Stretch and flow at the gliovascular interface: High-fidelity modeling of astrocyte endfeet

M Marius Causemann (Department of Numerical Analysis and Scientific Computing) R Rune Enger (Department of Molecular Medicine) M Marie E. Rognes (Department of Numerical Analysis and Scientific Computing)

Abstract

Astrocyte endfeet form a near-continuous sheath around the brain’s vasculature, defining the perivascular spaces (PVS) that are crucial for brain fluid flow and solute transport. Yet, their precise physiological role remains poorly understood. Using 3D electron microscopy data, we created a high-fidelity poroelastic computational model of an arteriole segment with surrounding endfeet and parenchyma to investigate tissue displacement and fluid flow within the PVS, endfeet, and extracellular space in response to blood vessel pulsations. Our model predicts that arteriole dilations compress the PVS while expanding the overall endfoot sheath volume due to tangential stretch. Moreover, fluid exchange primarily occurs through inter-endfoot gaps, driven by pressure differences, rather than across the aquaporin-4 (AQP4) rich endfoot membrane. PVS stiffness critically modulates these dynamics: Increased stiffness of the PVS, for instance, due to vessel pathology or aging, would minimize or even reverse fluid exchange at the gliovascular interface. While AQP4 mediated water movement has a negligible impact on pulsation-driven mechanics, it significantly enhances osmotically driven fluid flow. Overall, our findings elucidate the complex balance of forces governing gliovascular mechanics and suggest that PVS composition strongly influences endfoot-parenchymal fluid exchange.

Article Details

Volume / Issue Vol. 123, Issue 11
Published March 17, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (3)

M

Marius Causemann

Department of Numerical Analysis and Scientific Computing

R

Rune Enger

Department of Molecular Medicine

M

Marie E. Rognes

Department of Numerical Analysis and Scientific Computing