The glymphatic system and subarachnoid hemorrhage: disruption and recovery.

Exploration of neuroprotective therapy Pub Date : 2022-01-01 Epub Date: 2022-06-21 DOI:10.37349/ent.2022.00023
Stephan Quintin, Arnav Barpujari, Yusuf Mehkri, Jairo Hernandez, Brandon Lucke-Wold
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Abstract

The glymphatic system, or glial-lymphatic system, is a waste clearance system composed of perivascular channels formed by astrocytes that mediate the clearance of proteins and metabolites from the brain. These channels facilitate the movement of cerebrospinal fluid throughout brain parenchyma and are critical for homeostasis. Disruption of the glymphatic system leads to an accumulation of these waste products as well as increased interstitial fluid in the brain. These phenomena are also seen during and after subarachnoid hemorrhages (SAH), contributing to the brain damage seen after rupture of a major blood vessel. Herein this review provides an overview of the glymphatic system, its disruption during SAH, and its function in recovery following SAH. The review also outlines drugs which target the glymphatic system and may have therapeutic applications following SAH.

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蛛网膜系统与蛛网膜下腔出血:破坏与恢复。
淋巴系统(或称神经胶质-淋巴系统)是一种废物清除系统,由星形胶质细胞形成的血管周围通道组成,可清除脑内的蛋白质和代谢物。这些通道有助于脑脊液在整个脑实质内的流动,对脑部的平衡至关重要。甘回流系统的破坏会导致这些废物的积累以及脑内间隙液的增加。这些现象在蛛网膜下腔出血(SAH)期间和之后也会出现,导致大血管破裂后的脑损伤。本综述概述了甘油系统、它在蛛网膜下腔出血时的破坏作用以及它在蛛网膜下腔出血后恢复中的功能。本综述还概述了针对甘回流系统的药物,这些药物在 SAH 后可能具有治疗用途。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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