Evidence map›Paper›PMID 41645186›Full record

ArticleFluids and barriers of the CNS2026

Estimation of metabolic water production in human and rat brain and spinal cord.

Cecilie R Hvass, Shai D Ben-Shoshan, Jonathan F Carlsen, Blanca I Aldana, Bjørn Quistorff, Adam E Hansen, Nanna MacAulay

Abstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Cecilie R HvassDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3B, Copenhagen, DK-2200, Denmark.ORCID http://orcid.org/0009-0008-9355-1616
Shai D Ben-ShoshanDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3B, Copenhagen, DK-2200, Denmark.ORCID http://orcid.org/0009-0009-2135-8646
Jonathan F CarlsenDepartment of Diagnostic Radiology, Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6724-7281
Blanca I AldanaDepartment of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-5027-1218
Bjørn QuistorffDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-7556-9005
Adam E HansenDepartment of Diagnostic Radiology, Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6457-1537
Nanna MacAulayDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3B, Copenhagen, DK-2200, Denmark. macaulay@sund.ku.dk.ORCID http://orcid.org/0000-0002-7800-6600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebrospinal fluid (CSF) is vital to maintain brain homeostasis by facilitating waste removal, nutrient transport, and regulation of intracranial pressure. The choroid plexus is generally assigned as the primary source of CSF secretion, but it remains unresolved to what extent water produced during cellular metabolism in the central nervous system contributes to the CSF pool.

methodsBrain and spinal cord parenchyma volumes in rats (n = 6) and humans (n = 6) were assessed with volumetric magnetic resonance imaging. Segmentation techniques were applied to obtain the mass of metabolically active tissue. The volume of H2O produced as a biproduct of glucose oxidation was estimated based on the established oxygen consumption of these tissues.

resultsWe estimate a metabolic H2O production within the brain and spinal cord tissue of 0.078 µL/min in rats and 28.5 µL/min in humans, which amounts to 1–8% of the volume of CSF secreted into the ventricular compartment.

conclusionsOur results demonstrate a minor contribution of the metabolically produced water to the collective CSF pool in rats and humans, notwithstanding that part of the estimated H2O production is likely absorbed by other H2O-utilizing enzymatic processes. Our findings thus support the longstanding view that the choroid plexus is a key contributor to CSF secretion, with potential implications for future understanding and management of pressure-related brain disorders.

Indexed as

BrainCerebrospinal FluidSpinal CordWaterAdultAnimalsChoroid PlexusFemaleHumansMagnetic Resonance ImagingMaleRatsWaterCerebrospinal fluidChoroid plexusCSF dynamicsCSF secretionMRI

Identifiers

PMID41645186
PMCPMC12903525

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Registered trials

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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.