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Age-related differences in the impact of background noise on neural speech tracking 背景噪声对神经语音跟踪影响的年龄相关差异
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-06-03 DOI: 10.1016/j.neurobiolaging.2025.06.001
Björn Herrmann
Tracking the envelope of speech in the brain is important for speech comprehension. Recent research suggests that acoustic background noise can enhance neural speech tracking, enabling the auditory system to robustly encode speech even under unfavorable conditions. Aging and hearing loss are associated with internal, neural noise in the auditory system, raising the question whether additional acoustic background noise enhances neural speech tracking in older adults. In the current electroencephalography study, younger (∼25.5 years) and older adults (∼68.5 years) listened to spoken stories in quiet (clear) or in the presence of background noise at a wide range of different signal-to-noise ratios. In younger adults, early neural speech tracking responses (<0.15 s) were enhanced by minimal background noise, indicating response facilitation through noise. In contrast, older adults, compared to younger adults, showed enhanced neural speech tracking for clear speech and speech masked by minimal background noise, but the acoustic noise led to little enhancement of the early neural tracking response in older people. The data demonstrate different sensitivity of the auditory cortex to speech masked by noise between younger and older adults. The results are consistent with the idea that the auditory cortex of older people exhibits more internal, neural noise that enhances neural speech tracking but that additional acoustic noise does not further support speech encoding. The work points to a highly non-linear auditory system that differs between younger and older adults.
追踪大脑中言语的包络对言语理解很重要。最近的研究表明,声背景噪声可以增强神经语音跟踪,使听觉系统即使在不利的条件下也能对语音进行鲁棒编码。衰老和听力损失与听觉系统中的内部神经噪声有关,这就提出了一个问题,即额外的声学背景噪声是否会增强老年人的神经语言跟踪。在目前的脑电图研究中,年轻人(~ 25.5岁)和老年人(~ 68.5岁)在安静(清晰)或存在不同信噪比的背景噪音的情况下听口语故事。在年轻人中,最小的背景噪声增强了早期神经语言跟踪反应(<0.15 s),表明噪声促进了反应。相比之下,与年轻人相比,老年人对清晰语音和被最小背景噪声掩盖的语音表现出更强的神经语音跟踪,但声学噪声对老年人早期神经跟踪反应的增强作用不大。数据表明,年轻人和老年人的听觉皮层对被噪音掩盖的言语的敏感度不同。研究结果与之前的观点一致,即老年人的听觉皮层表现出更多的内部神经噪声,从而增强神经语言追踪,但额外的声学噪声并不能进一步支持语音编码。这项研究指出,年轻人和老年人的听觉系统是高度非线性的。
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引用次数: 0
Processivity and BDNF-dependent modulation of signalling endosome axonal transport are impaired in mice with advanced age 在老年小鼠中,信号内小体轴突运输的加工性和bdnf依赖性调节受到损害
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-26 DOI: 10.1016/j.neurobiolaging.2025.05.002
David Villarroel-Campos , Elena R. Rhymes , Andrew P. Tosolini , Bilal Malik , Alessio Vagnoni , Giampietro Schiavo , James N. Sleigh
A healthy nervous system is reliant upon an efficient transport network to deliver essential cargoes throughout the extensive and polarised architecture of neurons. The trafficking of cargoes, such as organelles and proteins, is particularly challenging within the long projections of neurons, which, in the case of axons, can be more than four orders of magnitude longer than cell bodies. It is therefore unsurprising that disruptions in axonal transport have been reported across neurological diseases. A decline in this essential process has also been identified in many aging models, perhaps compounding age-related neurodegeneration. Via intravital imaging, we recently determined that, despite a reduction in overall motility, the run speed and displacement of anterograde mitochondrial transport were unexpectedly enhanced in 19–22 month-old mouse peripheral nerves. Here, to determine how aging impacts a different axonal cargo, we evaluated in vivo trafficking of signalling endosomes in motor axons of mouse sciatic nerves from 3 to 22 months. Contrasting with mitochondria, we did not detect alterations in signalling endosome speed, but found a consistent rise in pausing that manifested after 18 months. We then treated muscles with brain-derived neurotrophic factor (BDNF), which regulates axonal transport of signalling endosomes in motor neurons; however, we observed no change in the processivity defect at 22 months, consistent with downregulation of the BDNF receptor TrkB at the neuromuscular junction. Together, these findings indicate that aging negatively impacts signalling endosome trafficking in motor axons, likely through dampened BDNF signalling at the motor neuron-muscle interface.
一个健康的神经系统依赖于一个有效的运输网络,通过广泛和极化的神经元结构来传递必需的货物。诸如细胞器和蛋白质等货物的运输在神经元的长突起中尤其具有挑战性,在轴突的情况下,轴突可以比细胞体长四个数量级以上。因此,在神经系统疾病中发现轴突运输紊乱就不足为奇了。在许多衰老模型中也发现了这一重要过程的下降,这可能加剧了与年龄相关的神经变性。通过活体成像,我们最近确定,尽管整体运动性降低,但在19-22个月大的小鼠周围神经中,运行速度和顺行线粒体运输的位移出人意料地增强。在这里,为了确定衰老如何影响不同的轴突货物,我们评估了小鼠坐骨神经运动轴突信号内体的体内运输,时间为3至22个月。与线粒体相比,我们没有检测到信号内体速度的变化,但发现18个月后暂停时间持续上升。然后,我们用脑源性神经营养因子(BDNF)治疗肌肉,该因子调节运动神经元信号内体的轴突运输;然而,我们在22个月时没有观察到加工缺陷的变化,这与神经肌肉连接处BDNF受体TrkB的下调一致。总之,这些发现表明,衰老可能通过抑制运动神经元-肌肉界面的BDNF信号传导,对运动轴突的信号内体运输产生负面影响。
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引用次数: 0
Modifiable risk factor profiles moderate the effect of β-amyloid pathology on cognition in aging 可改变的危险因素谱调节β-淀粉样蛋白病理对衰老认知的影响
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-15 DOI: 10.1016/j.neurobiolaging.2025.05.001
Mohini Bhade , Stefania Pezzoli , Joseph Giorgio , Tyler J. Ward , Joseph R. Winer , Theresa M. Harrison , Susan M. Landau , William J. Jagust
Although modifiable risk factors may account for around 40 % of population variability in dementia risk, the effect of risk factor interrelationships on pathology-cognition relationships is poorly understood. Using risk factor data from a cohort of 203 cognitively normal older adults (73 ± 6.4 years, 56 % female), we used k-means clustering to assign participants to one of three risk-related profiles; namely, positive-active (physical/cognitive activity, education), positive-affective (sleep, depression, personality), and negative multi-domain clusters. Linear mixed-effects models showed an attenuated effect of β-amyloid on non-memory cognition decline in positive profiles (positive-active: β=3.7, p = 0.008, positive-affective: β=3.7, p = 0.007) compared to the negative profile. While a significant entorhinal tau x time effect (p < 0.001) was observed in a model predicting episodic memory decline, cluster membership did not modify this relationship. These findings suggest that different risk profiles moderate pathology-cognition relationships, and highlight the role of groups of modifiable resilience factors in mitigating the effects of β-amyloid deposition.
尽管可改变的风险因素可能占痴呆症风险人群变异性的40%左右,但风险因素相互关系对病理认知关系的影响尚不清楚。使用来自203名认知正常老年人(73 ± 6.4岁,56%为女性)队列的风险因素数据,我们使用k-means聚类将参与者分配到三个风险相关概况之一;即积极-主动(身体/认知活动,教育),积极-情感(睡眠,抑郁,个性)和消极多域集群。线性混合效应模型显示,与阴性谱相比,阳性谱中β-淀粉样蛋白对非记忆认知衰退的影响减弱(阳性-活跃:β=3.7, p = 0.008,阳性-情感:β=3.7, p = 0.007)。虽然在预测情景记忆衰退的模型中观察到显着的内嗅tau x时间效应(p <; 0.001),但聚类成员并没有改变这种关系。这些发现表明,不同的风险特征调节了病理-认知关系,并强调了可改变的弹性因子组在减轻β-淀粉样蛋白沉积影响中的作用。
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引用次数: 0
Editorial Advisory Board 编辑顾问委员会
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-02 DOI: 10.1016/S0197-4580(25)00081-8
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引用次数: 0
Longitudinal relationships among cerebrospinal fluid biomarkers, cerebral blood flow, and grey matter volume in individuals with a familial history of Alzheimer's disease 阿尔茨海默病家族史个体脑脊液生物标志物、脑血流量和灰质体积之间的纵向关系
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-01 DOI: 10.1016/j.neurobiolaging.2025.04.011
Safa Sanami , Brittany Intzandt , Julia Huck , Sylvia Villeneuve , Yasser Iturria-Medina , Claudine J. Gauthier , Prevent-AD research group
Alzheimer’s disease (AD) is a complex disease that involves complex interactions between protein biomarkers such as amyloid beta (Aβ) and tau, neurodegeneration, cerebrovascular health and inflammation. However, how these factors interact, especially in the early phases of disease development remain unclear. To address this, this study analyzed four-year longitudinal data from 110 cognitively unimpaired older adults with a family history of AD in the PreventAD cohort. We investigated relationships between CSF Aβ, 181-phosphorylated tau (p-tau), interleukin-8 (IL-8), cerebral blood flow (CBF), and grey matter volume (GMV) in groups with high and low cardiovascular risk levels. Longitudinally, lower CSF Aβ within participants (a proxy for higher brain amyloid) was linked to a slower decline in regional CBF, particularly in those with higher cardiovascular risk. Similarly, in the high vascular risk group, higher IL-8 at baseline was associated with greater decline in CBF in the right superior temporal gyrus. Further, lower baseline CBF was associated with greater CSF p-tau accumulation over time. Finally, higher baseline CSF p-tau was associated with faster GM atrophy over 4 years, particularly in the hippocampus. Our results highlight the complex interactions between CSF misfolded proteins, inflammatory markers, and brain regional CBF and atrophy, and how these effects are more pronounced in individuals with higher vascular risk factor load. These findings demonstrate the need for comprehensive models of AD pathophysiology that integrate vascular health and inflammation measures alongside traditional biomarkers.
阿尔茨海默病(AD)是一种复杂的疾病,涉及蛋白质生物标志物如β淀粉样蛋白(a β)和tau蛋白、神经变性、脑血管健康和炎症之间的复杂相互作用。然而,这些因素如何相互作用,特别是在疾病发展的早期阶段仍不清楚。为了解决这个问题,本研究分析了PreventAD队列中110名有AD家族史的认知功能正常的老年人四年的纵向数据。我们研究了高、低心血管危险水平组脑脊液Aβ、181-磷酸化tau (p-tau)、白细胞介素-8 (IL-8)、脑血流量(CBF)和灰质体积(GMV)之间的关系。纵向上,参与者体内较低的CSF a β(代表较高的脑淀粉样蛋白)与区域CBF下降较慢有关,特别是在心血管风险较高的人群中。同样,在血管高危组中,基线时较高的IL-8与右侧颞上回CBF的较大下降相关。此外,随着时间的推移,较低的基线CBF与较高的CSF p-tau积累有关。最后,较高的CSF p-tau基线与4年内更快的GM萎缩有关,特别是在海马中。我们的研究结果强调了CSF错误折叠蛋白、炎症标记物和脑区域CBF和萎缩之间的复杂相互作用,以及这些影响在血管危险因子负荷较高的个体中如何更为明显。这些发现表明,需要建立综合的阿尔茨海默病病理生理模型,将血管健康和炎症指标与传统的生物标志物结合起来。
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引用次数: 0
Lower locus coeruleus integrity is associated with diminished practice effects in clinically unimpaired older individuals 在临床未受损的老年人中,较低的蓝斑完整性与练习效果减少有关
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-26 DOI: 10.1016/j.neurobiolaging.2025.03.015
Lindsay F. Smegal , Marion Baillet , Christoph Schneider , Roos J. Jutten , Rory Boyle , Dorene M. Rentz , Keith A. Johnson , Reisa A. Sperling , Kathryn V. Papp , Heidi I.L. Jacobs
The locus coeruleus (LC), one of the earliest structures affected by tau pathology in Alzheimer’s disease (AD), plays an important role in modulating arousal and learning. In asymptomatic early stages of AD, more sensitive measures to identify subtle cognitive changes are needed. Previous studies indicate that practice effects can signal initial AD-related learning deficits. Here, we assessed the association between LC integrity and practice effects. We combined dedicated LC-MRI methods with at-home computerized face-name letter task (FNLT), a Mnemonic Similarity Task (MST), and a one card learning task (OCL) performed monthly over one year in 76 older participants from the Harvard Aging Brain Study. Higher LC integrity was related to lower MST reaction times at baseline, and lower MST and FNLT reaction times over one year. No significant associations were found with the OCL. Participants with low accuracy practice effect trajectories exhibited low baseline PACC-5 scores, whereas those with higher reaction times over time displayed low LC integrity, high entorhinal, and high amygdala tau at baseline. These findings suggest reaction times measured monthly may be a sensitive measure for early AD-related biomarkers such as LC integrity and tau burden in preclinical AD.
蓝斑(locus coeruleus, LC)是阿尔茨海默病(AD)中最早受tau病理影响的结构之一,在调节觉醒和学习中起重要作用。在阿尔茨海默病无症状的早期阶段,需要更敏感的措施来识别细微的认知变化。先前的研究表明,练习效果可以预示与ad相关的初始学习缺陷。在这里,我们评估了LC完整性和实践效果之间的关系。我们将专用的LC-MRI方法与家庭计算机化的面孔-名称-字母任务(FNLT)、记忆相似性任务(MST)和一张卡片学习任务(OCL)结合起来,对来自哈佛衰老大脑研究的76名老年人进行了为期一年的月度测试。较高的LC完整性与基线时较低的MST反应时间以及一年内较低的MST和FNLT反应时间有关。与OCL无显著关联。具有低准确度练习效果轨迹的参与者表现出较低的基线PACC-5得分,而随着时间的推移,具有较高反应时间的参与者表现出较低的LC完整性,高的内鼻和高的基线杏仁核tau。这些发现表明,每月测量的反应时间可能是早期AD相关生物标志物(如临床前AD的LC完整性和tau负担)的敏感指标。
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引用次数: 0
Presenilin 1 hemizygosity has no overt deleterious phenotypic outcomes in sheep: Potential implications for therapeutic targets in Alzheimer's disease 早老素1半合子性在绵羊中没有明显的有害表型结果:阿尔茨海默病治疗靶点的潜在影响
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-25 DOI: 10.1016/j.neurobiolaging.2025.04.006
Natasha E. Mckean , Jun Liu , Skye R. Rudiger , Jennifer M. Kelly , Clive McLaughlan , Paul J. Verma , John Hardy , James F. Gusella , Henrik Zetterberg , Suzanne J. Reid , Renee H. Handley , Klaus Lehnert , Greg T. Sutherland , Amanda Heslegrave , Elena Veleva , Rhiannon Laban , John F. Pearson , Simon C. Bawden , Russell G. Snell
Alzheimer’s disease (AD) is a neurodegenerative condition and one of the most significant medical challenges today. Dominant mutations causing early-onset AD have been identified in the presenilin 1 and 2 (PSEN1 and PSEN2), and the amyloid precursor protein (APP) genes. Either PSEN1 or PSEN2 is required by γ-secretase, a functional complex that cleaves APP to produce amyloid-beta (Aβ) peptides of varying lengths. These mutations result in relative or absolute increases in the longer Aβ peptides (Aβ1–40, Aβ 1–42), which accumulate as plaques, characteristic of both early and late-onset AD. To investigate the effects of modulating PSEN1 expression, we have produced PSEN1 hemizygous sheep. Sheep PSEN and APP genes are highly conserved relative to humans, including the APP proteolytic cleavage sites, and like humans, sheep naturally develop plaques and TAU tangles with age. At five years of age, the PSEN1 hemizygous animals are phenotypically and biochemically normal. Interestingly, the characteristic Aβ peptide levels in their cerebrospinal fluid and plasma remain at wildtype levels, indicating that a 50 % reduction in PSEN1 abundance does not materially affect γ-secretase’s APP cleavage activity. These results suggest that generalized regulation of PSEN1 expression is unlikely to be an effective therapeutic approach for AD on its own. However, it does suggest that loss of one PSEN1 allele may be tolerated in higher organisms, with no deleterious side-effects. It is therefore possible that knocking-out or knocking-down one copy of PSEN1 via genetic modification will be tolerated in humans, especially as functional hemizygous humans are present in the population (gnomad). These kinds of therapies could potentially prevent AD caused by dominant gain-of-function mutations in PSEN1.
阿尔茨海默病(AD)是一种神经退行性疾病,也是当今最重大的医学挑战之一。早老素1和2 (PSEN1和PSEN2)以及淀粉样前体蛋白(APP)基因中已经发现了导致早发性AD的显性突变。γ分泌酶是一种切割APP以产生不同长度的淀粉样蛋白- β (a β)肽的功能复合物,它需要PSEN1或PSEN2。这些突变导致较长的Aβ肽(Aβ1 - 40、Aβ 1-42)的相对或绝对增加,并形成斑块,这是早发性和晚发性AD的特征。为了研究调节PSEN1表达的作用,我们培育了PSEN1半合子羊。绵羊的PSEN和APP基因相对于人类是高度保守的,包括APP蛋白水解裂解位点,并且与人类一样,绵羊会随着年龄的增长自然产生斑块和TAU缠结。在5岁时,PSEN1半合子动物的表型和生化正常。有趣的是,它们脑脊液和血浆中的a β肽水平保持在野生型水平,这表明PSEN1丰度降低50% %不会实质性影响γ-分泌酶的APP裂解活性。这些结果表明,PSEN1表达的广泛调节本身不太可能是治疗AD的有效方法。然而,这确实表明PSEN1等位基因的丢失在高等生物中是可以容忍的,没有有害的副作用。因此,通过基因改造敲除或敲除PSEN1的一个拷贝可能在人类中是可容忍的,特别是当群体中存在功能性半合子人类时(侏儒)。这些类型的治疗可能潜在地预防由PSEN1显性功能获得突变引起的AD。
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引用次数: 0
Theta-gamma transcranial alternating current stimulation enhances ballistic motor performance in healthy young and older adults Theta-gamma经颅交流电刺激增强健康年轻人和老年人的弹道运动表现
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-24 DOI: 10.1016/j.neurobiolaging.2025.04.010
Nishadi N. Gamage , Wei-Yeh Liao , Brodie J. Hand , Philip J. Atherton , Mathew Piasecki , George M. Opie , John G. Semmler
Theta-gamma transcranial alternating current stimulation (TG tACS) over primary motor cortex (M1) can improve ballistic motor performance in young adults, but the effect on older adults is unknown. This study investigated the effects of TG tACS on motor performance and M1 excitability in 18 young and 18 older adults. High-definition TG tACS (6 Hz theta, 75 Hz gamma) or sham tACS was applied over right M1 for 20 min during a ballistic left-thumb abduction motor training task performed in two experimental sessions. Motor performance was quantified as changes in movement acceleration during and up to 60 min after training. Transcranial magnetic stimulation (TMS) was used to assess changes in M1 excitability with motor-evoked potentials (MEP) and short-interval intracortical inhibition (SICI) before and after training. We found that TG tACS increased motor performance compared with sham tACS in young and older adults (P < 0.001), with greater effects for young adults (P = 0.01). The improved motor performance with TG tACS lasted at least 60 min after training in both age groups. Motor training was accompanied by greater MEP amplitudes with TG tACS compared to sham tACS in young and older adults (P < 0.001), but SICI did not vary between tACS sessions (P = 0.40). These findings indicate that TG tACS over M1 improves motor performance and alters training-induced changes in M1 excitability in healthy young and older adults. TG tACS may therefore be beneficial to alleviate motor deficits in the ageing population.
经过初级运动皮层(M1)的Theta-gamma经颅交流电刺激(TG - tACS)可以改善年轻人的弹道运动表现,但对老年人的影响尚不清楚。本研究考察了TG - tACS对18名青年和18名老年人运动表现和M1兴奋性的影响。高清晰度TG tACS(6 Hz theta, 75 Hz gamma)或假tACS在右侧M1上应用20 分钟,在两个实验阶段进行的弹道左拇指外展运动训练任务中。运动表现被量化为训练期间和训练后60分钟内运动加速度的变化。采用经颅磁刺激(TMS)评价训练前后运动诱发电位(MEP)和短间隔皮质内抑制(SICI)对M1兴奋性的影响。我们发现,与假tACS相比,TG tACS可以提高年轻人和老年人的运动表现(P <; 0.001),对年轻人的影响更大(P = 0.01)。在两个年龄组的训练后,TG - tACS对运动表现的改善持续至少60 min。在年轻人和老年人中,与假tACS相比,运动训练伴TG tACS的MEP振幅更大(P <; 0.001),但SICI在tACS疗程之间没有变化(P = 0.40)。这些发现表明,TG - tACS对M1的作用改善了运动表现,并改变了健康年轻人和老年人训练引起的M1兴奋性变化。因此,TG - tACS可能有助于缓解老年人的运动缺陷。
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引用次数: 0
Calpain and caspase regulate Aβ peptide production via cleavage of KINDLIN2 encoded by the AD-associated gene FERMT2 Calpain和caspase通过切割ad相关基因FERMT2编码的KINDLIN2来调节Aβ肽的产生
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-21 DOI: 10.1016/j.neurobiolaging.2025.04.009
Chloé Najdek , Pauline Walle , Amandine Flaig, Anne-Marie Ayral, Florie Demiautte, Audrey Coulon, Valérie Buiche, Neuro-CEB Brain Bank, Erwan Lambert , Philippe Amouyel, Carla Gelle, Dolores Siedlecki-Wullich, Julie Dumont, Devrim Kilinc, Fanny Eysert , Jean-Charles Lambert, Julien Chapuis
The adapter protein KINDLIN2, encoded by the Alzheimer's disease (AD) genetic risk factor FERMT2, was identified as a modulator of APP processing. KINDLIN2 directly interacts with APP to modulate its metabolism, and KINDLIN2 underexpression impairs long-term potentiation in an APP-dependent manner. Altogether, these data suggest that loss of KINDLIN2 could have a detrimental effect on synaptic function and promote AD pathophysiological process. In this study, we identified KINDLIN2 as a novel substrate of caspases and calpain I, two well-characterized cysteine proteases involved in the regulation of synaptic plasticity. These cleavages resulted in the dissociation of the F0 and F1 domains of KINDLIN2 that are necessary for it to function as an adapter protein. Furthermore, we demonstrate that these cleavages lead to a decrease in KINDLIN2’s ability to control APP processing. Overall, these KINDLIN2 cleavages appear as potential new mechanisms in the regulation of KINDLIN2 functions at the synapse and could be of interest for the pathophysiology of AD.
由阿尔茨海默病(AD)遗传危险因子FERMT2编码的适配蛋白KINDLIN2被确定为APP加工的调节剂。KINDLIN2直接与APP相互作用调节其代谢,并且KINDLIN2过低表达以APP依赖的方式损害长期增强。综上所述,这些数据表明KINDLIN2的缺失可能对突触功能产生不利影响,并促进AD的病理生理过程。在这项研究中,我们发现KINDLIN2是caspases和calpain I的一种新的底物,这两种半胱氨酸蛋白酶都参与突触可塑性的调节。这些分裂导致KINDLIN2的F0和F1结构域的分离,这是它作为一个适配器蛋白发挥作用所必需的。此外,我们证明这些裂解导致KINDLIN2控制APP加工的能力下降。总的来说,这些KINDLIN2裂解似乎是调节KINDLIN2突触功能的潜在新机制,可能对阿尔茨海默病的病理生理感兴趣。
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引用次数: 0
Influence of sleep and cardiovascular health on cognitive trajectories in older adults 睡眠和心血管健康对老年人认知轨迹的影响
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-19 DOI: 10.1016/j.neurobiolaging.2025.04.008
Hannah R. Maybrier , Joshua J. Jackson , Cristina D. Toedebusch , Brendan P. Lucey , Denise Head
Age-related changes in sleep have been associated with cognitive decline, yet causal pathways have not been identified. Evidence suggests reduced cardiovascular health may be a consequence of poor sleep and a precursor to cognitive decline. This observational cohort study used path analyses to determine whether cardiovascular disease risk mediated or moderated effects of sleep on yearly longitudinal change in cognition, estimated with linear growth models. Total sleep time (TST), sleep efficiency (SE), and relative spectral power of slow wave activity (SWA; 1–4 Hz) and slow oscillations (SO; 0.5–1 Hz), were measured with single-channel home EEG. Cardiovascular disease risk (CVR) was estimated as 10-year Framingham Risk Score 1-year post-sleep. Outcomes were yearly change in executive function (EF), episodic memory (EM), and processing speed (PS) over 2–5 years post-sleep. 342 participants (mean age 73.5 +/- 5.6 years, 51 % female) were included. Shorter TST was linearly associated with increased CVR across all models (βs = -0.18(0.058) – -0.19(0.059), ps< 0.002). TST was indirectly associated with EF and PS decline through CVR, such that associations between short TST and cognitive decline were partially due to higher CVR. All other mediating and moderating effects were nonsignificant after multiple comparisons. Indirect associations between short sleep duration and greater decline in executive function and processing speed were found through higher CVR, suggesting a potential mechanism by which sleep leads to cognitive decline. Findings support the prioritization of adequate sleep duration to preserve both cardiovascular and cognitive health in later life.
与年龄相关的睡眠变化与认知能力下降有关,但因果关系尚未确定。有证据表明,心血管健康状况的下降可能是睡眠不足的结果,也是认知能力下降的前兆。这项观察性队列研究使用路径分析来确定心血管疾病风险是否介导或调节睡眠对认知年纵向变化的影响,并使用线性增长模型进行估计。总睡眠时间(TST)、睡眠效率(SE)和慢波活动相对谱功率(SWA);1-4 Hz)和慢振荡(SO;0.5-1 Hz),单通道家庭脑电测量。心血管疾病风险(CVR)以睡眠后1年的10年Framingham风险评分进行评估。结果是在睡眠后2-5年内执行功能(EF)、情景记忆(EM)和处理速度(PS)的年度变化。纳入342名参与者(平均年龄73.5 +/- 5.6岁,51% %为女性)。在所有模型中,较短的TST与CVR增加呈线性相关(βs = -0.18(0.058)- -0.19(0.059),ps<; 0.002)。TST通过CVR间接与EF和PS下降相关,因此短TST与认知能力下降之间的关联部分是由于较高的CVR。经多次比较,其他所有中介和调节效应均不显著。通过较高的CVR发现,短睡眠时间与执行功能和处理速度的较大下降之间存在间接关联,这表明睡眠导致认知能力下降的潜在机制。研究结果支持将充足的睡眠时间放在首位,以在以后的生活中保持心血管和认知健康。
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Neurobiology of Aging
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