%0 Journal Article %T AQP4, Astrogenesis, and Hydrocephalus: A New Neurological Perspective. %A Castañeyra-Ruiz L %A González-Marrero I %A Hernández-Abad LG %A Lee S %A Castañeyra-Perdomo A %A Muhonen M %J Int J Mol Sci %V 23 %N 18 %D Sep 2022 9 %M 36142348 %F 6.208 %R 10.3390/ijms231810438 %X Aquaporin 4 (AQP4) is a cerebral glial marker that labels ependymal cells and astrocytes' endfeet and is the main water channel responsible for the parenchymal fluid balance. However, in brain development, AQP4 is a marker of glial stem cells and plays a crucial role in the pathophysiology of pediatric hydrocephalus. Gliogenesis characterization has been hampered by a lack of biomarkers for precursor and intermediate stages and a deeper understanding of hydrocephalus etiology is needed. This manuscript is a focused review of the current research landscape on AQP4 as a possible biomarker for gliogenesis and its influence in pediatric hydrocephalus, emphasizing reactive astrogliosis. The goal is to understand brain development under hydrocephalic and normal physiologic conditions.