Document Type

Article

Publication Date

6-8-2026

Comments

This article is the author’s final published version in npj Parkinson's Disease, Volume 12, Issue 1, 2026, Article number 224.

The published version is available at https://doi.org/10.1038/s41531-026-01427-3. Copyright © The Author(s) 2026.

 

Abstract

Parkinson's disease (PD) involves α-synuclein accumulation and progressive neurodegeneration. This review proposes that PD reflects failure of sleep-circadian regulated brain clearance network integrating intracellular autophagy and extracellular glymphatic transport across neurons, glia, and blood-brain-barrier. Disruption of sleep-architecture and circadian-timing desynchronizes these processes, impairing protein clearance and promoting pathology. This framework positions sleep-circadian dysfunction as an upstream mechanism, suggesting that restoring sleep-circadian regulation may improve protein clearance and support disease-modifying strategies.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

PubMed ID

42259829

Language

English

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