Evidence map›Paper›PMID 41607408›Full record

SynthesisFrontiers in neuroscience2025

Associations between the brain glymphatic system and mitochondrial (dys)function: a systematic review.

Tilda Pihala, Vesa Kiviniemi, Mika H Martikainen

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Tilda PihalaResearch Unit of Clinical Medicine, Neurology, University of Oulu, Oulu, Finland.
Vesa KiviniemiOulu Functional Neuroimaging (OFNI), Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.
Mika H MartikainenResearch Unit of Clinical Medicine, Neurology, University of Oulu, Oulu, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Previous studies have shown that the proper functioning of both mitochondria and the glymphatic system transporting metabolites are essential for brain health. The aim of this systematic review was to identify the current evidence-based data regarding the relationship between mitochondria and the glymphatic system. Methods: This systematic review was conducted following PRISMA guidelines. The databases of PubMed, Scopus, Medline, and Web of Science were searched on June 11, 2024, for eligible studies published until June 1, 2024. Results: Of 103 studies, six were included: two original studies and four review articles. All the included studies consistently indicated that the mitochondria and the glymphatic system are likely interconnected, with evidence suggesting several potential links between them. According to original studies, mitochondrial abnormalities in idiopathic normal pressure hydrocephalus (iNPH) and idiopathic intracranial hypertension (IIH) may disrupt glymphatic system function. The included reviews highlighted REM sleep deprivation, melatonin, and inflammation as potential factors linking mitochondria and the glymphatic system. Discussion: The relationship between mitochondria and the glymphatic system is complex. Further research is needed to clarify the precise mechanisms of interaction as the current literature is largely speculative. Existing evidence suggests that mitochondrial abnormalities are present in iNPH and IIH, conditions related to impaired CSF flow and impaired glymphatic function. In addition, sleep and melatonin potentially link mitochondrial activity and the glymphatic system function and thus offer potential avenues to ameliorate disorders associated with glymphatic dysfunction by enhancing mitochondrial activity.

Indexed as

glymphatic systemidiopathic intracranial hypertensionidiopathic normal pressure hydrocephalusmelatoninmitochondrianeurodegeneration

Identifiers

PMID41607408
PMCPMC12835318

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.