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Preprint . 2026
License: CC BY
Data sources: Datacite
ZENODO
Preprint . 2026
License: CC BY
Data sources: Datacite
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The Renal–Glymphatic Axis in Parkinson's and Alzheimer's Disease: A Fascial-Compartment Hypothesis and Critical Transition Model

Authors: Minbaev, Zamirbek;

The Renal–Glymphatic Axis in Parkinson's and Alzheimer's Disease: A Fascial-Compartment Hypothesis and Critical Transition Model

Abstract

This preprint presents a hypothesis-generating systems framework linking renal perfusion, lymphatic resistance, fascial compartment dynamics, and glymphatic dysfunction in Parkinson’s disease (PD) and Alzheimer’s disease (AD). The manuscript introduces the concept of a Renal–Glymphatic Axis and proposes a mechanistic model in which reduced renal clearance capacity, autonomic dysregulation, and inter-fascial pressure alterations may contribute to impaired peripheral toxin elimination and amplification of neurodegenerative processes. A working “Critical Transition Point” is proposed based on combined renal perfusion parameters (eGFR and renal resistive index), together with autonomic imbalance. The framework also integrates the gut–kidney–brain axis through microbiota-derived uremic toxins (e.g., indoxyl sulfate and p-cresyl sulfate) and discusses potential involvement of VEGFR-3–mediated lymphatic signaling. This document is intended to stimulate empirical investigation and interdisciplinary research. It does not provide clinical recommendations and should not be interpreted as medical guidance.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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