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The Glymphatic System and Meningeal Lymphatics: Current Understandings and Future Perspectives - PubMed

21 hours ago
  • #Glymphatic System
  • #Neurological Disorders
  • #Therapeutic Strategies
  • The glymphatic-lymphatic axis is a brain-wide clearance network essential for CNS homeostasis and immune surveillance.
  • It consists of the intramural glymphatic pathway for fluid transport and waste removal, and meningeal lymphatic vessels as efferent routes.
  • Its function is regulated by factors like sleep and aging, with dysfunction linked to neurological disorders.
  • Key disorders associated with its impairment include stroke (acute injury), Alzheimer's disease (chronic proteinopathy), and multiple sclerosis (autoimmune dysregulation).
  • Emerging therapeutic strategies include pharmacological targets (e.g., VEGF-C, Piezo1 agonists), noninvasive neuromodulation (e.g., photo-biomodulation), and surgical interventions (e.g., lymphaticovenous anastomosis).