The mechanisms behind perivascular fluid flow.

Flow of cerebrospinal fluid (CSF) in perivascular spaces (PVS) is one of the key concepts involved in theories concerning clearance from the brain. Experimental studies have demonstrated both net and oscillatory movement of microspheres in PVS (Mestre et al. (2018), Bedussi et al. (2018)). The oscil...

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Main Authors: Cécile Daversin-Catty, Vegard Vinje, Kent-André Mardal, Marie E Rognes
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0244442
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author Cécile Daversin-Catty
Vegard Vinje
Kent-André Mardal
Marie E Rognes
author_facet Cécile Daversin-Catty
Vegard Vinje
Kent-André Mardal
Marie E Rognes
author_sort Cécile Daversin-Catty
collection DOAJ
description Flow of cerebrospinal fluid (CSF) in perivascular spaces (PVS) is one of the key concepts involved in theories concerning clearance from the brain. Experimental studies have demonstrated both net and oscillatory movement of microspheres in PVS (Mestre et al. (2018), Bedussi et al. (2018)). The oscillatory particle movement has a clear cardiac component, while the mechanisms involved in net movement remain disputed. Using computational fluid dynamics, we computed the CSF velocity and pressure in a PVS surrounding a cerebral artery subject to different forces, representing arterial wall expansion, systemic CSF pressure changes and rigid motions of the artery. The arterial wall expansion generated velocity amplitudes of 60-260 μm/s, which is in the upper range of previously observed values. In the absence of a static pressure gradient, predicted net flow velocities were small (<0.5 μm/s), though reaching up to 7 μm/s for non-physiological PVS lengths. In realistic geometries, a static systemic pressure increase of physiologically plausible magnitude was sufficient to induce net flow velocities of 20-30 μm/s. Moreover, rigid motions of the artery added to the complexity of flow patterns in the PVS. Our study demonstrates that the combination of arterial wall expansion, rigid motions and a static CSF pressure gradient generates net and oscillatory PVS flow, quantitatively comparable with experimental findings. The static CSF pressure gradient required for net flow is small, suggesting that its origin is yet to be determined.
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spelling doaj.art-f758f13b37664257aff06a2f88db48c82022-12-21T19:14:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011512e024444210.1371/journal.pone.0244442The mechanisms behind perivascular fluid flow.Cécile Daversin-CattyVegard VinjeKent-André MardalMarie E RognesFlow of cerebrospinal fluid (CSF) in perivascular spaces (PVS) is one of the key concepts involved in theories concerning clearance from the brain. Experimental studies have demonstrated both net and oscillatory movement of microspheres in PVS (Mestre et al. (2018), Bedussi et al. (2018)). The oscillatory particle movement has a clear cardiac component, while the mechanisms involved in net movement remain disputed. Using computational fluid dynamics, we computed the CSF velocity and pressure in a PVS surrounding a cerebral artery subject to different forces, representing arterial wall expansion, systemic CSF pressure changes and rigid motions of the artery. The arterial wall expansion generated velocity amplitudes of 60-260 μm/s, which is in the upper range of previously observed values. In the absence of a static pressure gradient, predicted net flow velocities were small (<0.5 μm/s), though reaching up to 7 μm/s for non-physiological PVS lengths. In realistic geometries, a static systemic pressure increase of physiologically plausible magnitude was sufficient to induce net flow velocities of 20-30 μm/s. Moreover, rigid motions of the artery added to the complexity of flow patterns in the PVS. Our study demonstrates that the combination of arterial wall expansion, rigid motions and a static CSF pressure gradient generates net and oscillatory PVS flow, quantitatively comparable with experimental findings. The static CSF pressure gradient required for net flow is small, suggesting that its origin is yet to be determined.https://doi.org/10.1371/journal.pone.0244442
spellingShingle Cécile Daversin-Catty
Vegard Vinje
Kent-André Mardal
Marie E Rognes
The mechanisms behind perivascular fluid flow.
PLoS ONE
title The mechanisms behind perivascular fluid flow.
title_full The mechanisms behind perivascular fluid flow.
title_fullStr The mechanisms behind perivascular fluid flow.
title_full_unstemmed The mechanisms behind perivascular fluid flow.
title_short The mechanisms behind perivascular fluid flow.
title_sort mechanisms behind perivascular fluid flow
url https://doi.org/10.1371/journal.pone.0244442
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