Published in

MDPI, International Journal of Molecular Sciences, 14(22), p. 7491, 2021

DOI: 10.3390/ijms22147491

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The Glymphatic System (En)during Inflammation

Journal article published in 2021 by Frida Lind-Holm Mogensen ORCID, Christine Delle ORCID, Maiken Nedergaard
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

The glymphatic system is a fluid-transport system that accesses all regions of the brain. It facilitates the exchange of cerebrospinal fluid and interstitial fluid and clears waste from the metabolically active brain. Astrocytic endfeet and their dense expression of the aquaporin-4 water channels promote fluid exchange between the perivascular spaces and the neuropil. Cerebrospinal and interstitial fluids are together transported back to the vascular compartment by meningeal and cervical lymphatic vessels. Multiple lines of work show that neurological diseases in general impair glymphatic fluid transport. Insofar as the glymphatic system plays a pseudo-lymphatic role in the central nervous system, it is poised to play a role in neuroinflammation. In this review, we discuss how the association of the glymphatic system with the meningeal lymphatic vessel calls for a renewal of established concepts on the CNS as an immune-privileged site. We also discuss potential approaches to target the glymphatic system to combat neuroinflammation.