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Table 2 Physical exercise effects on glymphatic and meningeal lymphatic function

From: Leveraging the glymphatic and meningeal lymphatic systems as therapeutic strategies in Alzheimer’s disease: an updated overview of nonpharmacological therapies

Ref

Exercise protocol

Animals

Glymphatic and meningeal lymphatic effects

Neurophysiological Outcomes

Brain Structures

Behavioral outcomes

He et al. (2017) [30]

Voluntary wheel running (6 weeks)

Old mice (7–8 months old)

↑ Polarized AQP4

↑ CSF influx

↑ ISF solute clearance

↑ CSF drainage into dcLNs

↓ Reactive gliosis

↓ Aβ deposition

↑ Dendritic spines

↑ Synaptic proteins

Hippocampus and cortex

↑ Learning and memory

Liu et al. (2022) [32]

Voluntary wheel running (8 weeks)

5 months APP/PS1

↑ Polarized AQP4

↑ CSF influx

↓ Aβ deposition

↑ BDNF

↑ Synaptic proteins

↓ Reactive gliosis

↓ Neuroinflammation

Forebrain

↑ Learning and memory

9 months APP/PS1

 ↔ Polarized AQP4

 ↔ CSF influx

 ↔ Aβ deposition

 ↔ BDNF

 ↔ Synaptic proteins

 ↔ Reactive gliosis

 ↔ Neuroinflammation

Forebrain

 ↔ Learning and memory

von Holstein-Rathlou et al. (2018) [31]

Voluntary wheel running (5 weeks)

Young adult mice (2 months old)

↑ Awake CSF influx

 ↔ CSF influx during sleep

 ↔ ISF solute clearance

 ↔ Polarized AQP4

 ↔ Reactive gliosis

Hippocampus and cortex

Not investigated

  1. ↑ increased/improved; ↓ reduced/decreased; ↔ unchanged