Impaired lymphatic cerebrospinal fluid absorption in a rat model of kaolin-induced communicating hydrocephalus

G. Nagra, J. Li, J. P. McAllister, J. Miller, Mark E. Wagshul, M. Johnston

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

It has been assumed that the pathogenesis of hydrocephalus includes a cerebrospinal fluid (CSF) absorption deficit. Because a significant portion of CSF absorption occurs into extracranial lymphatics located in the olfactory turbinates, the purpose of this study was to determine whether CSF transport was compromised at this location in a kaolin-induced communicating (extraventricular) hydrocephalus model in rats. Under 1-3% halothane anesthesia, kaolin (n = 10) or saline (n = 9) was introduced into the basal cisterns of Sprague-Dawley rats, and the development of hydrocephalus was assessed 1 wk later using MRI. After injection of human serum albumin (125I-HSA) into a lateral ventricle, the tracer enrichment in the olfactory turbinates 30 min postinjection provided an estimate of CSF transport through the cribriform plate into nasal lymphatics. Lateral ventricular volumes in the kaolin group (0.073 ± 0.014 ml) were significantly greater than those in the saline-injected animals (0.016 ± 0.001 ml; P = 0.0014). The CSF tracer enrichment in the olfactory turbinates (expressed as percent injected/g tissue) in the kaolin rats averaged 0.99 ± 0.39 and was significantly lower than that measured in the saline controls (5.86 ± 0.32; P < 0.00001). The largest degree of ventriculomegaly was associated with the lowest levels of lymphatic CSF uptake with lateral ventricular expansion occurring only when almost all of the lymphatic CSF transport capacity had been compromised. We conclude that lymphatic CSF absorption is impaired in a kaolin-communicating hydrocephalus model and that the degree of this impediment may contribute to the severity of the induced disease.

Original languageEnglish (US)
JournalAmerican Journal of Physiology - Regulatory Integrative and Comparative Physiology
Volume294
Issue number5
DOIs
StatePublished - May 2008
Externally publishedYes

Fingerprint

Kaolin
Hydrocephalus
Cerebrospinal Fluid
Turbinates
Ethmoid Bone
Lateral Ventricles
Halothane
Nose
Serum Albumin
Sprague Dawley Rats
Anesthesia
Injections

Keywords

  • Arachnoid villi and granulations
  • Cribriform plate
  • Extraventricular hydrocephalus
  • Intracranial pressure
  • Lymph
  • Olfactory turbinates
  • Ventriculomegaly

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)

Cite this

Impaired lymphatic cerebrospinal fluid absorption in a rat model of kaolin-induced communicating hydrocephalus. / Nagra, G.; Li, J.; McAllister, J. P.; Miller, J.; Wagshul, Mark E.; Johnston, M.

In: American Journal of Physiology - Regulatory Integrative and Comparative Physiology, Vol. 294, No. 5, 05.2008.

Research output: Contribution to journalArticle

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