Task Description: |
This original project is currently in no-cost extension, and a directed study is being performed, “Dose-Response Relationship of CO2 and Glymphatic Function.” This Annual Report covers the directed study only, as a final report has been previously submitted for the original project. Recent characterizations of glymphatic and meningeal lymphatic systems in rodents and in humans has resulted in a re-evaluation of the anatomical routes for cerebrospinal fluid (CSF) and interstitial fluid flow, as well as the physiological roles for these pathways in central nervous system (CNS) health. Information on the brain glial lymphatic, or ‘glymphatic’ pathway in humans was published in just the past two years, and described in mice in 2012 (Iliff et al. 2012, Iliff et al. 2013, de Leon et al. 2017, Ringstad et al. 2017). A bona fide lymphatic vasculature lining dural sinuses and meninges was first described in mice in 2015, and 2017 in humans (Aspelund et al. 2015, Louveau et al. 2015, Absinta et al. 2017). Fundamentally, research is needed to confirm whether specific factors driving this flow in rodents also apply to humans. These questions have direct relevance to NASA mission operations because, in addition to changing in response to irregular sleep patterns, it has been hypothesized that changes in cerebral blood flow (CBF) and molecular signaling in response to exercise, hypo/hyperoxia, and hypo/hypercarbia can have a significant impact on glymphatic function (Xie et al. 2013). No data currently exist specific to glymphatic responses from hypercapnia in humans or in mice. It is compelling, however, that nearly half of the subjects participating in a recent head down tilt bed rest campaign (“VaPER”), which combined 30 days of bed rest with 0.5% CO2 levels, developed early signs of SANS (Laurie et al. 2019). These subjects also exhibited other “hits” in Zwart and Smith’s multiple hit model of SANS, including B vitamin status and genotype for 1-carbon metabolism genes (Zwart et al. 2019). Thus, it is important to examine whether elevated CO2 impacts clearance through the brain’s glymphatic system, providing a potential mechanism through which elevated CO2 might be associated with SANS. Therefore, in the current directed project, we are conducting a dose-response investigation of whether and how CO2 levels impact contrast clearance through the brain’s glympatic system. Preliminary results show clearance of injected contrast through to various brain and optic regions over a period of six hours in ambient air.
References
Iliff, J. J., M. Wang, Y. Liao, B. A. Plogg and W. Peng (2012). "A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid ß." Sci Transl Med 4: 147ra111.
Iliff, J. J., H. Lee and M. Yu (2013). "Brain-wide pathway for waste clearance captured by contrast- enhanced MRI." J Clin Invest 123: 1299-1309.
de Leon, M. J., Y. Li and N. Okamura (2017). "Cerebrospinal fluid clearance in Alzheimer disease measured with dynamic PET." J Nucl Med 58: 1471-1476.
Ringstad, G., S. A. S. Vatnehol and P. K. Eide (2017). "Glymphatic MRI in idiopathic normal pressure hydrocephalus." Brain 140: 2691-2705.
Aspelund, A., S. Antila, S. T. Proulx, T. V. Karlsen, S. Karaman, M. Detmar, H. Wiig and K. Alitalo (2015). "A dural lymphatic vascular system that drains brain interstitial fluid and macromolecules." J Exp Med 212: 991-999.
Louveau, A., I. Smirnov, T. J. Keyes, J. D. Eccles, S. J. Rouhani, J. D. Peske, N. C. Derecki, D. Castle, J. W. Mandell, K. S. Lee, T. H. Harris and J. Kipnis (2015). "Structural and functional features of central nervous system lymphatic vessels." Nature 523: 337-341.
Absinta, M., S. K. Ha and G. Nair (2017). "Human and nonhuman primate meninges harbor lymphatic vessels that can be visualized noninvasively by MRI." Elife 6: e29738.
Xie, L., H. Kang, Q. Xu, M. J. Chen, Y. Liao, M. Thiyagarajan, J. O’Donnell, D. J. Christensen, C. Nicholson, J. J. Iliff, T. Takano, R. Deane and M. Nedergaard (2013). "Sleep drives metabolite clearance from the adult brain." Science 342: 373-377.
Laurie, S., Macias, BR, Dunn, JT, Young, M, Stern, C, Lee, SM, & Stenger, MB (2019). "Optic disc edema after 30 days of strict head-down tilt bed rest." Ophthalmology 126(3): 467-468.
Zwart, S., Laurie, SS, Chen, JJ, Macias, BR, Lee, SMC, Stenger, M, Grantham, B, Carey, K, Young, M, & Smith, SM (2019). "Association of genetics and B vitamin status with the magnitude of optic disc edema during 30-day strict head-down tilt bed rest." JAMA Ophthalmol 137(10):1195–1200. |