Brain’s waste-clearance pathways revealed for the first time

OHSU study uses imaging in neurosurgery patients to show how brain’s glymphatic system clears waste; lifestyle measures can keep system sharp

Originally published by Erik Robinson on October 07, 2024 Portland, Oregon

Erin Yamamoto, M.D., and Juan Piantino, M.D., are among the co-authors of a new study from Oregon Health & Science University that used imaging of neurosurgery patients to definitively reveal the existence of waste-clearance pathways in the human brain known as the glymphatic system. (OHSU/Christine Torres Hicks).

Scientists have long theorized about a network of pathways in the brain that are believed to clear metabolic proteins that would otherwise build up and potentially lead to Alzheimer’s and other forms of dementia. But they had never definitively revealed this network in people — until now.

A new study involving five patients undergoing brain surgery at Oregon Health & Science University provides imaging of this network of perivascular spaces — fluid-filled structures along arteries and veins — within the brain for the first time.

 

Juan Piantino, M.D. (OHSU)

Nobody has shown it before now,” said senior author Juan Piantino, M.D., associate professor of pediatrics (neurology) in the OHSU School of Medicine and a faculty member of the Neuroscience Section of the Papé Family Pediatric Research Institute at OHSU. “I was always skeptical about it myself, and there are still a lot of skeptics out there who still don’t believe it. That’s what makes this finding so remarkable.”

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