The glymphatic system: implications for drugs for central nervous system diseases
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The glymphatic system : implications for drugs for central nervous system diseases. / Lohela, Terhi J.; Lilius, Tuomas O.; Nedergaard, Maiken.
In: Nature Reviews Drug Discovery, Vol. 21, No. 10, 2022, p. 763-779.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The glymphatic system
T2 - implications for drugs for central nervous system diseases
AU - Lohela, Terhi J.
AU - Lilius, Tuomas O.
AU - Nedergaard, Maiken
N1 - Publisher Copyright: © 2022, Springer Nature Limited.
PY - 2022
Y1 - 2022
N2 - In the past decade, evidence for a fluid clearance pathway in the central nervous system known as the glymphatic system has grown. According to the glymphatic system concept, cerebrospinal fluid flows directionally through the brain and non-selectively clears the interstitium of metabolic waste. Importantly, the glymphatic system may be modulated by particular drugs such as anaesthetics, as well as by non-pharmacological factors such as sleep, and its dysfunction has been implicated in central nervous system disorders such as Alzheimer disease. Although the glymphatic system is best described in rodents, reports using multiple neuroimaging modalities indicate that a similar transport system exists in the human brain. Here, we overview the evidence for the glymphatic system and its role in disease and discuss opportunities to harness the glymphatic system therapeutically; for example, by improving the effectiveness of intrathecally delivered drugs.
AB - In the past decade, evidence for a fluid clearance pathway in the central nervous system known as the glymphatic system has grown. According to the glymphatic system concept, cerebrospinal fluid flows directionally through the brain and non-selectively clears the interstitium of metabolic waste. Importantly, the glymphatic system may be modulated by particular drugs such as anaesthetics, as well as by non-pharmacological factors such as sleep, and its dysfunction has been implicated in central nervous system disorders such as Alzheimer disease. Although the glymphatic system is best described in rodents, reports using multiple neuroimaging modalities indicate that a similar transport system exists in the human brain. Here, we overview the evidence for the glymphatic system and its role in disease and discuss opportunities to harness the glymphatic system therapeutically; for example, by improving the effectiveness of intrathecally delivered drugs.
U2 - 10.1038/s41573-022-00500-9
DO - 10.1038/s41573-022-00500-9
M3 - Journal article
C2 - 35948785
AN - SCOPUS:85136974117
VL - 21
SP - 763
EP - 779
JO - Nature Reviews. Drug Discovery
JF - Nature Reviews. Drug Discovery
SN - 1474-1776
IS - 10
ER -
ID: 342565307