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The Glymphatic System: A Beginner’s Guide

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TLDR
The glymphatic system is a recently discovered macroscopic waste clearance system that utilizes a unique system of perivascular tunnels, formed by astroglial cells, to promote efficient elimination of soluble proteins and metabolites from the central nervous system.
Abstract
The glymphatic system is a recently discovered macroscopic waste clearance system that utilizes a unique system of perivascular tunnels, formed by astroglial cells, to promote efficient elimination of soluble proteins and metabolites from the central nervous system. Besides waste elimination, the glymphatic system also facilitates brain-wide distribution of several compounds, including glucose, lipids, amino acids, growth factors, and neuromodulators. Intriguingly, the glymphatic system function mainly during sleep and is largely disengaged during wakefulness. The biological need for sleep across all species may therefore reflect that the brain must enter a state of activity that enables elimination of potentially neurotoxic waste products, including β-amyloid. Since the concept of the glymphatic system is relatively new, we will here review its basic structural elements, organization, regulation, and functions. We will also discuss recent studies indicating that glymphatic function is suppressed in various diseases and that failure of glymphatic function in turn might contribute to pathology in neurodegenerative disorders, traumatic brain injury and stroke.

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Journal ArticleDOI

The glymphatic system and subarachnoid hemorrhage: disruption and recovery

TL;DR: An overview of the glymphatic system, its disruption during subarachnoid hemorrhages (SAH), and its function in recovery following SAH is provided.
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Intracranial pressure and cerebral haemodynamics

TL;DR: An overview of the physiological determinants of the ICP and cerebral blood flow is provided and how pathological states can compromise physiological compensatory mechanisms in order to potentially dangerous disturbances of theICP is illustrated.
Posted ContentDOI

Aquaporin-4 dependent glymphatic solute transport in rodent brain

TL;DR: CSF tracer influx, as well as fluorescently-tagged amyloid-β efflux, are significantly faster in wild-type mice than in three different transgenic lines featuring disruption of the Aqp4 gene and one line in which AQP4 expression lacks the critical perivascular localization (Snta1 knockout).
Journal ArticleDOI

Reactive and Senescent Astroglial Phenotypes as Hallmarks of Brain Pathologies

TL;DR: The latest data regarding astrocyte reactivation and senescence is summarized, and similarities and differences between these phenotypes from morphological, functional, and molecular points of view are outlined.
Journal ArticleDOI

The Integrative Five-Fluid Circulation System in the Human Body

TL;DR: The positive correlation of chronic neuro degenerative diseases such as Alzheimer's disease, Parkinson’s diseases and the insufficient brain wastes clearance by the glymphatic system is pointed out and the role played by the venous vessels as part of such clearance in upright posture is discussed.
References
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Journal ArticleDOI

Gene dose of apolipoprotein E type 4 allele and the risk of Alzheimer's disease in late onset families

TL;DR: The APOE-epsilon 4 allele is associated with the common late onset familial and sporadic forms of Alzheimer9s disease (AD) in 42 families with late onset AD.
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Apolipoprotein E: high-avidity binding to beta-amyloid and increased frequency of type 4 allele in late-onset familial Alzheimer disease.

TL;DR: It is demonstrated that there was a highly significant association of apolipoprotein E type 4 allele (APOE-epsilon 4) and late-onset familial Alzheimer disease.
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A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid β.

TL;DR: An anatomically distinct clearing system in the brain that serves a lymphatic-like function is described and may have relevance for understanding or treating neurodegenerative diseases that involve the mis-accumulation of soluble proteins, such as amyloid β in Alzheimer's disease.
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Sleep Drives Metabolite Clearance From the Adult Brain

TL;DR: It is reported that sleep has a critical function in ensuring metabolic homeostasis and convective fluxes of interstitial fluid increased the rate of β-amyloid clearance during sleep, suggesting the restorative function of sleep may be a consequence of the enhanced removal of potentially neurotoxic waste products that accumulate in the awake central nervous system.
Journal ArticleDOI

Protein aggregation and neurodegenerative disease.

TL;DR: There is increased understanding of the pathways involved in protein aggregation, and some recent clues have emerged as to the molecular mechanisms of cellular toxicity, leading to approaches toward rational therapeutics.
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Trending Questions (3)
What is the glymphatic system?

The glymphatic system is a brain waste clearance system utilizing perivascular tunnels to eliminate toxins and distribute essential compounds, mainly active during sleep, potentially linked to neurodegenerative diseases.

The glymphatic system?

The glymphatic system is a recently discovered waste clearance system in the central nervous system that eliminates soluble proteins and metabolites. It also facilitates the distribution of various compounds and functions mainly during sleep.

What is the glymphatic system?

The glymphatic system is a waste clearance system in the central nervous system that eliminates soluble proteins and metabolites. It also distributes various compounds and functions mainly during sleep.