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American Journal Of Pathology
Article . 2025 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Article . 2025
License: CC BY
Data sources: PubMed Central
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Distinct Role of Dural and Leptomeningeal Macrophages in Maintaining Cerebrospinal Fluid Drainage to Meningeal Lymphatic Vessels

Authors: Vikrim Lohat; Raffay Ilyas; Qing Wei; Darellynn Oo; Jingna Xue; Isabelle Horsman; Keith Keane; +3 Authors

Distinct Role of Dural and Leptomeningeal Macrophages in Maintaining Cerebrospinal Fluid Drainage to Meningeal Lymphatic Vessels

Abstract

Cerebrospinal fluid (CSF) drains along the perivascular space, known as the glymphatic system, to the meninges, where meningeal lymphatic vessels (MLVs) remove toxic products with excess CSF from the brain. Macrophages are widely present in the leptomeninges and dura mater of meninges. However, whether leptomeningeal and dural macrophages play the same or distinct roles in maintaining optimal CSF drainage remains unclear. Intracisterna magna injection of clodronate liposomes indicated a comprehensive depletion of leptomeningeal macrophages, a selective reduction in dural sinus-associated macrophages, a decreased density of MLVs, and disrupted CSF drainage. Macrophage depletion was associated with the infiltration of monocytes and the recovery of monocyte-derived macrophages. By day 14 after clodronate liposome, although both dural macrophages and MLVs had recovered, leptomeningeal macrophages and CSF drainage had not been restored. Furthermore, i.p. injection of anti-colony-stimulating factor 1 receptor antibody selectively depleted macrophages in the dura mater but not in the leptomeninges, without affecting MLVs or CSF drainage. The study suggests that leptomeningeal macrophages, distinct from the dural macrophages, are essential for CSF drainage to the MLVs.

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Keywords

Male, Mice, Inbred C57BL, Mice, Meninges, Receptors, Granulocyte-Macrophage Colony-Stimulating Factor, Macrophages, Animals, Regular Article, Dura Mater, Clodronic Acid, Glymphatic System, Lymphatic Vessels, Cerebrospinal Fluid

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
hybrid