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The emerging role of biomaterial applications in cerebral lymphatic surgical interventions: A narrative review.

作者信息

Jessup Mark, Iglesias Nicholas J, Tadisina Kashyap K, Xu Kyle, Mella-Catinchi Juan, Pinchuk Leonard, Singh Devinder, Tse David T, Nayak Vasudev Vivekanand, Coelho Paulo G

机构信息

University of Miami Miller School of Medicine, Miami, FL 33136, USA.

DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

出版信息

Biomater Biosyst. 2025 Aug 9;19:100117. doi: 10.1016/j.bbiosy.2025.100117. eCollection 2025 Sep.


DOI:10.1016/j.bbiosy.2025.100117
PMID:40893787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12391603/
Abstract

The cerebral lymphatic system plays a critical role in central nervous system (CNS) homeostasis through fluid regulation, toxin clearance, and immune modulation. Recent discoveries in the glial-lymphatic (glymphatic) and meningeal lymphatic systems have demonstrated their involvement in a spectrum of CNS pathologies such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), multiple sclerosis (MS), traumatic brain injury (TBI), stroke, and cancers. This review summarizes current understanding of the cerebral lymphatic system's mechanisms and their contribution to CNS health. Furthermore, we emphasize the linkage of lymphatic dysfunction and the pathogenesis of neurodegenerative and neuroinflammatory etiologies. Lymphatic alterations such as deep cervical lymph node (DCLN) manipulation have been shown to increase function, reduce toxin accumulation and improve disease. Other techniques like supermicrosurgical interventions of lymphaticovenular (lymphovenous) anastomosis and lymphatic reconstruction have recently demonstrated therapeutic benefits. Novel approaches of supermicrosurgical techniques, such as cervical shunting to decompress lymphatic systems (CSULS), have displayed promising cognitive improvements in AD patients. We additionally explore the role of biomaterials in improving interventional outcomes and their potential to be applied to lymphatic surgical developments. Despite their widespread applications in surgical practice, the use of biomaterials in cerebral lymphatic reconstruction remains unexplored. This review discusses the potential benefits of integrating biomaterials into emerging lymphatic interventions to improve patient outcomes.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/90669135d27f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/5d0cad5ca663/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/63568b571708/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/90669135d27f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/5d0cad5ca663/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/63568b571708/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2be/12391603/90669135d27f/gr3.jpg

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本文引用的文献

[1]
The Meninges as CNS Interfaces and the Roles of Meningeal Macrophages.

Biomolecules. 2025-3-28

[2]
Meningeal lymphatics-microglia axis regulates synaptic physiology.

Cell. 2025-5-15

[3]
Promising outcomes 5 weeks after a surgical cervical shunting procedure to unclog cerebral lymphatic systems in a patient with Alzheimer's disease.

Gen Psychiatr. 2024-6-22

[4]
Nanostructured polymer composites for bone and tissue regeneration.

Int J Biol Macromol. 2025-1

[5]
Association between cervical lymph node dissection and dementia: a retrospective analysis.

J Plast Reconstr Aesthet Surg. 2024-12

[6]
Enhancing Th17 cells drainage through meningeal lymphatic vessels alleviate neuroinflammation after subarachnoid hemorrhage.

J Neuroinflammation. 2024-10-20

[7]
Commentary on "Structural characterization of SLYM - a 4th meningeal membrane".

Fluids Barriers CNS. 2024-9-9

[8]
Developing fibrin-based biomaterials/scaffolds in tissue engineering.

Bioact Mater. 2024-8-15

[9]
Glymphatic influx and clearance are perturbed in Huntington's disease.

JCI Insight. 2024-10-22

[10]
Tissue-engineered cellulose tubes for microvascular and lymphatic reconstruction: A translational and feasibility study.

J Plast Reconstr Aesthet Surg. 2024-10

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