Air pollution, glymphatic impairment, and Alzheimer's disease
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Air pollution, glymphatic impairment, and Alzheimer's disease. / Hussain, Rashad; Graham, Uschi; Elder, Alison; Nedergaard, Maiken.
In: Trends in Neurosciences, Vol. 46, No. 11, 2023, p. 901-911.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Air pollution, glymphatic impairment, and Alzheimer's disease
AU - Hussain, Rashad
AU - Graham, Uschi
AU - Elder, Alison
AU - Nedergaard, Maiken
N1 - Publisher Copyright: © 2023
PY - 2023
Y1 - 2023
N2 - Epidemiological evidence demonstrates a link between air pollution exposure and the onset and progression of cognitive impairment and Alzheimer's disease (AD). However, current understanding of the underlying pathophysiological mechanisms is limited. This opinion article examines the hypothesis that air pollution-induced impairment of glymphatic clearance represents a crucial etiological event in the development of AD. Exposure to airborne particulate matter (PM) leads to systemic inflammation and neuroinflammation, increased metal load, respiratory and cardiovascular dysfunction, and sleep abnormalities. All these factors are known to reduce the efficiency of glymphatic clearance. Rescuing glymphatic function by restricting the impact of causative agents, and improving sleep and cardiovascular system health, may increase the efficiency of waste metabolite clearance and subsequently slow the progression of AD. In sum, we introduce air pollution-mediated glymphatic impairment as an important mechanistic factor to be considered when interpreting the etiology and progression of AD as well as its responsiveness to therapeutic interventions.
AB - Epidemiological evidence demonstrates a link between air pollution exposure and the onset and progression of cognitive impairment and Alzheimer's disease (AD). However, current understanding of the underlying pathophysiological mechanisms is limited. This opinion article examines the hypothesis that air pollution-induced impairment of glymphatic clearance represents a crucial etiological event in the development of AD. Exposure to airborne particulate matter (PM) leads to systemic inflammation and neuroinflammation, increased metal load, respiratory and cardiovascular dysfunction, and sleep abnormalities. All these factors are known to reduce the efficiency of glymphatic clearance. Rescuing glymphatic function by restricting the impact of causative agents, and improving sleep and cardiovascular system health, may increase the efficiency of waste metabolite clearance and subsequently slow the progression of AD. In sum, we introduce air pollution-mediated glymphatic impairment as an important mechanistic factor to be considered when interpreting the etiology and progression of AD as well as its responsiveness to therapeutic interventions.
KW - aging
KW - amyloid plaques
KW - CSF
KW - neurodegeneration
KW - ultrafine particles
U2 - 10.1016/j.tins.2023.08.010
DO - 10.1016/j.tins.2023.08.010
M3 - Review
C2 - 37777345
AN - SCOPUS:85172861987
VL - 46
SP - 901
EP - 911
JO - Trends in Neurosciences
JF - Trends in Neurosciences
SN - 0378-5912
IS - 11
ER -
ID: 371286861