Mapping How the Brain Takes Out Its Trash

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Mapping How the Brain Takes Out Its Trash

Article | By Sarah C.P. Williams | May 29, 2026 | 6<br>min read

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Gladstone scientists—including Nalini Rao, seen here—developed a new tool to trace how the brain clears “waste,” uncovering surprising new biology about how it keeps itself healthy.

Think of the brain as if it were a house. Insulated from its environment, a house relies on complex networks—pipes, drains, and disposal systems—that interface with the outside world to keep the home functional on the inside. But when this infrastructure breaks down, trash accumulates and the resulting damage can be difficult to reverse.

Similarly, the brain is largely isolated from the rest of the body, sealed off by barriers that carefully control what gets in and out. And as one of the body’s most active organs, it constantly produces waste as a byproduct of its work. As a result, the brain has developed dedicated networks for waste disposal and drainage. When those networks fail, toxic proteins can build up and trigger devastating diseases like Alzheimer’s.

Yang (center) and his team—including Sophia Nelson (left) and Nalini Rao (right)—designed a better way to study how the brain clears waste that doesn't involve disrupting the very system they want to measure.

Traditionally, to investigate these networks, scientists injected tracers into the cerebrospinal fluid, which acts as a vehicle for removing brain waste. But akin to flooding a house, this method revealed all possible points of leakage without indicating which exits are normally used.

This left a fundamental question unanswered: how do the waste proteins made inside the brain find their way out?

Now, researchers at Gladstone Institutes have devised a way to track the exact routes that debris uses when exiting the brain. Their approach, described in Cell, has revealed new details about how the brain clears waste, including how bordering immune cells interact with waste products and how Alzheimer’s disease disrupts this carefully orchestrated system.

“We finally have a way to study how the brain cleans itself, and we used it to discover a lot of unexpected biology,” says Gladstone Investigator Andrew Yang, PhD, who led the study.

Tracking Brain Waste From the Source

Previous studies involved injecting dyes into the cerebrospinal fluid to see how it exited the brain—but this also meant disrupting the brain.

“These injected tracers disturb the very system we’re attempting to measure,” says Yang. “We wanted to find a better way.”

In their new study, Yang’s team—including Postdoctoral Fellow Nalini Rao, PhD, and Visiting Fellow Yuichi Chayama, PhD—engineered neurons in mice to produce a fluorescent protein called ZsGreen that could be easily traced as it exited the brain. The scientists could track it as it moved into brain-adjacent borders such as the dura, skull, nasal cavity, and lymph nodes, which are home to highly specialized immune cells.

The new study by Rao (left) and Yang (right) uncovered that, once they become waste, proteins in the brain are cleared through exit routes that are closest to where they were made.

The team’s new method identified, for the first time, cells interacting with brain-derived waste at each exit site. The results diverged strikingly from traditional tracer studies, where injected dyes had pointed to the neck’s lymph nodes as a drainage path.

“We were surprised to find that very little ZsGreen drained to the cervical lymph nodes,” Yang says. “Instead, waste drained through the dura, skull, and nasal cavity. Our findings underscore why tracking waste proteins themselves, rather than movement of the cerebrospinal fluid, provides a more accurate understanding of waste clearance dynamics.”

Finding the Nearest Exit

Among the study’s key findings, the scientists discovered that where a protein is made in the brain determines where it drains. Proteins from the upper regions of the forebrain mainly drained through upper exit routes, while those originating from deeper structures like the striatum exited through routes closer to the base.

Yang’s team calls this the “nearest exit” model of waste clearance.

This video shows a three-dimensional, transparent view of a mouse brain, made possible by a chemical clearing technique that allows scientists to peer inside without slicing it. Neurons genetically engineered to produce ZsGreen are shown in green, while blue and magenta highlight the intricate vascular networks throughout the brain. Using this visualization tool, the researchers were able to watch released brain-waste proteins as they traveled alongside these vascular networks out toward key drainage sites at the brain's borders.

“It’s like each brain region has a biological ZIP code system to ensure waste will be sent to the correct drainage site,” Rao says. “We think that in aging or...