Mechanisms of phototherapy of Alzheimer’s disease during sleep and wakefulness: the role of the meningeal lymphatics

Autor: Semyachkina-Glushkovskaya Oxana, Shirokov Alexander, Blokhina Inna, Fedosov Ivan, Terskov Andrey, Dubrovsky Alexander, Tsoy Maria, Elovenko Daria, Adushkina Viktoria, Evsukova Arina, Telnova Valeria, Tzven Anna, Krupnova Valeria, Manzhaeva Maria, Dmitrenko Alexander, Penzel Thomas, Kurths Jürgen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers of Optoelectronics, Vol 16, Iss 1, Pp 1-20 (2023)
Druh dokumentu: article
ISSN: 2095-2767
DOI: 10.1007/s12200-023-00080-5
Popis: Abstract With the increase in the aging population, the global number of people with Alzheimer’s disease (AD) progressively increased worldwide. The situation is aggravated by the fact that there is no the effective pharmacological therapy of AD. Photobiomodulation (PBM) is non-pharmacological approach that has shown very promising results in the therapy of AD in pilot clinical and animal studies. However, the mechanisms of therapeutic effects of PBM for AD are poorly understood. In this study on mice, we demonstrate that photodynamic effects of 5-aminolevulenic acid and laser 635 nm cause reduction of network of the meningeal lymphatic vessels (MLVs) leading to suppression of lymphatic removal of beta-amyloid (Aβ) from the right lateral ventricle and the hippocampus. Using the original protocol of PBM under electroencephalographic monitoring of wakefulness and sleep stages in non-anesthetized mice, we discover that the 7-day course of PBM during deep sleep vs. wakefulness provides better restoration of clearance of Aβ from the ventricular system of the brain and the hippocampus. Our results shed light on the mechanism of PBM and show the stimulating effects of PBM on the brain lymphatic drainage that promotes transport of Aβ via the lymphatic pathway. The effects of PBM on the brain lymphatics in sleeping brain open a new niche in the study of restorative functions of sleep as well as it is an important informative platform for the development of innovative smart sleep technologies for the therapy of AD. Graphical Abstract
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