The glymphatic system: a new perspective on brain diseases

Front Aging Neurosci. 2023 Jun 15:15:1179988. doi: 10.3389/fnagi.2023.1179988. eCollection 2023.

Abstract

The glymphatic system is a brain-wide perivascular pathway driven by aquaporin-4 on the endfeet of astrocytes, which can deliver nutrients and active substances to the brain parenchyma through periarterial cerebrospinal fluid (CSF) influx pathway and remove metabolic wastes through perivenous clearance routes. This paper summarizes the composition, overall fluid flow, solute transport, related diseases, affecting factors, and preclinical research methods of the glymphatic system. In doing so, we aim to provide direction and reference for more relevant researchers in the future.

Keywords: AQP-4; astrocytes; cerebrospinal fluid; perivascular spaces; the glymphatic system.

Publication types

  • Review

Grants and funding

This work was supported by the Funds of the scientific and technological innovation project of the Chinese Academy of Traditional Chinese Medicine CI2021A04614.