Glymphatic failure as a final common pathway to dementia

Sleep is evolutionarily conserved across all species, and impaired sleep is a common trait of the diseased brain. Sleep quality decreases as we age, and disruption of the regular sleep architecture is a frequent antecedent to the onset of dementia in neurodegenerative diseases. The glymphatic system...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2020-10, Vol.370 (6512), p.50-56
Hauptverfasser: Nedergaard, Maiken, Goldman, Steven A
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description Sleep is evolutionarily conserved across all species, and impaired sleep is a common trait of the diseased brain. Sleep quality decreases as we age, and disruption of the regular sleep architecture is a frequent antecedent to the onset of dementia in neurodegenerative diseases. The glymphatic system, which clears the brain of protein waste products, is mostly active during sleep. Yet the glymphatic system degrades with age, suggesting a causal relationship between sleep disturbance and symptomatic progression in the neurodegenerative dementias. The ties that bind sleep, aging, glymphatic clearance, and protein aggregation have shed new light on the pathogenesis of a broad range of neurodegenerative diseases, for which glymphatic failure may constitute a therapeutically targetable final common pathway.
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source MEDLINE; Science Magazine
subjects Aging
Alzheimer Disease - etiology
Alzheimer Disease - physiopathology
Animals
Aquaporin 4 - genetics
Cardiovascular Diseases - etiology
Glymphatic System - physiopathology
Humans
Lymphatic System - physiopathology
Mice
Polymorphism, Genetic
Prion Proteins - metabolism
Protein Aggregates
Sleep
Sleep Wake Disorders - complications
Sleep Wake Disorders - physiopathology
title Glymphatic failure as a final common pathway to dementia
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