The glymphatic system: implications for drugs for central nervous system diseases

TJ Lohela, TO Lilius, M Nedergaard - Nature Reviews Drug Discovery, 2022 - nature.com
In the past decade, evidence for a fluid clearance pathway in the central nervous system
known as the glymphatic system has grown. According to the glymphatic system concept …

The glymphatic pathway in neurological disorders

MK Rasmussen, H Mestre, M Nedergaard - The Lancet Neurology, 2018 - thelancet.com
Background The glymphatic (glial-lymphatic) pathway is a fluid-clearance pathway identified
in the rodent brain in 2012. This pathway subserves the flow of CSF into the brain along …

Impaired glymphatic function and clearance of tau in an Alzheimer's disease model

IF Harrison, O Ismail, A Machhada, N Colgan, Y Ohene… - Brain, 2020 - academic.oup.com
The glymphatic system, that is aquaporin 4 (AQP4) facilitated exchange of CSF with
interstitial fluid (ISF), may provide a clearance pathway for protein species such as amyloid …

The glymphatic system in central nervous system health and disease: past, present, and future

BA Plog, M Nedergaard - Annual Review of Pathology …, 2018 - annualreviews.org
The central nervous system (CNS) is unique in being the only organ system lacking
lymphatic vessels to assist in the removal of interstitial metabolic waste products. Recent …

Aquaporin-4-dependent glymphatic solute transport in the rodent brain

H Mestre, LM Hablitz, ALR Xavier, W Feng, W Zou… - Elife, 2018 - elifesciences.org
The glymphatic system is a brain-wide clearance pathway; its impairment contributes to the
accumulation of amyloid-β. Influx of cerebrospinal fluid (CSF) depends upon the expression …

Delivery of gene therapy through a cerebrospinal fluid conduit to rescue hearing in adult mice

BK Mathiesen, LM Miyakoshi, CR Cederroth… - Science translational …, 2023 - science.org
Inner ear gene therapy has recently effectively restored hearing in neonatal mice, but it is
complicated in adulthood by the structural inaccessibility of the cochlea, which is embedded …

Blocking meningeal lymphatic drainage aggravates Parkinson's disease-like pathology in mice overexpressing mutated α-synuclein

W Zou, T Pu, W Feng, M Lu, Y Zheng, R Du… - Translational …, 2019 - Springer
Background Abnormal aggregation of brain α-synuclein is a central step in the pathogenesis
of Parkinson's disease (PD), thus, it is reliable to promote the clearance of α-synuclein to …

Perivascular spaces, glymphatic dysfunction, and small vessel disease

H Mestre, S Kostrikov, RI Mehta… - Clinical …, 2017 - portlandpress.com
Cerebral small vessel diseases (SVDs) range broadly in etiology but share remarkably
overlapping pathology. Features of SVD including enlarged perivascular spaces (EPVS) …

Aquaporin-4 water channel in the brain and its implication for health and disease

S Mader, L Brimberg - Cells, 2019 - mdpi.com
Aquaporin-4 (AQP4) is a water channel expressed on astrocytic endfeet in the brain. The
role of AQP4 has been studied in health and in a range of pathological conditions. Interest in …

Glymphatic system as a gateway to connect neurodegeneration from periphery to CNS

G Natale, F Limanaqi, CL Busceti… - Frontiers in …, 2021 - frontiersin.org
The classic concept of the absence of lymphatic vessels in the central nervous system
(CNS), suggesting the immune privilege of the brain in spite of its high metabolic rate, was …