Abstract
AbstractThe glymphatic system is cerebrospinal fluid–brain tissue fluid exchange flow mediated by aquaporin‐4 (AQP4) on the end feet of astrocytes for a system, which is capable of rapidly removing brain metabolites and thus maintaining brain homeostasis, and is known as the central immune system. Dysfunction of the glymphatic system causes accumulation of misfolded and highly phosphorylated proteins (amyloid‐β and Tau proteins), which destabilizes the proteins, and the body's neuroinflammatory factors are altered causing aging of the immune system and leading to neurodegenerative diseases. Damage to the glymphatic system and aging share common manifestations, as well as unstudied biological mechanisms that are also linked, such as mitochondria, oxidative stress, chronic inflammation, and sleep. In this paper, we first summarize the structure, function, and research methods of the glymphatic system and the relationship between the glymphatic system and the peripheral immune system, and second, sort out and summarize the factors of the glymphatic system in removing metabolites and resolving aging‐related diseases and factors affecting aging, to explore its related biological mechanisms, and moreover, to provide a new way of thinking for treating or intervening aging‐related diseases.
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References
96
[7]
The movers and shapers in immune privilege of the CNS

Britta Engelhardt, Peter Vajkoczy, Roy O Weller

Nature Immunology 10.1038/ni.3666
[8]
Structural and functional features of central nervous system lymphatic vessels

Antoine Louveau, Igor Smirnov, Timothy J. Keyes et al.

Nature 10.1038/nature14432
[9]
Human and nonhuman primate meninges harbor lymphatic vessels that can be visualized noninvasively by MRI

Martina Absinta, Seung-Kwon Ha, Govind Nair et al.

eLife 10.7554/elife.29738
[10]
A dural lymphatic vascular system that drains brain interstitial fluid and macromolecules

Aleksanteri Aspelund, Salli Antila, Steven T. Proulx et al.

Journal of Experimental Medicine 10.1084/jem.20142290
[11]
CNS lymphatic drainage and neuroinflammation are regulated by meningeal lymphatic vasculature

Antoine Louveau, Jasmin Herz, Maria Nordheim Alme et al.

Nature Neuroscience 10.1038/s41593-018-0227-9
[13]
Periarteriolar spaces modulate cerebrospinal fluid transport into brain and demonstrate altered morphology in aging and Alzheimer’s disease

Humberto Mestre, Natasha Verma, Thom D. Greene et al.

Nature Communications 10.1038/s41467-022-31257-9
[15]
Zou W "Blocking meningeal lymphatic drainage aggravates Parkinson's disease‐like pathology in mice overexpressing mutated α‐synuclein" Translational Neurodegeneration (2019)
[24]
Impaired glymphatic function and clearance of tau in an Alzheimer’s disease model

Ian F Harrison, Ozama Ismail, Asif Machhada et al.

Brain 10.1093/brain/awaa179
[27]
Brain-wide pathway for waste clearance captured by contrast-enhanced MRI

Jeffrey J. Iliff, Hedok Lee, Mei Yu et al.

Journal of Clinical Investigation 10.1172/jci67677
[29]
The glymphatic system: Current understanding and modeling

Tomas Bohr, Poul G. Hjorth, Sebastian C. Holst et al.

iScience 10.1016/j.isci.2022.104987
[31]
A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid β

Jeffrey J. Iliff, Minghuan Wang, Yonghong Liao et al.

Science Translational Medicine 10.1126/scitranslmed.3003748
[33]
The glymphatic pathway in neurological disorders

Martin Kaag Rasmussen, Humberto Mestre, Maiken Nedergaard

The Lancet Neurology 10.1016/s1474-4422(18)30318-1
[34]
Sleep Drives Metabolite Clearance from the Adult Brain

Lulu Xie, Hongyi Kang, Qiwu Xu et al.

Science 10.1126/science.1241224
[37]
Impairment of paravascular clearance pathways in the aging brain

Benjamin T. Kress, Jeffrey J. Iliff, Maosheng Xia et al.

Annals of Neurology 10.1002/ana.24271
[47]
Ultra-long-TE arterial spin labeling reveals rapid and brain-wide blood-to-CSF water transport in humans

Leonie Petitclerc, Lydiane Hirschler, Jack A. Wells et al.

NeuroImage 10.1016/j.neuroimage.2021.118755

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Published
Jun 01, 2024
Vol/Issue
30(6)
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Funding
National Natural Science Foundation of China Award: 81303074
Key Technology Research and Development Program of Shandong Province Award: 2022CXGC020514
Natural Science Foundation of Shandong Province Award: ZR2019MH063
Cite This Article
Ying Xiong, Qingying Yu, Haimei Zhi, et al. (2024). Advances in the study of the glymphatic system and aging. CNS Neuroscience & Therapeutics, 30(6). https://doi.org/10.1111/cns.14803
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