Functional abnormalities of the glymphatic system in cognitive disorders

Various pathological mechanisms represent distinct therapeutic targets for cognitive disorders, but a balance between clearance and production is essential for maintaining the stability of the brain’s internal environment. Thus, the glymphatic system may represent a common pathway by which to addres...

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Main Authors: Wuyue Shentu, Qi Kong, Yier Zhang, Wenyao Li, Qiulu Chen, Sicheng Yan, Junjun Wang, Qilun Lai, Qi Xu, Song Qiao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-12-01
Series:Neural Regeneration Research
Subjects:
Online Access:https://journals.lww.com/10.4103/NRR.NRR-D-24-01049
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author Wuyue Shentu
Qi Kong
Yier Zhang
Wenyao Li
Qiulu Chen
Sicheng Yan
Junjun Wang
Qilun Lai
Qi Xu
Song Qiao
author_facet Wuyue Shentu
Qi Kong
Yier Zhang
Wenyao Li
Qiulu Chen
Sicheng Yan
Junjun Wang
Qilun Lai
Qi Xu
Song Qiao
author_sort Wuyue Shentu
collection DOAJ
description Various pathological mechanisms represent distinct therapeutic targets for cognitive disorders, but a balance between clearance and production is essential for maintaining the stability of the brain’s internal environment. Thus, the glymphatic system may represent a common pathway by which to address cognitive disorders. Using the established model of the glymphatic system as our foundation, this review disentangles and analyzes the components of its clearance mechanism, including the initial inflow of cerebrospinal fluid, the mixing of cerebrospinal fluid with interstitial fluid, and the outflow of the mixed fluid and the clearance. Each section summarizes evidence from experimental animal models and human studies, highlighting the normal physiological properties of key structures alongside their pathological manifestations in cognitive disorders. The same pathologic manifestations of different cognitive disorders appearing in the glymphatic system and the same upstream influences are main points of interest of this review. We conclude this article by discussing new findings and outlining the limitations identified in current research progress.
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institution Kabale University
issn 1673-5374
1876-7958
language English
publishDate 2025-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Neural Regeneration Research
spelling doaj-art-43bb59929fd6432bbbbb37f3fb771d9c2025-02-06T09:58:38ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53741876-79582025-12-0120123430344710.4103/NRR.NRR-D-24-01049Functional abnormalities of the glymphatic system in cognitive disordersWuyue ShentuQi KongYier ZhangWenyao LiQiulu ChenSicheng YanJunjun WangQilun LaiQi XuSong QiaoVarious pathological mechanisms represent distinct therapeutic targets for cognitive disorders, but a balance between clearance and production is essential for maintaining the stability of the brain’s internal environment. Thus, the glymphatic system may represent a common pathway by which to address cognitive disorders. Using the established model of the glymphatic system as our foundation, this review disentangles and analyzes the components of its clearance mechanism, including the initial inflow of cerebrospinal fluid, the mixing of cerebrospinal fluid with interstitial fluid, and the outflow of the mixed fluid and the clearance. Each section summarizes evidence from experimental animal models and human studies, highlighting the normal physiological properties of key structures alongside their pathological manifestations in cognitive disorders. The same pathologic manifestations of different cognitive disorders appearing in the glymphatic system and the same upstream influences are main points of interest of this review. We conclude this article by discussing new findings and outlining the limitations identified in current research progress.https://journals.lww.com/10.4103/NRR.NRR-D-24-01049aquaporin-4astrocytecerebrospinal fluid dynamicscognitive disordersglymphatic system
spellingShingle Wuyue Shentu
Qi Kong
Yier Zhang
Wenyao Li
Qiulu Chen
Sicheng Yan
Junjun Wang
Qilun Lai
Qi Xu
Song Qiao
Functional abnormalities of the glymphatic system in cognitive disorders
Neural Regeneration Research
aquaporin-4
astrocyte
cerebrospinal fluid dynamics
cognitive disorders
glymphatic system
title Functional abnormalities of the glymphatic system in cognitive disorders
title_full Functional abnormalities of the glymphatic system in cognitive disorders
title_fullStr Functional abnormalities of the glymphatic system in cognitive disorders
title_full_unstemmed Functional abnormalities of the glymphatic system in cognitive disorders
title_short Functional abnormalities of the glymphatic system in cognitive disorders
title_sort functional abnormalities of the glymphatic system in cognitive disorders
topic aquaporin-4
astrocyte
cerebrospinal fluid dynamics
cognitive disorders
glymphatic system
url https://journals.lww.com/10.4103/NRR.NRR-D-24-01049
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