Not just drainage: Dural venous sinuses actively regulate brain immunity and fluid flow, study finds

Medical Xpress
February 23, 2026
AI-Generated Deep Dive Summary
Recent research reveals that dural venous sinuses play a crucial role beyond mere fluid drainage in the brain. These venous structures actively regulate immune responses and fluid flow, according to a study conducted by National Institute of Neurological Disorders and Stroke investigators at the National Institutes of Health. The findings demonstrate that these sinuses dynamically constrict and dilate, facilitating fluid exchange across a permeable wall. This process is essential for coordinating immune cell movement, particularly in supporting antiviral defense mechanisms within the meninges, the protective layers covering the brain. The study highlights how dural venous sinuses are not static channels but active participants in maintaining brain health. By exchanging fluids and immune cells, these sinuses contribute to the body's ability to combat viral infections in the nervous system. This discovery challenges previous assumptions that focused solely on their role in draining cerebrospinal fluid from the brain. Understanding the dynamic functions of dural venous sinuses could have significant implications for treating neurological and inflammatory diseases. It opens new avenues for exploring how immune responses are regulated in the central nervous system, potentially leading to improved therapies for infections, inflammation, and other neurologic conditions. This breakthrough underscores the importance of studying lesser-known brain structures and their multifaceted roles in health and disease.
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Originally published on Medical Xpress on 2/23/2026