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

Author:

Ciurea Alexandru Vlad12,Mohan Aurel George34,Covache-Busuioc Razvan-Adrian1,Costin Horia Petre1ORCID,Saceleanu Vicentiu Mircea56ORCID

Affiliation:

1. Neurosurgery Department, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania

2. Neurosurgery Department, Sanador Clinical Hospital, 010991 Bucharest, Romania

3. Department of Neurosurgery, Bihor County Emergency Clinical Hospital, 410167 Oradea, Romania

4. Department of Neurosurgery, Faculty of Medicine, Oradea University, 410610 Oradea, Romania

5. Neurosurgery Department, Sibiu County Emergency Hospital, 550245 Sibiu, Romania

6. Department of Neurosurgery, “Lucian Blaga” University of Medicine, 550024 Sibiu, Romania

Abstract

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.

Funder

the University of Oradea

Publisher

MDPI AG

Subject

General Neuroscience

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