Ciurea Alexandru Vlad, Mohan Aurel George, Covache-Busuioc Razvan-Adrian, Costin Horia Petre, Saceleanu Vicentiu Mircea
Neurosurgery Department, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Neurosurgery Department, Sanador Clinical Hospital, 010991 Bucharest, Romania.
Brain Sci. 2023 Jun 28;13(7):1005. doi: 10.3390/brainsci13071005.
This paper delves into the intricate structure and functionality of the brain's glymphatic system, bringing forth new dimensions in its neuroscientific understanding. This paper commences by exploring the cerebrospinal fluid (CSF)-its localization, production, and pivotal role within the central nervous system, acting as a cushion and vehicle for nutrient distribution and waste elimination. We then transition into an in-depth study of the morphophysiological aspects of the glymphatic system, a recent discovery revolutionizing the perception of waste clearance from the brain, highlighting its lymphatic-like characteristics and remarkable operations. This paper subsequently emphasizes the glymphatic system's potential implications in Alzheimer's disease (AD), discussing the connection between inefficient glymphatic clearance and AD pathogenesis. This review also elucidates the intriguing interplay between the glymphatic system and the circadian rhythm, illustrating the optimal functioning of glymphatic clearance during sleep. Lastly, we underscore the hitherto underappreciated involvement of the glymphatic system in the tumoral microenvironment, potentially impacting tumor growth and progression. This comprehensive paper accentuates the glymphatic system's pivotal role in multiple domains, fostering an understanding of the brain's waste clearance mechanisms and offering avenues for further research into neuropathological conditions.
本文深入探讨了大脑类淋巴系统的复杂结构和功能,为其神经科学理解带来了新的维度。本文首先探讨了脑脊液(CSF)——其定位、产生以及在中枢神经系统中的关键作用,它作为一种缓冲液和营养物质分布与废物清除的载体。然后,我们深入研究类淋巴系统的形态生理学方面,这一最新发现彻底改变了人们对大脑废物清除的认知,突出了其类似淋巴系统的特征和非凡运作。本文随后强调了类淋巴系统在阿尔茨海默病(AD)中的潜在影响,讨论了类淋巴清除效率低下与AD发病机制之间的联系。这篇综述还阐明了类淋巴系统与昼夜节律之间有趣的相互作用,说明了睡眠期间类淋巴清除的最佳功能。最后,我们强调了类淋巴系统在肿瘤微环境中迄今未被充分认识的作用,这可能会影响肿瘤的生长和进展。这篇全面的论文强调了类淋巴系统在多个领域的关键作用,促进了对大脑废物清除机制的理解,并为进一步研究神经病理状况提供了途径。