Figure 7. ChP compensatory actions in PHH.
(A) Two scenarios of ChP activities following IVH. Upper panels: The ChP responds to blood with acute calcium activation. After 48 hrs, CSF-[K+] increases. With elevated CSF-[K+], NKCC1 activation leads to net flux of ions and osmotically obliged water movement from CSF into ChP, resulting in compensated PHH characterized by mild ventriculomegaly and enhanced CSF clearance capacity. Lower panels: AAV-mediated overexpression of NKCC1 enhances the total amount of Na+-K+−2Cl− cotransport, preventing ventriculomegaly. (B) Mouse and human developmental timelines35.