Evidence map›Paper›PMID 36324713›Full record

ReviewCerebral circulation - cognition and behavior2021

Aberrant waste disposal in neurodegeneration: why improved sleep could be the solution.

Keith A Wafford

Erratum issuedAbstract readReview
In one paragraph

Review in Cerebral circulation - cognition and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Cerebral Gray Matter May Not Explain Sleep Slow-Wave Characteristics after Severe Brain Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  10. Review
  11. Editorial.Cerebral circulation - cognition and behavior · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Keith A WaffordSlowave Therapeutics Ltd, 113 York Road, Woking GU22 7XR, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep takes up a large percentage of our lives and the full functions of this state are still not understood. However, over the last 10 years a new and important function has emerged as a mediator of brain clearance. Removal of toxic metabolites and proteins from the brain parenchyma generated during waking activity and high levels of synaptic processing is critical to normal brain function and only enabled during deep sleep. Understanding of this process is revealing how impaired sleep contributes an important and likely causative role in the accumulation and aggregation of aberrant proteins such as β-amyloid and phosphorylated tau, as well as inflammation and neuronal damage. We are also beginning to understand how brain slow-wave activity interacts with vascular function allowing the flow of CSF and interstitial fluid to drain into the body's lymphatic system. New methodology is enabling visualization of this process in both animals and humans and is revealing how these processes break down during ageing and disease. With this understanding we can begin to envisage novel therapeutic approaches to the treatment of neurodegeneration, and how reversing sleep impairment in the correct manner may provide a way to slow these processes and improve brain function.

Indexed as

Alzheimer's diseaseAmyloidAQP4, aquaporin-4Aquaporin-4AstrocyteAβ, beta amyloidBOLD, blood-oxygen level dependent imagingCAA, cerebral amyloid angiopathyClearanceCSF, Cerebrospinal fluidEEG, electroencephalographyEMG, electromyographyGlymphaticiNPH, idiopathic normal pressure hydrocephalusISF, interstitial fluidMCI, mild cognitive impairmentMRI, magnetic resonance imagingNOS, nitric oxide synthaseNREM, non-rapid eye movementOSA, obstructive sleep apneaPET, positron emission tomographyREM, rapid-eye movementSlow-wave sleepSWA, slow wave activitySWS, slow-wave sleep

Identifiers

PMID36324713
PMCPMC9616228

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.