Page 91 - Read Online
P. 91

Choi et al. Cancer Drug Resist. 2026;9:12                                        Page 17 of 20





               integrating mechanistic insight with technological innovation, US-based glymphatic modulation may
               ultimately complement or transform existing treatments, offering new opportunities for noninvasive and
               precision medicine in neuro-oncology.


               DECLARATIONS
               Authors’ contributions
               Conception and design of the study: Choi W, Kim C, Park EY
               Data acquisition: Choi W, Jang MH, Park EY
               Data analysis and interpretation: Choi W, Park EY
               Administrative, technical, and material support: Choi W, Kim C, Park EY

               Availability of data and materials
               Not applicable.

               AI and AI-assisted tools statement
               During the preparation of this manuscript, the AI tool ChatGPT (version 5.3, released 2025-12-01) was used
               solely for language editing and FigureLabs (accessed 2026-02-05) was used to for generating the graphical
               abstract. These tools did not influence the scientific content of the work, including interpretation or
               conclusions. All authors take full responsibility for the accuracy, integrity, and final content of the
               manuscript.

               Financial support and sponsorship
               This work was supported by the National Research Foundation of Korea (NRF), by the Korea government
               (MSIT) (RS-2025-16069009, RS-2024-00340633, and RS-2023-NR077260), by Basic Science Research
               Program through the NRF funded by the Ministry of Education (RS-2020-NR049599), and by BK21 FOUR
               project.

               Conflicts of interest
               Kim C has financial interests in Opticho Inc., which, however, did not support this work, while the other
               authors have declared that they have no conflicts of interest.

               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Not applicable.

               Copyright
               © The Author(s) 2026.


               REFERENCES
               1.  Iliff JJ, Wang M, Liao Y, et al. A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of
                  interstitial solutes, including amyloid β. Sci Transl Med. 2012;4:147ra111. DOI PubMed PMC
               2.  Xie L, Kang H, Xu Q, et al. Sleep drives metabolite clearance from the adult brain. Science. 2013;342:373-7. DOI PubMed PMC
               3.  Iliff JJ, Lee H, Yu M, et al. Brain-wide pathway for waste clearance captured by contrast-enhanced MRI. J Clin Invest.
                  2013;123:1299-309. DOI PubMed PMC
               4.  Bohr T, Hjorth PG, Holst SC, et al. The glymphatic system: current understanding and modeling. iScience. 2022;25:104987. DOI
                  PubMed PMC
               5.  Iliff JJ, Wang M, Zeppenfeld DM, et al. Cerebral arterial pulsation drives paravascular CSF-interstitial fluid exchange in the murine
                  brain. J Neurosci. 2013;33:18190-9. DOI PubMed PMC
               6.  Mestre H, Tithof J, Du T, et al. Flow of cerebrospinal fluid is driven by arterial pulsations and is reduced in hypertension. Nat Commun.
                  2018;9:4878. DOI PubMed PMC
                                                           84
   86   87   88   89   90   91   92   93   94   95   96