Brain lymphatic vessels accompanying meningeal arteries in the human

Introduction: Recent studies showed the connection between cerebrospinal fluid (CSF) and deep cervical lymph nodes (dCLN) via lymphatic vessels (LV)s. These LVs accompany dural sinuses, cranial nerves, and arteries. The present study aimed to show in addition to the main trunk of the middle meningea...

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Main Authors: Safiye Çavdar, Damlasu Altınöz, Tevriz Dilan Demir, Acar Bayraktaroğlu, İlke Ali Gürses, Gülnihal Özcan
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Translational Research in Anatomy
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214854X24000438
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author Safiye Çavdar
Damlasu Altınöz
Tevriz Dilan Demir
Acar Bayraktaroğlu
İlke Ali Gürses
Gülnihal Özcan
author_facet Safiye Çavdar
Damlasu Altınöz
Tevriz Dilan Demir
Acar Bayraktaroğlu
İlke Ali Gürses
Gülnihal Özcan
author_sort Safiye Çavdar
collection DOAJ
description Introduction: Recent studies showed the connection between cerebrospinal fluid (CSF) and deep cervical lymph nodes (dCLN) via lymphatic vessels (LV)s. These LVs accompany dural sinuses, cranial nerves, and arteries. The present study aimed to show in addition to the main trunk of the middle meningeal artery (MMA) whether the anterior and posterior branches of MMA; the anterior (AMA) and posterior (PMA) meningeal arteries also have a role in brain lymphatic drainage in humans. Materials and method: Samples of the middle meningeal artery (MMA) and its two main branches (anterior and posterior), anterior and posterior meningeal arteries (AMA and PMA) were obtained from 3 cadavers and 6 autopsies. Podoplanin (PDPN) (lymphatic endothelial marker) and CD31 (vascular endothelial marker) immunohistochemistry (IHC) were applied to 5 μm thick transverse sections and counterstained with hematoxylin. Furthermore, western blotting techniques were applied to the same tissue samples in 3 autopsy cases to demonstrate the presence of PDPN. Results: We observed the presence of the LVs along the main trunk of MMA and its two branches, AMA, and PMA. The LVs along the MMA (main trunk) had a larger diameter range than its branches and the AMA and PMA. The diameter of LVs of the PMA was larger than AMA. Furthermore, fluid channels with varying diameters and densities were closely localized to the LVs. The western blot PDPN protein expression confirmed IHC results. Conclusion: The LVs along the main trunk, anterior and posterior branches of the MMA, AMA, and PMA also provide an extracranial pathway for thought drainage of waste from the brain tissue in humans. Thus, the organization of the extracranial transport of LVs of the brain should be well-defined for understanding the role of lymphatic drainage in various neurological diseases.
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spelling doaj-art-c937e8d779794edea24448c3ba4efcc22024-11-16T05:11:17ZengElsevierTranslational Research in Anatomy2214-854X2024-11-0137100321Brain lymphatic vessels accompanying meningeal arteries in the humanSafiye Çavdar0Damlasu Altınöz1Tevriz Dilan Demir2Acar Bayraktaroğlu3İlke Ali Gürses4Gülnihal Özcan5Department of Anatomy, Koç University, School of Medicine, Rumelifener Yolu, Istanbul, Turkey; Corresponding author. Koç University, School of Medicine, Department of Anatomy, Rumelifeneri, 34450, Sarıyer, Istanbul, Turkey.Department of Anatomy, Koç University, School of Medicine, Rumelifener Yolu, Istanbul, TurkeyKoç University Research Center for Translational Medicine (KUTTAM), Rumelifener Yolu, Istanbul, TurkeyDepartment of Anatomy, Koç University, School of Medicine, Rumelifener Yolu, Istanbul, TurkeyDepartment of Anatomy, Koç University, School of Medicine, Rumelifener Yolu, Istanbul, TurkeyKoç University Research Center for Translational Medicine (KUTTAM), Rumelifener Yolu, Istanbul, Turkey; Department of Medical Pharmacology, Koç University, School of Medicine, Rumelifener Yolu, Istanbul, TurkeyIntroduction: Recent studies showed the connection between cerebrospinal fluid (CSF) and deep cervical lymph nodes (dCLN) via lymphatic vessels (LV)s. These LVs accompany dural sinuses, cranial nerves, and arteries. The present study aimed to show in addition to the main trunk of the middle meningeal artery (MMA) whether the anterior and posterior branches of MMA; the anterior (AMA) and posterior (PMA) meningeal arteries also have a role in brain lymphatic drainage in humans. Materials and method: Samples of the middle meningeal artery (MMA) and its two main branches (anterior and posterior), anterior and posterior meningeal arteries (AMA and PMA) were obtained from 3 cadavers and 6 autopsies. Podoplanin (PDPN) (lymphatic endothelial marker) and CD31 (vascular endothelial marker) immunohistochemistry (IHC) were applied to 5 μm thick transverse sections and counterstained with hematoxylin. Furthermore, western blotting techniques were applied to the same tissue samples in 3 autopsy cases to demonstrate the presence of PDPN. Results: We observed the presence of the LVs along the main trunk of MMA and its two branches, AMA, and PMA. The LVs along the MMA (main trunk) had a larger diameter range than its branches and the AMA and PMA. The diameter of LVs of the PMA was larger than AMA. Furthermore, fluid channels with varying diameters and densities were closely localized to the LVs. The western blot PDPN protein expression confirmed IHC results. Conclusion: The LVs along the main trunk, anterior and posterior branches of the MMA, AMA, and PMA also provide an extracranial pathway for thought drainage of waste from the brain tissue in humans. Thus, the organization of the extracranial transport of LVs of the brain should be well-defined for understanding the role of lymphatic drainage in various neurological diseases.http://www.sciencedirect.com/science/article/pii/S2214854X24000438Anterior meningeal arteryMiddle meningeal arteryPosterior meningeal arteryDura materMeningeal lymphatic vessels
spellingShingle Safiye Çavdar
Damlasu Altınöz
Tevriz Dilan Demir
Acar Bayraktaroğlu
İlke Ali Gürses
Gülnihal Özcan
Brain lymphatic vessels accompanying meningeal arteries in the human
Translational Research in Anatomy
Anterior meningeal artery
Middle meningeal artery
Posterior meningeal artery
Dura mater
Meningeal lymphatic vessels
title Brain lymphatic vessels accompanying meningeal arteries in the human
title_full Brain lymphatic vessels accompanying meningeal arteries in the human
title_fullStr Brain lymphatic vessels accompanying meningeal arteries in the human
title_full_unstemmed Brain lymphatic vessels accompanying meningeal arteries in the human
title_short Brain lymphatic vessels accompanying meningeal arteries in the human
title_sort brain lymphatic vessels accompanying meningeal arteries in the human
topic Anterior meningeal artery
Middle meningeal artery
Posterior meningeal artery
Dura mater
Meningeal lymphatic vessels
url http://www.sciencedirect.com/science/article/pii/S2214854X24000438
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