2000
DOI: 10.1073/pnas.150338197
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Changes in brain cell shape create residual extracellular space volume and explain tortuosity behavior during osmotic challenge

Abstract: Diffusion of molecules in brain extracellular space is constrained by two macroscopic parameters, tortuosity factor and volume fraction ␣. Recent studies in brain slices show that when osmolarity is reduced, increases while ␣ decreases. In contrast, with increased osmolarity, ␣ increases, but attains a plateau. Using homogenization theory and a variety of lattice models, we found that the plateau behavior of can be explained if the shape of brain cells changes nonuniformly during the shrinking or swelling indu… Show more

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Cited by 123 publications
(121 citation statements)
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“…41 Morphological changes affecting astrocytes also could contribute to the ADC changes found in patients with cirrhosis because diffusion in the extracellular space can be heavily influenced by the cell shape. 42 Substantiating the contribution of altered membrane permeability to MD values observed in patient groups is difficult.…”
Section: Discussionmentioning
confidence: 99%
“…41 Morphological changes affecting astrocytes also could contribute to the ADC changes found in patients with cirrhosis because diffusion in the extracellular space can be heavily influenced by the cell shape. 42 Substantiating the contribution of altered membrane permeability to MD values observed in patient groups is difficult.…”
Section: Discussionmentioning
confidence: 99%
“…It is possible that hyaluronan degradation reduced physical barriers to transport, but a simultaneous decrease in the porosity may have resulted in "lakes" at the interstices of some cells. These "lakes" resemble dead end pores or isolated fluid volumes that could trap or exclude nanoparticles upon changes in cell shape [22,5].…”
Section: Discussionmentioning
confidence: 99%
“…114,115 Reduced expression of GFAP induces morphologic changes in astrocytes, favoring diffusivity in the extracellular space. 116 In acute liver failure, mean diffusivity values have been shown to be reduced, 117 therefore supporting an increased cell volume secondary to massive intra-astrocytic increase of glutamine as the mechanism of brain edema. Therefore, 2 different type of brain edema may exist in liver failure, intracellular in acute forms and probably interstitial in chronic forms.…”
Section: Dwimentioning
confidence: 99%