The physiological process by which metabolic byproducts, neurotoxins, and accumulated proteins, such as amyloid-beta, are cleared from the central nervous system parenchyma. This essential cleansing function is predominantly carried out during sleep to maintain neuronal health and cognitive integrity.
Origin
The term is a descriptive clinical and scientific phrase originating from the discovery of the glymphatic system, a glial-dependent perivascular network. Management emphasizes the necessity of a regulated, efficient process for maintaining neurological homeostasis.
Mechanism
During non-REM sleep, the glymphatic system dramatically increases its activity, facilitated by a notable expansion of the interstitial space. Cerebrospinal fluid is actively pumped into the brain along perivascular channels, exchanging with interstitial fluid to flush out accumulated waste products. This nocturnal process is critical for preventing the buildup of neurotoxic aggregates linked to neurodegenerative decline and ensuring optimal daytime cognitive function.
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