

Viral Tool Development Core: Visualization and manipulation of brain fluid dynamics by recombinant viral vectorsU19NS128613 · NINDS · UNIVERSITY OF ROCHESTER · PI Laura Diane Lewis · 2022 to 2026
$13.6M
The glymphatic system at the crossroad of integrative health approaches inchronic painR01AT011439 · NCCIH · UNIVERSITY OF ROCHESTER · PI NEDERGAARD, MAIKEN · 2021 to 2025
$3.1M
Role of apoE-mediated meningeal lymphatic remodeling in the pathophysiology of Alzheimer’s diseaseRF1AG080556 · NIA · MAYO CLINIC JACKSONVILLE · PI DA MESQUITA, SANDRO · 2023 to 2023
$2.3M
Disruption of restorative processes in chronic stress: An integrated cellular approachR01AT012707 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI Chiara Cirelli, Maiken Nedergaard · 2024 to 2026
$2.0M
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 AT011439NCCIH NIH HHS R01 AT012312NCCIH NIH HHS R01 AT012707NIA NIH HHS RF1 AG080556NINDS NIH HHS U19 NS128613
6 · The paper itself

Abstract

The existence of specialised structures that allow a continuous exchange of CSF between different anatomical compartments at the brain-meningeal border is challenging conventional notions around molecular transport within the brain. Experimental findings highlight the conduits and cellular structures controlling the transport of CSF and immune cells between the brain parenchyma (via the glymphatic system), the subarachnoid space (enclosed by the meningeal pia and arachnoid layers), and the outmost meningeal dural layer and calvaria (via the so-called arachnoid cuff exit points). Studies in both rodent models and humans show new mechanisms of brain glymphatic molecular transport, meningeal lymphatic vascular drainage, and immune surveillance at the brain-draining skull bone marrow and cervical lymph nodes. Pathological alterations at the brain-meningeal border have been implicated in disorders of diverse causes, from traumatic brain injury to Alzheimer's disease.

Indexed as

BrainCerebrospinal FluidMeningesNervous System DiseasesAnimalsBiological TransportGlymphatic SystemHumans

Identifiers

PMID40409317
PMCPMC12315021

What OpenQuestion holds

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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.