JAMA Neurology,
Journal Year:
2016,
Volume and Issue:
74(1), P. 91 - 91
Published: Nov. 28, 2016
Importance
Cognitive
impairment
and
dementia,
including
Alzheimer
disease
(AD),
are
common
within
the
aging
population,
yet
factors
that
render
brain
vulnerable
to
these
processes
unknown.
Perivascular
localization
of
aquaporin-4
(AQP4)
facilitates
clearance
interstitial
solutes,
amyloid-β,
through
brainwide
network
perivascular
pathways
termed
theglymphatic
system,
which
may
be
compromised
in
brain.
Objectives
To
determine
whether
alterations
AQP4
expression
or
loss
features
human
define
their
association
with
AD
pathology.
Design,
Setting,
Participants
Expression
was
analyzed
postmortem
frontal
cortex
cognitively
healthy
histopathologically
confirmed
individuals
by
Western
blot
immunofluorescence
for
AQP4,
amyloid-β
1-42,
glial
fibrillary
acidic
protein.
Postmortem
tissue
clinical
data
were
provided
Oregon
Health
Science
University
Layton
Aging
Disease
Center
Brain
Bank.
from
79
evaluated,
intact
“young”
aged
younger
than
60
years
(range,
33-57
years),
“aged”
older
61-96
years)
no
known
neurological
disease,
61-105
age
a
history
histopathological
evaluation.
Forty-eight
patient
samples
(10
young,
20
aged,
18
AD)
underwent
histological
analysis.
Sixty
analysis
(15
24
21
AD).
Main
Outcomes
Measures
protein,
immunoreactivity,
evaluated.
Results
associated
advancing
among
all
(R2
=
0.17;P
.003).
significantly
status
independent
(OR,
11.7
per
10%
increase
localization;
z
−2.89;P
.004)
preserved
eldest
85
who
remained
intact.
When
controlling
age,
increased
burden
0.15;P
.003)
increasing
Braak
stage
0.14;P
.006).
Conclusions
Relevance
In
this
study,
altered
brains.
Loss
factor
renders
misaggregation
proteins,
such
as
neurodegenerative
conditions
AD.
Physiological Reviews,
Journal Year:
2021,
Volume and Issue:
101(4), P. 1487 - 1559
Published: March 26, 2021
Brain
function
critically
depends
on
a
close
matching
between
metabolic
demands,
appropriate
delivery
of
oxygen
and
nutrients,
removal
cellular
waste.
This
requires
continuous
regulation
cerebral
blood
flow
(CBF),
which
can
be
categorized
into
four
broad
topics:
Journal of Clinical Investigation,
Journal Year:
2017,
Volume and Issue:
127(9), P. 3210 - 3219
Published: Aug. 31, 2017
Recent
discoveries
of
the
glymphatic
system
and
meningeal
lymphatic
vessels
have
generated
a
lot
excitement,
along
with
some
degree
skepticism.
Here,
we
summarize
state
field
point
out
gaps
knowledge
that
should
be
filled
through
further
research.
We
discuss
as
allows
CNS
perfusion
by
cerebrospinal
fluid
(CSF)
interstitial
(ISF).
also
describe
recently
characterized
their
role
in
drainage
brain
ISF,
CSF,
CNS-derived
molecules,
immune
cells
from
meninges
to
peripheral
(CNS-draining)
lymph
nodes.
speculate
on
relationship
between
two
systems
malfunction
may
underlie
neurological
diseases.
Although
much
remains
investigated,
these
new
changed
our
understanding
mechanisms
underlying
privilege
drainage.
Future
studies
explore
communications
lymphatics
disorders
develop
therapeutic
modalities
targeting
systems.
JAMA Neurology,
Journal Year:
2016,
Volume and Issue:
74(1), P. 91 - 91
Published: Nov. 28, 2016
Importance
Cognitive
impairment
and
dementia,
including
Alzheimer
disease
(AD),
are
common
within
the
aging
population,
yet
factors
that
render
brain
vulnerable
to
these
processes
unknown.
Perivascular
localization
of
aquaporin-4
(AQP4)
facilitates
clearance
interstitial
solutes,
amyloid-β,
through
brainwide
network
perivascular
pathways
termed
theglymphatic
system,
which
may
be
compromised
in
brain.
Objectives
To
determine
whether
alterations
AQP4
expression
or
loss
features
human
define
their
association
with
AD
pathology.
Design,
Setting,
Participants
Expression
was
analyzed
postmortem
frontal
cortex
cognitively
healthy
histopathologically
confirmed
individuals
by
Western
blot
immunofluorescence
for
AQP4,
amyloid-β
1-42,
glial
fibrillary
acidic
protein.
Postmortem
tissue
clinical
data
were
provided
Oregon
Health
Science
University
Layton
Aging
Disease
Center
Brain
Bank.
from
79
evaluated,
intact
“young”
aged
younger
than
60
years
(range,
33-57
years),
“aged”
older
61-96
years)
no
known
neurological
disease,
61-105
age
a
history
histopathological
evaluation.
Forty-eight
patient
samples
(10
young,
20
aged,
18
AD)
underwent
histological
analysis.
Sixty
analysis
(15
24
21
AD).
Main
Outcomes
Measures
protein,
immunoreactivity,
evaluated.
Results
associated
advancing
among
all
(R2
=
0.17;P
.003).
significantly
status
independent
(OR,
11.7
per
10%
increase
localization;
z
−2.89;P
.004)
preserved
eldest
85
who
remained
intact.
When
controlling
age,
increased
burden
0.15;P
.003)
increasing
Braak
stage
0.14;P
.006).
Conclusions
Relevance
In
this
study,
altered
brains.
Loss
factor
renders
misaggregation
proteins,
such
as
neurodegenerative
conditions
AD.