脑类淋巴系统和帕金森病:当前概念-机制治疗前景
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1.河南中医药大学第一附属医院脑病科,郑州 450000;2.河南中医药大学第一临床医学院,郑州 450046; 3.郑州大学第三附属医院,郑州 450052

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R-33

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Glymphatic system and Parkinson’s disease: current concepts, mechanisms, and therapeutic perspectives
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1.Department of Encephalopathy, First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou 450000, China. 2.First Clinical Medical College, Henan University of Chinese Medicine, Zhengzhou 450046. 3.Third Affiliated Hospital, Zhengzhou University, Zhengzhou 450052

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    摘要:

    脑类淋巴系统(glymphatic system, GS)是近年来在中枢神经系统(central nervous system, CNS)中发现的重要废物清除途径,在维持脑内环境稳态中发挥关键作用。越来越多的证据表明,该系统功能障碍与多种神经退行性疾病的发病机制密切相关。然而,其在帕金森病(Parkinson’s disease, PD)中的具体作用机制尚未完全阐明。本文系统综述GS的结构与功能特征,深入探讨其在PD病理进程中的潜在作用,并基于现有研究证据总结针对该系统的治疗策略研究进展,旨在为深入理解PD发病机制和开发新型诊疗方法提供理论依据。

    Abstract:

    The glymphatic system is a recently discovered essential waste-clearance pathway in the central nervous system that plays a pivotal role in maintaining brain homeostasis. Growing evidence suggests that dysfunction of this system is closely associated with the pathogenesis of various neurodegenerative disorders; however, its precise mechanistic involvement in Parkinson’s disease is poorly understood. This review systematically summarizes the structural and functional characteristics of the glymphatic system, provides an in-depth exploration of its potential role in Parkinson’s disease pathophysiology, and synthesizes current research evidence on glymphatic system-targeted therapeutic strategies, with the aim of establishing a theoretical foundation for advancing the understanding of PD pathogenesis and developing novel diagnostic and therapeutic approaches.

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杨杰丽,兰 瑞,张 勇,唐 琛.脑类淋巴系统和帕金森病:当前概念-机制治疗前景[J].中国比较医学杂志,2025,35(7):109~120.

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  • 收稿日期:2024-11-11
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  • 在线发布日期: 2025-08-08
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