Dynamic contrast-enhanced MRI reveals glymphatic dysfunction in mice with depressive-like behavior

Cui Lyu1, Yong Xia2, Yang Li2

  • 1Department of Psychiatry, Affiliated Hospital of Guizhou Medical University, Guiyang, China.

Neurobiology of Disease
|November 8, 2025
PubMed
Abstract

Insights

Chronic unpredictable mild stress (CUMS) causes depressive-like behavior linked to impaired glymphatic system function, reduced aquaporin-4 (AQP4), and astrocyte changes. Dynamic contrast-enhanced MRI (DCE-MRI) reveals these glymphatic abnormalities in depression models.

Area of Science:

  • Neuroscience
  • Biomedical Imaging
  • Psychiatry

Background:

  • The glymphatic system clears waste from the brain, and its dysfunction is implicated in neurological disorders.
  • Depression is associated with neuroinflammation and altered brain function, but glymphatic involvement is not fully understood.

Purpose of the Study:

  • To investigate glymphatic system dysfunction in a mouse model of chronic unpredictable mild stress (CUMS)-induced depression.
  • To explore the association between glymphatic alterations, aquaporin-4 (AQP4) expression, and astrocyte changes.
  • To utilize dynamic contrast-enhanced MRI (DCE-MRI) for assessing glymphatic dynamics.

Main Methods:

  • Thirty-eight mice underwent a 28-day CUMS protocol or served as controls.
  • Depressive-like behaviors were assessed using sucrose preference, forced swim, and tail suspension tests.
  • DCE-MRI with Gd-DTPA and ex vivo tracer imaging evaluated cerebrospinal fluid (CSF) influx and efflux.
  • Immunofluorescence quantified AQP4 polarization and GFAP expression in key brain regions.

Main Results:

  • CUMS mice displayed significant depressive-like behaviors.
  • DCE-MRI revealed altered contrast agent distribution and accumulation in CUMS mice, indicating impaired glymphatic transport.
  • Ex vivo imaging confirmed reduced CSF influx in CUMS mice.
  • Immunofluorescence showed decreased AQP4 expression and polarization, along with reduced GFAP levels in CUMS mice.

Conclusions:

  • CUMS-induced depression is associated with significant glymphatic system dysfunction, including impaired CSF influx and efflux.
  • Downregulation of AQP4 and astrocyte alterations are linked to this glymphatic impairment.
  • DCE-MRI clustering analysis offers novel insights into the spatiotemporal characteristics of glymphatic abnormalities in depression, suggesting potential therapeutic targets.