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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R-33

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    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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History
  • Received:November 11,2024
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  • Online: August 08,2025
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