Evidence map›Paper›PMID 40204790›Full record

ArticleNature communications2025

Long-term physical exercise facilitates putative glymphatic and meningeal lymphatic vessel flow in humans.

Roh-Eul Yoo, Jun-Hee Kim, Hyo Youl Moon, Jae Yeon Park, Seongmin Cheon, Hyun-Suk Shin, Dohyun Han, Yukyoum Kim, Sung-Hong Park, Seung Hong Choi

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–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

50 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Glymphatic function in humans: indicators, modulators, and measurement strategies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  17. Unveiling the glymphatic system's role in brain aging: A comprehensive biomarker and modifiable intervention target.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  19. Reconstructing cerebral lymphatic clearance: an emerging target in the Alzheimer's disease therapeutic pipeline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  20. Substantially Higher Vestibular Hydrops Agreement in Older Patients Assessed by Non-contrast vs. Contrast-enhanced MRI: A Preliminary Study.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Roh-Eul Yoo *Department of Radiology, Seoul National University College of Medicine, Seoul, South Korea.ORCID http://orcid.org/0000-0002-5625-5921
Jun-Hee Kim *Medical Research Center, Seoul National University, Seoul, South Korea.ORCID http://orcid.org/0000-0002-4080-0892
Hyo Youl Moon *Department of Physical Education, Seoul National University, Seoul, South Korea.
Jae Yeon ParkDepartment of Physical Education, Seoul National University, Seoul, South Korea.ORCID http://orcid.org/0009-0003-8877-5168
Seongmin CheonSchool of Biological Sciences and Technology, Chonnam National University, Gwangju, Republic of Korea.
Hyun-Suk ShinProteomics Core Facility, Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.
Dohyun HanProteomics Core Facility, Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-0841-1598
Yukyoum KimDepartment of Physical Education, Seoul National University, Seoul, South Korea. ykim22@snu.ac.kr.ORCID http://orcid.org/0000-0002-4430-7659
Sung-Hong ParkDepartment of Bio and Brain Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, South Korea. sunghongpark@kaist.ac.kr.ORCID http://orcid.org/0000-0002-1731-0668
Seung Hong ChoiDepartment of Radiology, Seoul National University College of Medicine, Seoul, South Korea. verocay1@snu.ac.kr.ORCID http://orcid.org/0000-0002-0412-2270

Funding

Korea Basic Science Institute (KBSI) RS-2024-00435727Ministry of Science, ICT and Future Planning (MSIP) 2022R1A5A8019303Ministry of Science, ICT and Future Planning (MSIP) NRF-2022R1I1A4053049Ministry of Science, ICT and Future Planning (MSIP) NRF-2023R1A2C3003250Ministry of Science, ICT and Future Planning (MSIP) RS-2023-00207783Ministry of Science, ICT and Future Planning (MSIP) RS-2023-00224382Ministry of Science, ICT and Future Planning (MSIP) RS-2023-00242754Seoul National University 800-20210534Seoul National University Hospital (SNUH) 0320230270
6 · The paper itself

Abstract

Regular voluntary exercise has been shown to increase waste transport through the glymphatic system in mice. Here, we investigate the impact of physical exercise on both upstream and downstream brain waste clearance in healthy volunteers via noninvasive MR imaging. Putative glymphatic influx, evaluated using intravenous contrast-enhanced dynamic T1 mapping, increases significantly at the putamen after 12 weeks of long-term exercise using a cycle ergometer. The putative meningeal lymphatic vessel size and flow, measured by intravenous contrast-enhanced black-blood imaging and IR-ALADDIN technique, increase significantly after long-term exercise. Plasma proteomics reveals significant changes in inflammation-related and immune-related proteins (down-regulated: S100A8, S100A9, PSMA3, and DEFA1A3; up-regulated: J chain) after long-term exercise, which correlate with putative glymphatic influx or mLV flow. Our results suggest that increased glymphatic and mLV flow may be the potential mechanism underlying the neuroprotective effects of exercise on cognition, highlighting the importance of long-term, regular exercise.

Indexed as

ExerciseGlymphatic SystemLymphatic VesselsMeningesAdultBrainFemaleHealthy VolunteersHumansMagnetic Resonance ImagingMaleProteomicsYoung Adult

Identifiers

PMID40204790
PMCPMC11982307

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.