Cited by 2,075Cerebrospinal fluid and hydrocephalusTraumatic Brain Injury and Neurovascular DisturbancesBarrier Structure and Function Studies

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The glymphatic system: a beginner's guide

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Jessen, Nadia Aalling, Munk, Anne Sofie Finmann, Lundgaard, Iben, Nedergaard, Maiken·2015·Neurochemical Research

DOI 10.1007/s11064-015-1581-6PMC PMC4636982

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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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Corder, E. H., Saunders, A. M., Strittmatter, W. J., Schmechel, D. E., Gaskell, P. C., Small, G. W., Roses, A. D., Haines, J. L., & Pericak-Vance, M. A. (1993) · Science · doi:10.1126/science.8346443 · Cited by 9,429
A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid β
Iliff, J. J., Wang, M., Liao, Y., Plogg, B. A., Peng, W., Gundersen, G. A., Benveniste, H., Vates, G. E., Deane, R., Goldman, S. A., et al. (2012) · Science Translational Medicine · doi:10.1126/scitranslmed.3003748 · Cited by 5,824
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Xie, L., Kang, H., Xu, Q., Chen, M. J., Liao, Y., Thiyagarajan, M., O’Donnell, J., Christensen, D. J., Nicholson, C., Iliff, J. J., et al. (2013) · Science · doi:10.1126/science.1241224 · Cited by 5,411
Self-citation
Apolipoprotein E: high-avidity binding to beta-amyloid and increased frequency of type 4 allele in late-onset familial Alzheimer disease.
Strittmatter, W. J., Saunders, A. M., Schmechel, D., Pericak-Vance, M., Enghild, J., Salvesen, G. S., & Roses, A. D. (1993) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.90.5.1977 · Cited by 4,268 · cited 1×
“maintaining homeostasis necessary for a healthy environment of the brain [60, 61].”
Protein aggregation and neurodegenerative disease
Ross, C. A., & Poirier, M. A. (2004) · Nature Medicine · doi:10.1038/nm1066 · Cited by 3,454
Primary Progressive Aphasia
Weıntraub, S. (1990) · Archives of Neurology · doi:10.1001/archneur.1990.00530120075013 · Cited by 3,018
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Zlokovic, B. V. (2011) · Nature Reviews Neuroscience · doi:10.1038/nrn3114 · Cited by 2,969
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Berridge, C. W., & Waterhouse, B. D. (2003) · Brain Research Reviews · doi:10.1016/s0165-0173(03)00143-7 · Cited by 2,529
Notch3 mutations in CADASIL, a hereditary adult-onset condition causing stroke and dementia
Joutel, A., Corpechot, C., Ducros, A., Vahedi, K., Chabriat, H., Mouton, P., Alamowitch, S., Domenga, V., Cécillion, M., Maréchal, E., et al. (1996) · Nature · doi:10.1038/383707a0 · Cited by 2,068
Local sleep and learning
Huber, R., Felice Ghilardi, M., Massimini, M., & Tononi, G. (2004) · Nature · doi:10.1038/nature02663 · Cited by 1,854

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Authors: Jessen, N. A., Munk, A. S. F., Lundgaard, I., & Nedergaard, M.
Affiliations: University of Rochester Medicine (US)
ORCID: Jessen, Nadia Aalling
Lundgaard, Iben
Nedergaard, Maiken
Venue: Neurochemical Research
Publisher: Springer Science and Business Media LLC
Published: 2015-05-07
Volume: 40
Issue: 12
Pages: 2583-2599
ISSN: 0364-3190 (ISSN-L)
1573-6903
DOI: 10.1007/s11064-015-1581-6
PMC: PMC4636982
OpenAlex: W211905087
Cited by: 2,075
References: 141
Citations by year: 2026: 230 · 2025: 300 · 2024: 266 · 2023: 235 · 2022: 217 · 2021: 223 · 2020: 168 · 2019: 137 · 2018: 127 · 2017: 102 · 2016: 51 · 2015: 17
FWCI: 45.97
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Neurochemical Research (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Lund University Publications (Lund University) (submittedVersion)
Funders: Israel Science Foundation
Novo Nordisk Fonden (NNF13OC0004258)
National Institutes of Health
National Institute on Aging (R01AG048769)
National Institute of Neurological Disorders and Stroke (R01NS078304, R01NS078167, R01NS075177, NS075177, NS078304))
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD080573)
Topics: Health Sciences › Medicine › Clinical Neurology › Cerebrospinal fluid and hydrocephalus
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
Keywords: glymphatic system, perivascular spaces, astrocytes, brain waste clearance, amyloid-beta, neurodegenerative diseases, traumatic brain injury, stroke, glymphatic dysfunction
MeSH terms: Aging, Animals, Astrocytes, Brain Injuries, Cerebrospinal Fluid, Humans, Lymphatic System

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