Brain Clearance Across Sleep and Aging: Glymphatic Transport and Neurodegeneration
Date: November 11, 2026, 3:30 – 5:30 pm
Reception: 3:30 – 4:00 pm
Lecture: 4:00 – 5:30 pm
Location: Hawkins-Carlson Room, Rush Rhees Library
Speaker: Maiken Nedergaard
Brain health depends not only on producing and using proteins, but also on removing them. This lecture will examine how cerebrospinal fluid and interstitial fluid exchange through perivascular pathways and interact with astrocytes and cerebral vessels to transport solutes from brain tissue. It will consider evidence that this process is dynamic and influenced by sleep and arousal, arterial pulsatility and vasomotion, neurovascular activity, and respiratory and carbon dioxide–related changes in blood volume and pressure. These forces alter cerebrospinal fluid movement and may influence clearance, although fluid motion and net solute removal are not interchangeable measures.
The lecture will also consider how aging and vascular changes may reduce clearance capacity and contribute to the accumulation of amyloid-β, tau, and other proteins associated with neurodegenerative disease. Finally, it will address the challenges of measuring brain clearance in humans and discuss imaging approaches and experimental strategies needed for translation. Understanding how sleep, vessels, glia, and fluid transport interact may reveal broader ways to preserve brain health.
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