Cerebral small vessel disease: A glymphopathy?
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Cerebral small vessel disease : A glymphopathy? / Benveniste, Helene; Nedergaard, Maiken.
In: Current Opinion in Neurobiology, Vol. 72, 2021, p. 15-21.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Cerebral small vessel disease
T2 - A glymphopathy?
AU - Benveniste, Helene
AU - Nedergaard, Maiken
N1 - Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Small vessel disease (SVD) is a common instigator of dementia in the aging population. The hallmarks of SVD are enlargement of the perivascular spaces and white matter hyperintensities. The latter represents local fluid accumulation in white matter that either subsides or develops into lacunar infarcts. We here propose that failure of brain fluid transport-via the glymphatic system-plays a key role in initiation and progression of SVD. Our major case for this concept is that perivascular spaces are utilized as waterways for influx of cerebrospinal fluid. Stagnation of glymphatic transport may drive loss of brain fluid homeostasis leading to transient white matter edema, perivascular dilation, and ultimately demyelination. This review will discuss how glymphatic rodent studies of hypertension and diabetes have provided new insight into the pathogenesis of SVD.
AB - Small vessel disease (SVD) is a common instigator of dementia in the aging population. The hallmarks of SVD are enlargement of the perivascular spaces and white matter hyperintensities. The latter represents local fluid accumulation in white matter that either subsides or develops into lacunar infarcts. We here propose that failure of brain fluid transport-via the glymphatic system-plays a key role in initiation and progression of SVD. Our major case for this concept is that perivascular spaces are utilized as waterways for influx of cerebrospinal fluid. Stagnation of glymphatic transport may drive loss of brain fluid homeostasis leading to transient white matter edema, perivascular dilation, and ultimately demyelination. This review will discuss how glymphatic rodent studies of hypertension and diabetes have provided new insight into the pathogenesis of SVD.
U2 - 10.1016/j.conb.2021.07.006
DO - 10.1016/j.conb.2021.07.006
M3 - Review
C2 - 34407477
VL - 72
SP - 15
EP - 21
JO - Current Opinion in Neurobiology
JF - Current Opinion in Neurobiology
SN - 0959-4388
ER -
ID: 288921434