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š§ š§ How does the brain clean itselfāand defend itself?
A landmark Neuron review unifies two once-separate stories: brain waste clearance and immune surveillance. The glymphatic system, powered by CSF flow, sleep, and vascular pulsatility, works hand-in-glove with meningeal lymphatics to clear toxins (β-amyloid, tau) and present brain antigens to the immune system.
š¤ Sleep is not restāit's maintenance.
š”ļø Clearance is not plumbingāit's immunity in motion.
š§ When this system falters, neurodegeneration follows.
A must-read for anyone interested in sleep, Alzheimer's disease, neuroimmunology, and brain health.
š Neuron, 2025.
By Dr RR Baliga, MD, MBA5
66 ratings
š§ š§ How does the brain clean itselfāand defend itself?
A landmark Neuron review unifies two once-separate stories: brain waste clearance and immune surveillance. The glymphatic system, powered by CSF flow, sleep, and vascular pulsatility, works hand-in-glove with meningeal lymphatics to clear toxins (β-amyloid, tau) and present brain antigens to the immune system.
š¤ Sleep is not restāit's maintenance.
š”ļø Clearance is not plumbingāit's immunity in motion.
š§ When this system falters, neurodegeneration follows.
A must-read for anyone interested in sleep, Alzheimer's disease, neuroimmunology, and brain health.
š Neuron, 2025.

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