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The glymphatic system is crucial for the brain\u2019s waste removal, and its dysfunction is linked to neurodegeneration.<\/jats:p>\n               <jats:p>In this study, we used a mouse model of heart failure, induced by myocardial infarction, to investigate the effects of heart failure with reduced ejection fraction on the brain\u2019s glymphatic function.<\/jats:p>\n               <jats:p>Using dynamic contrast-enhanced MRI and high-resolution fluorescence microscopy, we found increased solute influx from the CSF spaces to the brain, i.e. glymphatic influx, at 12 weeks post-myocardial infarction. Two-photon microscopy revealed that cerebral arterial pulsatility, a major driver of the glymphatic system, was potentiated at this time point, and could explain this increase in glymphatic influx. However, clearance of proteins from the brain parenchyma did not increase proportionately with influx, while a relative increase in brain parenchyma volume was found at 12 weeks post-myocardial infarction, suggesting dysregulation of brain fluid dynamics. Additionally, our results showed a correlation between brain clearance and cerebral blood flow.<\/jats:p>\n               <jats:p>These findings highlight the role of cerebral blood flow as a key regulator of the glymphatic system, suggesting its involvement in the development of brain disorders associated with reduced cerebral blood flow. This study paves the way for future investigations into the effects of cardiovascular diseases on the brain\u2019s clearance mechanisms, which may provide novel insights into the prevention and treatment of cognitive decline.<\/jats:p>","DOI":"10.1093\/brain\/awae411","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T17:43:47Z","timestamp":1734543827000},"page":"985-1000","source":"Crossref","is-referenced-by-count":22,"title":["Loss of glymphatic homeostasis in heart failure"],"prefix":"10.1093","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1610-7040","authenticated-orcid":false,"given":"Marios","family":"Kritsilis","sequence":"first","affiliation":[{"name":"Department of Experimental Medical Science, Lund University , 22362 Lund ,","place":["Sweden"]},{"name":"Wallenberg Center for Molecular Medicine, Lund University , 22184 Lund 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