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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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Magnetic Resonance Imaging–Visible Perivascular Spaces in Basal Ganglia Predict Cognitive Decline in Parkinson's Disease

TL;DR: In this article, the authors evaluated whether PVS can independently predict cognitive decline in Parkinson's disease and found that higher BG-PVS and white matter hyperintensity severity, higher levodopa-equivalent dose, hypertension, and lower Mini-Mental State Examination score were independent positive predictors of future cognitive decline.
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Cerebrospinal fluid hypersecretion in pediatric hydrocephalus.

TL;DR: Although the choroid plexus epithelium might have only an indirect influence on the pathogenesis of many types of pediatric hydrocephalus, the ability to modify CSF secretion with drugs newer than acetazolamide or furosemide would be an invaluable component of future therapies to alleviate permanent shunt dependence.
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Elevation of brain-enriched miRNAs in cerebrospinal fluid of patients with acute ischemic stroke.

TL;DR: Several brain-enriched miRNAs are elevated in the CSF three days after stroke onset, suggesting that these mi RNAs reflect the brain damage caused by ischemia.
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Antibodies as Mediators of Brain Pathology

TL;DR: The circumstances associated with antibody entry into the brain, the routes of access and the mechanisms that then effect pathology are examined to reveal therapeutic strategies toward alleviating or preventing the neurological pathologies and behavioral abnormalities associated with autoimmune disease.
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.
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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.