Photobiomodulation Therapy and the Glymphatic System: Promising Applications for Augmenting the Brain Lymphatic Drainage System

The glymphatic system is a glial-dependent waste clearance pathway in the central nervous system, devoted to drain away waste metabolic products and soluble proteins such as amyloid-beta. An impaired brain glymphatic system can increase the incidence of neurovascular, neuroinflammatory, and neurodeg...

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Veröffentlicht in:International journal of molecular sciences 2022-03, Vol.23 (6), p.2975
Hauptverfasser: Salehpour, Farzad, Khademi, Mahsa, Bragin, Denis E, DiDuro, Joseph O
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container_title International journal of molecular sciences
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creator Salehpour, Farzad
Khademi, Mahsa
Bragin, Denis E
DiDuro, Joseph O
description The glymphatic system is a glial-dependent waste clearance pathway in the central nervous system, devoted to drain away waste metabolic products and soluble proteins such as amyloid-beta. An impaired brain glymphatic system can increase the incidence of neurovascular, neuroinflammatory, and neurodegenerative diseases. Photobiomodulation (PBM) therapy can serve as a non-invasive neuroprotective strategy for maintaining and optimizing effective brain waste clearance. In this review, we discuss the crucial role of the glymphatic drainage system in removing toxins and waste metabolites from the brain. We review recent animal research on the neurotherapeutic benefits of PBM therapy on glymphatic drainage and clearance. We also highlight cellular mechanisms of PBM on the cerebral glymphatic system. Animal research has shed light on the beneficial effects of PBM on the cerebral drainage system through the clearance of amyloid-beta via meningeal lymphatic vessels. Finally, PBM-mediated increase in the blood-brain barrier permeability with a subsequent rise in Aβ clearance from PBM-induced relaxation of lymphatic vessels via a vasodilation process will be discussed. We conclude that PBM promotion of cranial and extracranial lymphatic system function might be a promising strategy for the treatment of brain diseases associated with cerebrospinal fluid outflow abnormality.
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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Alzheimer's disease
Amyloid beta-Peptides - metabolism
Animal research
Animals
Blood-brain barrier
Brain - metabolism
Central nervous system
Cerebrospinal fluid
Glymphatic System - metabolism
Homeostasis
Inflammation
Light therapy
Low-Level Light Therapy
Lymphatic system
Lymphatic System - metabolism
Membrane permeability
Metabolism
Metabolites
Neurodegenerative Diseases - metabolism
Neuroprotection
Parkinson's disease
Physiology
Review
Sinuses
Toxins
Traumatic brain injury
Vasodilation
title Photobiomodulation Therapy and the Glymphatic System: Promising Applications for Augmenting the Brain Lymphatic Drainage System
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