RT Journal Article T1 Aquaporin-4 Mediates Permanent Brain Alterations in a Mouse Model of Hypoxia-Aged Hydrocephalus A1 Trillo-Contreras, José Luis A1 Toledo-Aral, Juan José A1 Villadiego, Javier A1 Echevarría, Miriam K1 AQP4 K1 Astrocytes K1 Hypoxia K1 Hydrocephalus K1 Cerebrospinal fluid K1 Cerebral ventricles K1 Homeostasis K1 Drainage K1 Acuaporina 4 K1 Astrocitos K1 Hipoxia K1 Hidrocefalia K1 Líquido cefalorraquídeo K1 Ventrículos cerebrales K1 Drenaje AB Aquaporin-4 (AQP4) is the principal water channel in the brain being expressed in astrocytes and ependymal cells. AQP4 plays an important role in cerebrospinal fluid (CSF) homeostasis, and alterations in its expression have been associated with hydrocephalus. AQP4 contributes to the development of hydrocephalus by hypoxia in aged mice, reproducing such principal characteristics of the disease. Here, we explore whether these alterations associated with the hydrocephalic state are permanent or can be reverted by reexposure to normoxia. Alterations such as ventriculomegaly, elevated intracranial pressure, and cognitive deficits were reversed, whereas deficits in CSF outflow and ventricular distensibility were not recovered, remaining impaired even one month after reestablishment of normoxia. Interestingly, in AQP4-/- mice, the impairment in CSF drainage and ventricular distensibility was completely reverted by re-normoxia, indicating that AQP4 has a structural role in the chronification of those alterations. Finally, we show that aged mice subjected to two hypoxic episodes experience permanent ventriculomegaly. These data reveal that repetitive hypoxic events in aged cerebral tissue promote the permanent alterations involved in hydrocephalic pathophysiology, which are dependent on AQP4 expression. PB MDPI YR 2021 FD 2021-09-09 LK http://hdl.handle.net/10668/4403 UL http://hdl.handle.net/10668/4403 LA en NO Trillo-Contreras JL, Toledo-Aral JJ, Villadiego J, Echevarría M. Aquaporin-4 Mediates Permanent Brain Alterations in a Mouse Model of Hypoxia-Aged Hydrocephalus. Int J Mol Sci. 2021 Sep 9;22(18):9745 DS RISalud RD Apr 18, 2025