RT Journal Article T1 Combined effects of aquaporin-4 and hypoxia produce age-related hydrocephalus. A1 Trillo-Contreras, Jose Luis A1 Ramirez-Lorca, Reposo A1 Hiraldo-Gonzalez, Laura A1 Sanchez-Gomar, Ismael A1 Galan-Cobo, Ana A1 Suarez-Luna, Nela A1 Sanchez-de-Rojas-de-Pedro, Eva A1 Toledo-Aral, Juan Jose A1 Villadiego, Javier A1 Echevarria, Miriam K1 AQP4 K1 Aging K1 Cerebrospinal fluid K1 Hydrocephalus K1 Hypoxia K1 Mice AB Aquaporin-4, present in ependymal cells, in glia limiting and abundantly in pericapillary astrocyte foot processes, and aquaporin-1, expressed in choroid plexus epithelial cells, play an important role in cerebrospinal fluid production and may be involved in the pathophysiology of age-dependent hydrocephalus. The finding that brain aquaporins expression is regulated by low oxygen tension led us to investigate how hypoxia and elevated levels of cerebral aquaporins may result in an increase in cerebrospinal fluid production that could be associated with a hydrocephalic condition. Here we have explored, in young and aged mice exposed to hypoxia, whether aquaporin-4 and aquaporin-1 participate in the development of age-related hydrocephalus. Choroid plexus, striatum, cortex and ependymal tissue were analyzed separately both for mRNA and protein levels of aquaporins. Furthermore, parameters such as total ventricular volume, intraventricular pressure, cerebrospinal fluid outflow rate, ventricular compliance and cognitive function were studied in wild type, aquaporin-1 and aquaporin-4 knock-out animals subjected to hypoxia or normoxia. Our data demonstrate that hypoxia is involved in the development of age-related hydrocephalus by a process that depends on aquaporin-4 channels as a main route for cerebrospinal fluid movement. Significant increases in aquaporin-4 expression that occur over the course of animal aging, together with a reduced cerebrospinal fluid outflow rate and ventricular compliance, contribute to produce more severe hydrocephalus related to hypoxic events in aged mice, with a notable impairment in cognitive function. These results indicate that physiological events and/or pathological conditions presenting with cerebral hypoxia/ischemia contribute to the development of chronic adult hydrocephalus. PB Eselvier BV SN 0925-4439 YR 2018 FD 2018-08-08 LK http://hdl.handle.net/10668/13039 UL http://hdl.handle.net/10668/13039 LA en NO Trillo-Contreras JL, Ramírez-Lorca R, Hiraldo-González L, Sánchez-Gomar I, Galán-Cobo A, Suárez-Luna N, et al. Combined effects of aquaporin-4 and hypoxia produce age-related hydrocephalus. Biochim Biophys Acta Mol Basis Dis. 2018 Oct;1864(10):3515-3526. NO This study has been supported by grants FIS: PI12/01882 and PI16/00493 from the Spanish Ministry of Economy and Competitiveness, co-financed by the Carlos III Health Institute (ISCIII) and European Regional Development Fund (FEDER). JLTC was partially supported by the Regional Government of Andalusia and FEDER funds through a program for recruitment of young researchers. DS RISalud RD Apr 12, 2025