Hein, Zaw Myo and Che Mohd Nassir, Che Mohd Nasril and Che Ramli, Muhammad Danial and Jaffer, Usman and Mehat, Muhammad Zulfadli and Mustapha, Muzaimi and Abdul Hamid, Hafizah (2025) Cerebral small vessel disease: The impact of glymphopathy and sleep disorders. Journal of Cerebral Blood Flow and Metabolism, 45 (8). pp. 1446-1468. ISSN 0271-678X E-ISSN 1559-7016
|
PDF
Download (1MB) | Preview |
Abstract
The glymphatic system, a vital brain perivascular network for waste clearance, hinges on the functionality of the aquaporin 4 (AQP4) water channel. Alarmingly, AQP4 single nucleotide polymorphisms (SNPs) are linked to impaired glymphatic clearance, or glymphopathy, which contributes to sleep disturbances and various age-related neurodegenerative diseases. Despite the critical role of glymphopathy and sleep disturbances in cerebral small vessel disease (CSVD) – a silent precursor to age-related neurodegenerative disorders – their interplay remains underexplored. CSVD is a major cause of stroke and dementia, yet its pathogenesis is not fully understood. Emerging evidence implicates glymphopathy and sleep disorders as pivotal factors in age-related CSVD, exacerbating the condition by hindering waste removal and compromising blood-brain barrier (BBB) integrity. Advanced imaging techniques promise to enhance diagnosis and monitoring, while lifestyle modifications and personalised medicine present promising treatment avenues. This narrative review underscores the need for a multidisciplinary approach to understanding glymphopathy and sleep disorders in CSVD. By exploring their roles, emphasising the necessity for longitudinal studies, and discussing potential therapeutic interventions, this paper aims to pave the way for new research and therapeutic directions in CSVD management.
| Item Type: | Article (Review) |
|---|---|
| Uncontrolled Keywords: | Cerebral small vessel disease, glymphatic system, sleep, aquaporin 4, glymphopathy |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology > BF636 Applied psychology R Medicine > RC Internal medicine > RC321 Neuroscience. Biological psychiatry. Neuropsychiatry |
| Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): | Kulliyyah of Islamic Revealed Knowledge and Human Sciences Kulliyyah of Islamic Revealed Knowledge and Human Sciences > Department of Psychology |
| Depositing User: | Dr Usman Jaffer |
| Date Deposited: | 15 Jan 2026 14:33 |
| Last Modified: | 15 Jan 2026 14:33 |
| Queue Number: | 2026-01-Q1648 |
| URI: | http://irep.iium.edu.my/id/eprint/122514 |
Actions (login required)
 |
View Item |
Download Statistics
Download Statistics