Solute transport in the brain tissue: what are the key biophysical parameters tying in vivo and in vitro studies together?

The mechanisms of solute transport in brain tissues are still under debate. The medical relevance of this topic has put the blood-brain barrier and the mechanisms of solute transport through the brain parenchyma in the spotlight, notably in the context of brain clearance. In the last decade, the classical view of pure diffusive flow across the brain parenchyma was tested against the recent proposal of an active, convectional fluid flow model known as the glymphatic model. Experimental studies of brain transport on living humans and animals have temporal and spatial limitations to validate any of these models. Therefore, detailed microscopic observations, mostly ex vivo tissue and simplified in vitro brain models with the support from computational models, are necessary to understand transport mechanisms in brain tissues. However, standardization is lacking between these experimental approaches, which tends to limit the generality of conclusions. In this review, we provide an overview of the output and limitations of modern brain solute transport studies to search for key parameters comparable across experimental setups. We emphasize that in vitro models relying on physiological material and reproducing the biophysical setting of the brain, as well as computational/mathematical models constitute powerful solutions to understand the solute transport phenomena inside of the brain tissue. Finally, we suggest the blood-brain barrier permeability and the apparent diffusion coefficient through the brain parenchyma to be robust biophysical parameters for the extraction of cross-model conclusion.

Automated summary

The debate over solute transport mechanisms in brain tissues, particularly regarding the blood-brain barrier and transport through the brain parenchyma, has medical relevance in understanding brain clearance. Experimental studies on living humans and animals have limitations, necessitating detailed microscopic observations, ex vivo tissue, simplified in vitro brain models, and computational models to understand brain transport mechanisms. Lack of standardization in these experimental approaches limits the generality of conclusions. This review highlights the output and limitations of modern brain solute transport studies, emphasizing the importance of in vitro and computational/mathematical models in understanding solute transport in brain tissue.