脑脊液循环研究新进展
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New progress in the study of cerebrospinal fluid circulation
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    摘要:

    脑脊液产生、运动和吸收的经典循环通路这一理论在近100年的历史上被公认和奉为经典理论。近年来,随着分子生物学检测手段和技术的进步,在脑脊液的产生、运动和吸收方面,从解剖学到基因层面都取得了突破性的发现。脑膜淋巴管的发现为脑脊液/代谢产物的吸收提供了新途径;类淋巴系统的出现为脑实质中脑脊液的产生和吸收提供了新的视角;纤毛的规律运动是脑脊液正常循环的重要因素;与脑积水产生相关基因的发现与确认为脑脊液循环障碍提供了新的理论基础;炎症等相关病原微生物、炎症相关细胞及因子、免疫相关细胞及因子等为脑脊液的产生和吸收贡献了新思路。以上这些新发现是对传统理论的巨大挑战,也可能是经典脑脊液循环的修正、补充、完善。本文对脑脊液循环相关问题进行了全面回顾,重点突出了近年来的新发现和新观点。

    Abstract:

    Dandy discovered the classical circulatory pathway for cerebrospinal fluid production, movement and absorption,a theory that has been recognized for nearly 100 years. In recent years, with the advancement of molecular biology detection methods and technologies, breakthrough discoveries have been made from anatomical to genetic levels in the production, movement, and absorption of cerebrospinal fluid. The discovery of meningeal lymphatic vessels provides a new pathway for the absorption of CSF/metabolites. The emergence of the lymphoid system provides a new perspective for the production and absorption of CSF in the brain parenchyma. The regular movement of cilia is an important factor in the normal circulation of CSF. The discovery and confirmation of genes related to the production of hydrocephalus provide a new theoretical basis for cerebrospinal fluid circulation disorders. Inflammation-related pathogenic microorganisms, inflammation-related cells, and factors, immune-related cells and factors, etc. and contribute new ideas for the production and absorption of cerebrospinal fluid. These new discoveries are a great challenge to traditional theories, and may also be the amendment, supplement, and perfection of the classic cerebrospinal fluid circulation. This article provides a comprehensive review of issues related to cerebrospinal fluid circulation, highlighting new findings and perspectives in recent years.

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  • 在线发布日期: 2022-12-21
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