4.6 Review

Clearance Systems in the Brain, From Structure to Function

Journal

FRONTIERS IN CELLULAR NEUROSCIENCE
Volume 15, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fncel.2021.729706

Keywords

brain waste clearance; glymphatic system; meningeal lymphatic vessels; blood-brain barrier; neuroglia

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Funding

  1. Hainan Province Clinical Medical Center, National Natural Science Foundation of China [81771294, 82160237]
  2. Shenzhen Municipal Science, Technology, and Innovation Commission [JCYJ 20190808161013492]

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The brain, as the most metabolically active organ, requires pathways to clear waste proteins and neurotoxins. Previous research has suggested a potential link between the brain's clearance system and pathological conditions in the central nervous system. Recent studies have found evidence of interactions between neural cells and components of the clearance system, which could contribute to the development of clinical interventions for conditions like Alzheimer's and Parkinson's diseases.
As the most metabolically active organ in the body, there is a recognized need for pathways that remove waste proteins and neurotoxins from the brain. Previous research has indicated potential associations between the clearance system in the brain and the pathological conditions of the central nervous system (CNS), due to its importance, which has attracted considerable attention recently. In the last decade, studies of the clearance system have been restricted to the glymphatic system. However, removal of toxic and catabolic waste by-products cannot be completed independently by the glymphatic system, while no known research or article has focused on a comprehensive overview of the structure and function of the clearance system. This thesis addresses a neglected aspect of linkage between the structural composition and main components as well as the role of neural cells throughout the clearance system, which found evidence that the components of CNS including the glymphatic system and the meningeal lymphatic system interact with a neural cell, such as astrocytes and microglia, to carry out vital clearance functions. As a result of this evidence that can contribute to a better understanding of the clearance system, suggestions were identified for further clinical intervention development of severe conditions caused by the accumulation of metabolic waste products and neurotoxins in the brain, such as Alzheimer's disease (AD) and Parkinson's disease (PD).

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