Trends in molecular medicine

Reduced Brain Waste Clearance in Alzheimer's Disease and Normal Pressure Hydrocephalus

Updated

Abstract

Approximately 10% of dementia patients have idiopathic normal pressure hydrocephalus (iNPH).

  • iNPH is characterized by an expansion of the cerebrospinal fluid-filled brain ventricles.
  • Both iNPH and Alzheimer's disease (AD) are associated with sleep disturbances and the build-up of metabolic wastes.
  • The presence of amyloid-β (Aβ) plaques and reactive astrogliosis is noted in both conditions.
  • Mislocalization of astrocyte aquaporin-4 (AQP4) occurs in iNPH and AD.
  • Impaired glymphatic function may contribute to the pathology observed in both iNPH and AD.
  • Investigating glymphatic system biology could help develop strategies to enhance brain health.

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