The Brain's Glymphatic System: Drawing New Perspectives in Neuroscience

被引:8
|
作者
Ciurea, Alexandru Vlad [1 ,2 ]
Mohan, Aurel George [3 ,4 ]
Covache-Busuioc, Razvan-Adrian [1 ]
Costin, Horia Petre [1 ]
Saceleanu, Vicentiu Mircea [5 ,6 ]
机构
[1] Carol Davila Univ Med & Pharm, Neurosurg Dept, Bucharest 020021, Romania
[2] Sanador Clin Hosp, Neurosurg Dept, Bucharest 010991, Romania
[3] Bihor Cty Emergency Clin Hosp, Dept Neurosurg, Oradea 410167, Romania
[4] Oradea Univ, Fac Med, Dept Neurosurg, Oradea 410610, Romania
[5] Sibiu Cty Emergency Hosp, Neurosurg Dept, Sibiu 550245, Romania
[6] Lucian Blaga Univ Med, Dept Neurosurg, Sibiu 550024, Romania
关键词
glymphatic system; brain physiology; astrocytes; AQP4; Alzheimer's disease; circadian rhythm; migraine aura; CEREBROSPINAL-FLUID; ALZHEIMERS-DISEASE; AMYLOID HYPOTHESIS; CLEARANCE; AQUAPORIN-4; SLEEP; EXPRESSION; PHYSIOLOGY; DRAINAGE; SPACE;
D O I
10.3390/brainsci13071005
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
This paper delves into the intricate structure and functionality of the brain's glymphatic system, bringing forth new dimensions in its neuroscientific understanding. This paper commences by exploring the cerebrospinal fluid (CSF)-its localization, production, and pivotal role within the central nervous system, acting as a cushion and vehicle for nutrient distribution and waste elimination. We then transition into an in-depth study of the morphophysiological aspects of the glymphatic system, a recent discovery revolutionizing the perception of waste clearance from the brain, highlighting its lymphatic-like characteristics and remarkable operations. This paper subsequently emphasizes the glymphatic system's potential implications in Alzheimer's disease (AD), discussing the connection between inefficient glymphatic clearance and AD pathogenesis. This review also elucidates the intriguing interplay between the glymphatic system and the circadian rhythm, illustrating the optimal functioning of glymphatic clearance during sleep. Lastly, we underscore the hitherto underappreciated involvement of the glymphatic system in the tumoral microenvironment, potentially impacting tumor growth and progression. This comprehensive paper accentuates the glymphatic system's pivotal role in multiple domains, fostering an understanding of the brain's waste clearance mechanisms and offering avenues for further research into neuropathological conditions.
引用
收藏
页数:11
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