Defining novel functions for cerebrospinal fluid in ALS pathophysiology
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Defining novel functions for cerebrospinal fluid in ALS pathophysiology. / Ng Kee Kwong, Koy Chong; Mehta, Arpan R.; Nedergaard, Maiken; Chandran, Siddharthan.
In: Acta Neuropathologica Communications, Vol. 8, No. 1, 2020.Research output: Contribution to journal › Review › Research › peer-review
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T1 - Defining novel functions for cerebrospinal fluid in ALS pathophysiology
AU - Ng Kee Kwong, Koy Chong
AU - Mehta, Arpan R.
AU - Nedergaard, Maiken
AU - Chandran, Siddharthan
PY - 2020
Y1 - 2020
N2 - Despite the considerable progress made towards understanding ALS pathophysiology, several key features of ALS remain unexplained, from its aetiology to its epidemiological aspects. The glymphatic system, which has recently been recognised as a major clearance pathway for the brain, has received considerable attention in several neurological conditions, particularly Alzheimer's disease. Its significance in ALS has, however, been little addressed. This perspective article therefore aims to assess the possibility of CSF contribution in ALS by considering various lines of evidence, including the abnormal composition of ALS-CSF, its toxicity and the evidence for impaired CSF dynamics in ALS patients. We also describe a potential role for CSF circulation in determining disease spread as well as the importance of CSF dynamics in ALS neurotherapeutics. We propose that a CSF model could potentially offer additional avenues to explore currently unexplained features of ALS, ultimately leading to new treatment options for people with ALS.
AB - Despite the considerable progress made towards understanding ALS pathophysiology, several key features of ALS remain unexplained, from its aetiology to its epidemiological aspects. The glymphatic system, which has recently been recognised as a major clearance pathway for the brain, has received considerable attention in several neurological conditions, particularly Alzheimer's disease. Its significance in ALS has, however, been little addressed. This perspective article therefore aims to assess the possibility of CSF contribution in ALS by considering various lines of evidence, including the abnormal composition of ALS-CSF, its toxicity and the evidence for impaired CSF dynamics in ALS patients. We also describe a potential role for CSF circulation in determining disease spread as well as the importance of CSF dynamics in ALS neurotherapeutics. We propose that a CSF model could potentially offer additional avenues to explore currently unexplained features of ALS, ultimately leading to new treatment options for people with ALS.
KW - Ageing
KW - Amyotrophic lateral sclerosis
KW - Cerebrospinal fluid
KW - Frontotemporal dementia
KW - Glymphatic system
KW - Motor neuron disease
U2 - 10.1186/s40478-020-01018-0
DO - 10.1186/s40478-020-01018-0
M3 - Review
C2 - 32819425
AN - SCOPUS:85089769274
VL - 8
JO - Acta neuropathologica communications
JF - Acta neuropathologica communications
SN - 2051-5960
IS - 1
ER -
ID: 248758576