European Journal of Neuroscience,
Journal Year:
2024,
Volume and Issue:
60(2), P. 3901 - 3920
Published: June 25, 2024
Circadian
clocks
maintain
diurnal
rhythms
of
sleep-wake
cycle
24
h
that
regulate
not
only
the
metabolism
an
organism
but
also
many
other
periodical
processes.
There
is
substantial
evidence
circadian
regulation
impaired
in
Alzheimer's
disease.
properties
known
to
be
disturbed
patients,
such
as
integrity
blood-brain
barrier
(BBB)
well
glymphatic
flow
controls
waste
clearance
from
brain.
Interestingly,
evolutionarily
conserved
transcription
factor,
is,
aryl
hydrocarbon
receptor
(AhR),
impairs
function
core
clock
proteins
and
thus
could
disturb
rhythmicity
BBB.
abundant
activation
AhR
signalling
inhibits
expression
major
proteins,
brain
muscle
arnt-like
1
(BMAL1),
regulator
(CLOCK)
period
(PER1)
different
experimental
models.
The
robustly
increased
brains
protein
level
enriched
astrocytes
It
seems
since
it
(i)
BBB,
which
cooperatively
interconnected
with
system
brain,
(ii)
neuroinflammation
dysbiosis
gut
microbiota
generate
potent
activators
AhR,
are
able
impair
flow.
I
will
examine
current
indicating
functions
BBB
involved
development
pathology.
Magnetic Resonance in Medical Sciences,
Journal Year:
2024,
Volume and Issue:
23(3), P. 268 - 290
Published: Jan. 1, 2024
More
than
5
years
have
passed
since
the
Diffusion
Tensor
Image
Analysis
ALong
Perivascular
Space
(DTI-ALPS)
method
was
proposed
with
intention
of
evaluating
glymphatic
system.
This
is
handy
due
to
its
noninvasiveness,
provision
a
simple
index
in
straightforward
formula,
and
possibility
retrospective
analysis.
Therefore,
ALPS
adopted
evaluate
system
for
many
disorders
studies.
The
purpose
this
review
look
back
discuss
at
moment.
Investigative Radiology,
Journal Year:
2023,
Volume and Issue:
59(1), P. 1 - 12
Published: March 10, 2023
Abstract
The
concept
of
the
glymphatic
system
was
proposed
more
than
a
decade
ago
as
mechanism
for
interstitial
fluid
flow
and
waste
removal
in
central
nervous
system.
function
has
been
shown
to
be
particularly
activated
during
sleep.
Dysfunction
implicated
several
neurodegenerative
diseases.
Noninvasive
vivo
imaging
is
expected
useful
elucidating
pathophysiology
these
Currently,
magnetic
resonance
most
commonly
used
technique
evaluate
humans,
large
number
studies
have
reported.
This
review
provides
comprehensive
overview
investigations
human
using
imaging.
can
divided
into
3
categories,
including
without
gadolinium-based
contrast
agents
(GBCAs),
with
intrathecal
administration
GBCAs,
intravenous
GBCAs.
purpose
examine
not
only
movement
brain
parenchyma,
but
also
dynamics
perivascular
subarachnoid
spaces,
well
parasagittal
dura
meningeal
lymphatics.
Recent
research
even
extended
include
eye
inner
ear.
serves
an
important
update
guide
future
directions.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(5), P. 3251 - 3269
Published: March 19, 2024
Abstract
INTRODUCTION
Although
glymphatic
function
is
involved
in
Alzheimer's
disease
(AD),
its
potential
for
predicting
the
pathological
and
clinical
progression
of
AD
sequential
association
with
core
biomarkers
poorly
understood.
METHODS
Whole‐brain
activity
was
measured
by
diffusion
tensor
image
analysis
along
perivascular
space
(DTI‐ALPS)
participants
dementia
(
n
=
47),
mild
cognitive
impairment
(MCI;
137),
normal
controls
235)
from
Disease
Neuroimaging
Initiative.
RESULTS
ALPS
index
significantly
lower
than
MCI
or
controls.
Lower
associated
faster
changes
amyloid
positron
emission
tomography
(PET)
burden
signature
region
interest
volume,
higher
risk
amyloid‐positive
transition
progression,
rates
amyloid‐
neurodegeneration‐related
decline.
Furthermore,
associations
decline
were
fully
mediated
PET
brain
atrophy.
DISCUSSION
Glymphatic
failure
may
precede
pathology,
predicts
deposition,
neurodegeneration,
AD.
Highlights
The
(ALPS)
reduced
patients
(AD)
dementia,
prodromal
AD,
preclinical
predicted
accelerated
beta
(Aβ)
Aβ‐positive
transition.
decrease
occurs
before
cerebrospinal
fluid
Aβ42
reaches
positive
threshold.
atrophy,
Aβ
atrophy
link
Cells,
Journal Year:
2024,
Volume and Issue:
13(3), P. 286 - 286
Published: Feb. 5, 2024
The
key
to
the
effective
treatment
of
neurodegenerative
disorders
is
a
thorough
understanding
their
pathomechanism.
Neurodegeneration
and
neuroinflammation
are
mutually
propelling
brain
processes.
An
impairment
glymphatic
system
function
in
neurodegeneration
contributes
progression
pathological
question
arises
as
how
related.
This
review
highlights
direct
indirect
influence
these
two
seemingly
independent
Protein
aggregates,
characteristic
feature
neurodegeneration,
correlated
with
clearance
neuroinflammation.
Glial
cells
cannot
be
overlooked
when
considering
neuroinflammatory
Astrocytes
essential
for
functioning
play
crucial
role
inflammatory
responses
central
nervous
system.
It
imperative
acknowledge
significance
AQP4,
protein
that
exhibits
high
degree
polarization
astrocytes
AQP4
influences
processes
have
not
yet
been
clearly
delineated.
Another
interesting
issue
gut–brain
axis
microbiome,
which
potentially
impact
discussed
A
discussion
correlation
between
may
contribute
exploring
pathomechanism
neurodegeneration.
Neurobiology of Disease,
Journal Year:
2025,
Volume and Issue:
205, P. 106791 - 106791
Published: Jan. 6, 2025
Neurodegenerative
diseases
(ND)
are
characterized
by
the
accumulation
of
aggregated
proteins.
The
glymphatic
system,
through
its
rapid
exchange
mechanisms
between
cerebrospinal
fluid
(CSF)
and
interstitial
(ISF),
facilitates
movement
metabolic
substances
within
brain,
serving
functions
akin
to
those
peripheral
lymphatic
system.
This
emerging
waste
clearance
mechanism
offers
a
novel
perspective
on
removal
pathological
in
ND.
article
elucidates
recent
discoveries
regarding
system
updates
relevant
concepts
model.
It
discusses
potential
roles
ND,
including
Alzheimer's
disease
(AD),
Parkinson's
(PD),
multiple
atrophy
(MSA),
proposes
as
therapeutic
target
for
these
conditions.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(9), P. 6542 - 6555
Published: Aug. 6, 2024
Abstract
BACKGROUND
Subjective
cognitive
decline
(SCD)
has
been
recognized
as
a
potential
risk
stage
for
progression
to
Alzheimer's
disease
(AD),
while
glymphatic
dysfunction
is
considered
an
important
characteristic
of
AD.
We
hypothesize
that
occurs
during
the
SCD
stage,
aiming
discover
biomarkers
SCD.
METHODS
Participants
from
two
independent
studies,
Sino
Longitudinal
Study
on
Cognitive
Decline
(SILCODE,
n
=
654)
and
Disease
Neuroimaging
Initiative
(ADNI,
650),
representing
different
ethnicities
stages,
were
included
assess
function
using
diffusion
tensor
image
analysis
along
perivascular
space
(DTI‐ALPS).
RESULTS
Abnormal
with
ALPS
index
demonstrating
excellent
classification
performance
normal
controls
(area
under
receiver
operating
curve
[AUC]
SILCODE
0.816,
AUC
ADNI
0.797).
Lower
indicates
higher
progression,
which
negatively
correlated
Questionnaire
9
scores
amyloid
positron
emission
tomography
burden.
DISSCUSION
Our
study
suggests
serve
biomarker
Highlights
Glymphatic
characterized
by
(ALPS)
becomes
abnormal
in
subjective
(SCD),
earliest
symptomatic
manifestation
preclinical
(AD).
The
demonstrates
East
Asian
Western
cohorts.
lower
show
clinical
progression.
closely
associated
serval
scales
beta
Journal of Magnetic Resonance Imaging,
Journal Year:
2023,
Volume and Issue:
59(2), P. 397 - 411
Published: Sept. 1, 2023
Perivascular
spaces
(PVS)
and
blood-brain
barrier
(BBB)
disruption
are
two
key
features
of
cerebral
small
vessel
disease
(cSVD)
neurodegenerative
diseases
that
have
been
linked
to
cognitive
impairment
involved
in
the
waste
clearance
system.
Magnetic
resonance
imaging
(MRI)
offers
possibility
study
these
pathophysiological
processes
noninvasively
vivo.
This
educational
review
provides
an
overview
MRI
techniques
used
assess
PVS
functionality
BBB
disruption.
MRI-visible
can
be
scored
on
structural
images
by
either
(subjectively)
counting
or
(automatically)
delineating
PVS.
We
highlight
emerging
(diffusion)
measure
proxies
perivascular
fluid
its
movement,
which
may
provide
a
more
comprehensive
understanding
role
diseases.
For
measurement
disruption,
we
explain
most
commonly
technique,
dynamic
contrast-enhanced
(DCE)
MRI,
as
well
recently
developed
technique
based
arterial
spin
labeling
(ASL).
DCE
ASL
thought
complementary
characteristics
BBB.
Furthermore,
describe
clinical
studies
utilized
cSVD
diseases,
particularly
Alzheimer's
(AD).
These
demonstrate
dysfunction
insight
into
large
overlap,
but
also
differences
between
AD.
Overall,
valuable
insights
mechanisms
underlying
potential
markers
for
progression
treatment
response.
LEVEL
OF
EVIDENCE:
3
TECHNICAL
EFFICACY:
Stage
2.