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This Week in AsiaHealth & Environment

South Korean scientists solve 250-year-old dementia-linked brain mystery

The breakthrough offers hope for new Alzheimer’s treatments – and provides a scientific basis for the benefits of facial massage

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The researchers found that gently stimulating vessels around the eyes and nose can enhance brain-waste clearance. Photo: Shutterstock
Park Chan-kyong
Researchers in South Korea say they have finally worked out how the brain flushes away waste – offering a clearer picture of the processes involved in dementia and other brain disorders that could one day be harnessed to treat them.

The breakthrough, published this month in journal Cell, solved a puzzle that has stumped scientists since lymphatic vessels around the brain were first discovered roughly 250 years ago: how does our body clear away the waste?

An international team led by Dr Koh Gou-young, a scientist at the Centre for Vascular Research within South Korea’s Institute for Basic Science, identified tiny openings in the tough membrane protecting the brain – dubbed arachnoid fenestrations – through which fluid drains into vessels around the nose and eyes before reaching lymph nodes in the neck.

A doctor inspects a brain scan for signs of possible disease. Dementia is characterised by a build-up of toxic brain waste. Photo: Getty Images
A doctor inspects a brain scan for signs of possible disease. Dementia is characterised by a build-up of toxic brain waste. Photo: Getty Images

The human brain constantly produces metabolic waste, which needs to be cleared away by cerebrospinal fluid: the clear, watery liquid that acts as a natural shock absorber and nutrient bath for the brain and spinal cord.

When this system slows down, toxic proteins such as amyloid beta – a hallmark of Alzheimer’s disease – can build up, raising the risk of dementia and other neurodegenerative disorders.

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