The Glymphatic System and Pain
Research output: Contribution to journal › Journal article › Research › peer-review
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The Glymphatic System and Pain. / Goldman, Nanna; Hablitz, Lauren M.; Mori, Yuki; Nedergaard, Maiken.
In: Medical Acupuncture, Vol. 32, No. 6, 2020, p. 373-376.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The Glymphatic System and Pain
AU - Goldman, Nanna
AU - Hablitz, Lauren M.
AU - Mori, Yuki
AU - Nedergaard, Maiken
PY - 2020
Y1 - 2020
N2 - The glymphatic system is network of perivascular spaces through which cerebrospinal fluid and interstitial fluid can move through the brain, clearing metabolic waste, such as amyloid beta, lactate and more, from the parenchyma. This cleaning system is regulated by sleep and norepinephrine, with increased levels of norepinephrine during wakefulness inhibiting fluid movement. Norepinephrine is also essential for transition from acute to chronic pain, and sufferers of chronic neuropathic pain frequently present with sleep disruption. These connections among glymphatic clearance, sleep, and pain are very intriguing, and might lead to nonpharmaceutical interventions for pain treatment. This short perspective provides a rationale for the hypothesis that mind-body interventions - such as acupuncture - can reduce norepinephrine and increase glymphatic function, ultimately relieving chronic neuropathic pain.
AB - The glymphatic system is network of perivascular spaces through which cerebrospinal fluid and interstitial fluid can move through the brain, clearing metabolic waste, such as amyloid beta, lactate and more, from the parenchyma. This cleaning system is regulated by sleep and norepinephrine, with increased levels of norepinephrine during wakefulness inhibiting fluid movement. Norepinephrine is also essential for transition from acute to chronic pain, and sufferers of chronic neuropathic pain frequently present with sleep disruption. These connections among glymphatic clearance, sleep, and pain are very intriguing, and might lead to nonpharmaceutical interventions for pain treatment. This short perspective provides a rationale for the hypothesis that mind-body interventions - such as acupuncture - can reduce norepinephrine and increase glymphatic function, ultimately relieving chronic neuropathic pain.
KW - acupuncture
KW - chronic neuropathic pain
KW - glymphatic
KW - neuroinflammation
KW - norepinephrine
U2 - 10.1089/acu.2020.1489
DO - 10.1089/acu.2020.1489
M3 - Journal article
C2 - 33362890
AN - SCOPUS:85098081795
VL - 32
SP - 373
EP - 376
JO - Medical Acupuncture
JF - Medical Acupuncture
SN - 1933-6586
IS - 6
ER -
ID: 253780047