While we sleep, our brains are busy flushing the waste - The Buffalo News

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While we sleep, our brains are busy flushing the waste

WASHINGTON – While we are asleep, our bodies may be resting, but our brains are busy taking out the trash.

A new study has found that the cleanup system in the brain, responsible for flushing out toxic waste products that cells produce with daily use, goes into overdrive in mice that are asleep. The cells even shrink in size to make for easier cleaning of the spaces around them.

Scientists say this nightly self-clean by the brain provides a compelling biological reason for the restorative power of sleep.

“Sleep puts the brain in another state where we clean out all the byproducts of activity during the daytime,” said study author and University of Rochester neurosurgeon Maiken Nedergaard. Those byproducts include beta-amyloid protein, clumps of which form plaques found in the brains of Alzheimer’s patients.

Staying up all night could prevent the brain from getting rid of these toxins as efficiently, and explain why sleep deprivation has such strong and immediate consequences. Too little sleep causes mental fog, crankiness, and increased risks of migraine and seizure. Rats deprived of all sleep die within weeks.

Although as essential and universal to the animal kingdom as air and water, sleep is a riddle that has baffled scientists and philosophers for centuries. Drifting off into a reduced consciousness seems evolutionarily foolish, particularly for those creatures in danger of getting eaten or attacked.

One line of thinking was that sleep helps animals to conserve energy by forcing a period of rest. But this theory seems unlikely since the sleeping brain uses up almost as much energy as the awake brain, Nedergaard said.

Last year, Nedergaard and her colleagues discovered a network that drains waste from the brain, which they dubbed the glymphatic system. It works by circulating cerebrospinal fluid throughout the brain tissue and flushing any resulting waste into the bloodstream, which then carries it to the liver for detoxification.

She then became curious about how the glymphatic system behaves during the sleep-wake cycle.

An imaging technique called two-photon microscopy enabled the scientists to watch the movement of cerebrospinal fluid through a live mouse brain in real time. After soothing the creature until it was sound asleep, study author Lulu Xie tagged the fluid with a special fluorescent dye.

“During sleep, the cerebrospinal fluid flushed through the brain very quickly and broadly,” said Rochester neuropharmacologist Xie. As another experiment revealed, sleep causes the space between cells to increase by 60 percent, allowing the flow to increase.

Xie then gently touched the mouse’s tail until it woke up from its nap, and she again injected it with dye. This time, with the mouse awake, flow in the brain was greatly constrained.

“Brain cells shrink when we sleep, allowing fluid to enter and flush out the brain,” Nedergaard said. “It’s like opening and closing a faucet.”

The study was published in the journal Science.

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