Evidence map›Paper›PMID 37777345›Full record

ReviewTrends in neurosciences2023

Air pollution, glymphatic impairment, and Alzheimer's disease.

Rashad Hussain, Uschi Graham, Alison Elder, Maiken Nedergaard

Open access · greenAbstract readReview
In one paragraph

Review in Trends in neurosciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Short-Term Impacts of PMGeoHealth · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Environmental toxins in neurodegeneration - a narrative review.Neurological research and practice · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Rashad HussainCenter for Translational Neuromedicine, University of Rochester, Rochester, NY 14642, USA. Electronic address: rashad_hussain@urmc.rochester.edu.
Uschi GrahamFaraday Energy, Lexington, KY 40511, USA.
Alison ElderDepartment of Environmental Medicine, University of Rochester, Rochester, NY 14642, USA.
Maiken NedergaardCenter for Translational Neuromedicine, University of Rochester, Rochester, NY 14642, USA; Center for Translational Neuroscience, University of Copenhagen, 2200 Copenhagen, Denmark. Electronic address: nedergaard@urmc.rochester.edu.
Faraday Technology (United States) · USUniversity of Copenhagen · DKUniversity of Rochester · USUniversity of Rochester Medical Center · US

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Martha Susiarjo · 1985 to 2026
$42.8M
Viral Tool Development Core: Visualization and manipulation of brain fluid dynamics by recombinant viral vectorsU19NS128613 · NINDS · UNIVERSITY OF ROCHESTER · PI Hajime Hirase · 2022 to 2026
$13.6M
Para-Vascular Basis of Small Vessel DiseaseR01NS100366 · NINDS · UNIVERSITY OF ROCHESTER · PI NEDERGAARD, MAIKEN · 2016 to 2020
$3.8M
The glymphatic system at the crossroad of integrative health approaches inchronic painR01AT011439 · NCCIH · UNIVERSITY OF ROCHESTER · PI NEDERGAARD, MAIKEN · 2021 to 2025
$3.1M
Glymphatic impairment as a crucial factor in particulate matter exposure related development of Alzheimer's disease pathologyR01AG083020 · NIA · UNIVERSITY OF ROCHESTER · PI Alison Elder, Uschi M Graham · 2023 to 2026
$2.9M
Disruption of restorative processes in chronic stress: An integrated cellular approachR01AT012707 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI Chiara Cirelli, Maiken Nedergaard · 2024 to 2026
$2.0M
CRCNS: Waste-clearance flows in the brain measured using physics-informed neural networkR01AT012312 · NCCIH · UNIVERSITY OF ROCHESTER · PI Douglas H Kelley · 2022 to 2026
$1.6M
NCCIH NIH HHS R01 AT011439NCCIH NIH HHS R01 AT012312NCCIH NIH HHS R01 AT012707NIA NIH HHS R01 AG083020NIEHS NIH HHS P30 ES001247NINDS NIH HHS R01 NS100366NINDS NIH HHS U19 NS128613
6 · The paper itself

Abstract

Epidemiological evidence demonstrates a link between air pollution exposure and the onset and progression of cognitive impairment and Alzheimer's disease (AD). However, current understanding of the underlying pathophysiological mechanisms is limited. This opinion article examines the hypothesis that air pollution-induced impairment of glymphatic clearance represents a crucial etiological event in the development of AD. Exposure to airborne particulate matter (PM) leads to systemic inflammation and neuroinflammation, increased metal load, respiratory and cardiovascular dysfunction, and sleep abnormalities. All these factors are known to reduce the efficiency of glymphatic clearance. Rescuing glymphatic function by restricting the impact of causative agents, and improving sleep and cardiovascular system health, may increase the efficiency of waste metabolite clearance and subsequently slow the progression of AD. In sum, we introduce air pollution-mediated glymphatic impairment as an important mechanistic factor to be considered when interpreting the etiology and progression of AD as well as its responsiveness to therapeutic interventions.

Indexed as

Air PollutionAlzheimer DiseaseCognitive DysfunctionHumansParticulate MatterParticulate Matteragingamyloid plaquesCSFneurodegenerationultrafine particles

Identifiers

PMID37777345
PMCPMC11934145
OpenAlexW4387131822

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.