Recent evidence suggests the existence of a functional glymphatic system in the optic nerve. Insulin resistance in the central nervous system (CNS-IR) has been implicated in neurodegenerative conditions. Its mechanism remains unclear though one candidate involves dysregulation of the cerebrospinal fluid (CSF). Here, we investigated if CNS-IR affects CSF flow in the visual pathway by measuring the spatiotemporal profiles of CSF dynamics using gadolinium-enhanced MRI following intrathecal administration of the specific insulin receptor blocker, S961. Our results suggested that central insulin function may play an imperative role in CSF dynamics for the homeostasis of the visual system.
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