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The pathobiology of neurovascular aging. 神经血管老化的病理生物学。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 DOI: 10.1016/j.neuron.2024.12.014
Monica M Santisteban, Costantino Iadecola

As global life expectancy increases, age-related brain diseases such as stroke and dementia have become leading causes of death and disability. The aging of the neurovasculature is a critical determinant of brain aging and disease risk. Neurovascular cells are particularly vulnerable to aging, which induces significant structural and functional changes in arterial, venous, and lymphatic vessels. Consequently, neurovascular aging impairs oxygen and glucose delivery to active brain regions, disrupts endothelial transport mechanisms essential for blood-brain exchange, compromises proteostasis by reducing the clearance of potentially toxic proteins, weakens immune surveillance and privilege, and deprives the brain of key growth factors required for repair and renewal. In this review, we examine the effects of neurovascular aging on brain function and its role in stroke, vascular cognitive impairment, and Alzheimer's disease. Finally, we discuss key unanswered questions that must be addressed to develop neurovascular strategies aimed at promoting healthy brain aging.

随着全球预期寿命的延长,与年龄有关的脑部疾病,如中风和痴呆症,已成为导致死亡和残疾的主要原因。神经血管的老化是脑老化和疾病风险的关键决定因素。神经血管细胞特别容易受到衰老的影响,衰老会导致动脉、静脉和淋巴管的结构和功能发生显著变化。因此,神经血管老化损害氧气和葡萄糖输送到活跃的大脑区域,破坏血脑交换所必需的内皮运输机制,通过减少潜在有毒蛋白质的清除而损害蛋白质平衡,削弱免疫监视和特权,并剥夺大脑修复和更新所需的关键生长因子。在这篇综述中,我们研究了神经血管老化对脑功能的影响及其在中风、血管性认知障碍和阿尔茨海默病中的作用。最后,我们讨论了必须解决的关键问题,以发展旨在促进健康大脑衰老的神经血管策略。
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引用次数: 0
White matter aging and its impact on brain function. 白质老化及其对大脑功能的影响
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 Epub Date: 2024-11-13 DOI: 10.1016/j.neuron.2024.10.019
Janos Groh, Mikael Simons

Aging has a detrimental impact on white matter, resulting in reduced volume, compromised structural integrity of myelinated axons, and an increase in white matter hyperintensities. These changes are closely linked to cognitive decline and neurological disabilities. The deterioration of myelin and its diminished ability to regenerate as we age further contribute to the progression of neurodegenerative disorders. Understanding these changes is crucial for devising effective disease prevention strategies. Here, we will discuss the structural alterations in white matter that occur with aging and examine the cellular and molecular mechanisms driving these aging-related transformations. We highlight how the progressive disruption of white matter may initiate a self-perpetuating cycle of inflammation and neural damage.

衰老会对白质产生不利影响,导致白质体积缩小、髓鞘轴突结构完整性受损以及白质高密度化增加。这些变化与认知能力下降和神经系统残疾密切相关。随着年龄的增长,髓鞘的退化及其再生能力的减弱进一步加剧了神经退行性疾病的发展。了解这些变化对于制定有效的疾病预防策略至关重要。在这里,我们将讨论随着衰老而发生的白质结构变化,并研究驱动这些衰老相关变化的细胞和分子机制。我们将强调白质的逐渐破坏是如何引发炎症和神经损伤的自我循环的。
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引用次数: 0
Waste clearance shapes aging brain health. 清除废物塑造老年大脑健康
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 Epub Date: 2024-10-11 DOI: 10.1016/j.neuron.2024.09.017
Li-Feng Jiang-Xie, Antoine Drieu, Jonathan Kipnis

Brain health is intimately connected to fluid flow dynamics that cleanse the brain of potentially harmful waste material. This system is regulated by vascular dynamics, the maintenance of perivascular spaces, neural activity during sleep, and lymphatic drainage in the meningeal layers. However, aging can impinge on each of these layers of regulation, leading to impaired brain cleansing and the emergence of various age-associated neurological disorders, including Alzheimer's and Parkinson's diseases. Understanding the intricacies of fluid flow regulation in the brain and how this becomes altered with age could reveal new targets and therapeutic strategies to tackle age-associated neurological decline.

大脑的健康与液体流动动态密切相关,液体流动动态可以清除大脑中潜在的有害废物。这一系统受血管动态、血管周围空间的维持、睡眠时的神经活动以及脑膜层淋巴引流的调节。然而,衰老会影响上述每一层的调节,导致大脑清洁功能受损,出现各种与年龄相关的神经系统疾病,包括阿尔茨海默氏症和帕金森氏症。了解脑内液体流动调节的复杂性以及这种调节是如何随着年龄的增长而发生改变的,可以揭示新的靶点和治疗策略,从而解决与年龄相关的神经系统衰退问题。
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引用次数: 0
DNA damage and its links to neuronal aging and degeneration. DNA损伤及其与神经元老化和退化的关系。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 DOI: 10.1016/j.neuron.2024.12.001
Ilse Delint-Ramirez, Ram Madabhushi

DNA damage is a major risk factor for the decline of neuronal functions with age and in neurodegenerative diseases. While how DNA damage causes neurodegeneration is still being investigated, innovations over the past decade have provided significant insights into this issue. Breakthroughs in next-generation sequencing methods have begun to reveal the characteristics of neuronal DNA damage hotspots and the causes of DNA damage. Chromosome conformation capture-based approaches have shown that, while DNA damage and the ensuing cellular response alter chromatin topology, chromatin organization at damage sites also affects DNA repair outcomes in neurons. Additionally, neuronal activity results in the formation of programmed DNA breaks, which could burden DNA repair mechanisms and promote neuronal dysfunction. Finally, emerging evidence implicates DNA damage-induced inflammation as an important contributor to the age-related decline in neuronal functions. Together, these discoveries have ushered in a new understanding of the significance of genome maintenance for neuronal function.

DNA损伤是随着年龄增长和神经退行性疾病中神经元功能下降的主要危险因素。虽然DNA损伤如何导致神经变性仍在研究中,但过去十年的创新为这一问题提供了重要的见解。新一代测序方法的突破已经开始揭示神经元DNA损伤热点的特征和DNA损伤的原因。基于染色体构象捕获的方法表明,虽然DNA损伤和随后的细胞反应改变了染色质拓扑结构,但损伤部位的染色质组织也会影响神经元中的DNA修复结果。此外,神经元活动导致程序性DNA断裂的形成,这可能会给DNA修复机制带来负担,并促进神经元功能障碍。最后,新出现的证据表明,DNA损伤引起的炎症是与年龄相关的神经元功能下降的重要因素。总之,这些发现使人们对基因组维持神经元功能的重要性有了新的认识。
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引用次数: 0
The neuroscience of aging: Shining a candle in the dark. 衰老的神经科学:在黑暗中点亮蜡烛。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 DOI: 10.1016/j.neuron.2024.12.018
Axel Guskjolen, Mariela Zirlinger
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引用次数: 0
Astrocytes in aging. 星形胶质细胞衰老。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 DOI: 10.1016/j.neuron.2024.12.010
Lara Labarta-Bajo, Nicola J Allen

The mammalian nervous system is impacted by aging. Aging alters brain architecture, is associated with molecular damage, and can manifest with cognitive and motor deficits that diminish the quality of life. Astrocytes are glial cells of the CNS that regulate the development, function, and repair of neural circuits during development and adulthood; however, their functions in aging are less understood. Astrocytes change their transcriptome during aging, with astrocytes in areas such as the cerebellum, the hypothalamus, and white matter-rich regions being the most affected. While numerous studies describe astrocyte transcriptional changes in aging, many questions still remain. For example, how is astrocyte function altered by transcriptional changes that occur during aging? What are the mechanisms promoting astrocyte aged states? How do aged astrocytes impact brain function? This review discusses features of aged astrocytes and their potential triggers and proposes ways in which they may impact brain function and health span.

哺乳动物的神经系统受到衰老的影响。衰老会改变大脑结构,与分子损伤有关,并可能表现为认知和运动缺陷,从而降低生活质量。星形胶质细胞是中枢神经系统的胶质细胞,在发育和成年期间调节神经回路的发育、功能和修复;然而,它们在衰老中的作用却鲜为人知。星形胶质细胞在衰老过程中会改变其转录组,其中小脑、下丘脑和白质丰富区域的星形胶质细胞受影响最大。虽然许多研究描述了星形胶质细胞在衰老过程中的转录变化,但仍存在许多问题。例如,在衰老过程中发生的转录变化如何改变星形胶质细胞的功能?星形胶质细胞衰老的机制是什么?年老的星形胶质细胞如何影响大脑功能?本文综述了衰老星形胶质细胞的特征及其潜在的触发因素,并提出了它们可能影响大脑功能和健康寿命的途径。
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引用次数: 0
Brain aging and rejuvenation at single-cell resolution. 单细胞分辨率下的大脑衰老和再生。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-08 DOI: 10.1016/j.neuron.2024.12.007
Eric D Sun, Rahul Nagvekar, Angela N Pogson, Anne Brunet

Brain aging leads to a decline in cognitive function and a concomitant increase in the susceptibility to neurodegenerative diseases such as Alzheimer's and Parkinson's diseases. A key question is how changes within individual cells of the brain give rise to age-related dysfunction. Developments in single-cell "omics" technologies, such as single-cell transcriptomics, have facilitated high-dimensional profiling of individual cells. These technologies have led to new and comprehensive characterizations of brain aging at single-cell resolution. Here, we review insights gleaned from single-cell omics studies of brain aging, starting with a cell-type-centric overview of age-associated changes and followed by a discussion of cell-cell interactions during aging. We highlight how single-cell omics studies provide an unbiased view of different rejuvenation interventions and comment on the promise of combinatorial rejuvenation approaches for the brain. Finally, we propose new directions, including models of brain aging and neural stem cells as a focal point for rejuvenation.

大脑老化导致认知功能下降,同时增加对神经退行性疾病的易感性,如阿尔茨海默氏症和帕金森病。一个关键的问题是,大脑单个细胞的变化是如何引起与年龄相关的功能障碍的。单细胞“组学”技术的发展,如单细胞转录组学,促进了对单个细胞的高维分析。这些技术已经导致在单细胞分辨率的大脑衰老的新的和全面的特征。在这里,我们回顾了从大脑衰老的单细胞组学研究中收集到的见解,从以细胞类型为中心的年龄相关变化的概述开始,然后讨论了衰老过程中细胞与细胞的相互作用。我们强调单细胞组学研究如何为不同的再生干预提供公正的观点,并对大脑组合再生方法的前景发表评论。最后,我们提出了新的方向,包括脑老化模型和神经干细胞作为再生的焦点。
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引用次数: 0
Chronological versus immunological aging: Immune rejuvenation to arrest cognitive decline 时间与免疫衰老:免疫恢复阻止认知衰退
IF 16.2 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-27 DOI: 10.1016/j.neuron.2024.12.004
Leyre Basurco, Miguel Angel Abellanas, Maitreyee Purnapatre, Paola Antonello, Michal Schwartz
The contemporary understanding that the immune response significantly supports higher brain functions has emphasized the notion that the brain’s condition is linked in a complex manner to the state of the immune system. It is therefore not surprising that immunity is a key factor in shaping brain aging. In this perspective article, we propose amending the Latin phrase “mens sana in corpore sano” (“a healthy mind in a healthy body”) to “a healthy mind in a healthy immune system.” Briefly, we discuss the emerging understanding of the pivotal role of the immune system in supporting lifelong brain maintenance, how the aging of the immune system impacts the brain, and how the potential rejuvenation of the immune system could, in turn, help revitalize brain function, with the ultimate ambitious goal of developing an anti-aging immune therapy.
当代的理解是,免疫反应显著地支持高级大脑功能,强调了大脑状况与免疫系统状态以复杂的方式联系在一起的概念。因此,免疫力是影响大脑衰老的关键因素也就不足为奇了。在这篇展望性的文章中,我们建议将拉丁短语“men sana In corpore sano”(“健康的思想在健康的身体中”)修改为“健康的思想在健康的免疫系统中”。简要地说,我们讨论了对免疫系统在支持终身大脑维护中的关键作用的新兴理解,免疫系统的衰老如何影响大脑,以及免疫系统的潜在复兴如何反过来帮助恢复大脑功能,最终目标是开发抗衰老的免疫疗法。
{"title":"Chronological versus immunological aging: Immune rejuvenation to arrest cognitive decline","authors":"Leyre Basurco, Miguel Angel Abellanas, Maitreyee Purnapatre, Paola Antonello, Michal Schwartz","doi":"10.1016/j.neuron.2024.12.004","DOIUrl":"https://doi.org/10.1016/j.neuron.2024.12.004","url":null,"abstract":"The contemporary understanding that the immune response significantly supports higher brain functions has emphasized the notion that the brain’s condition is linked in a complex manner to the state of the immune system. It is therefore not surprising that immunity is a key factor in shaping brain aging. In this perspective article, we propose amending the Latin phrase “<ce:italic>mens sana in corpore sano</ce:italic>” (“a healthy mind in a healthy body”) to “a healthy mind in a healthy immune system.” Briefly, we discuss the emerging understanding of the pivotal role of the immune system in supporting lifelong brain maintenance, how the aging of the immune system impacts the brain, and how the potential rejuvenation of the immune system could, in turn, help revitalize brain function, with the ultimate ambitious goal of developing an anti-aging immune therapy.","PeriodicalId":19313,"journal":{"name":"Neuron","volume":"117 1","pages":""},"PeriodicalIF":16.2,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142929184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroethics hackathons bridge theory to practice. 神经伦理学黑客马拉松将理论与实践联系起来。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-18 DOI: 10.1016/j.neuron.2024.11.013
Karen S Rommelfanger, Darrell Porcello, Arleen Salles, Lucille Nalbach Tournas

Ethical practice is a vital component in neuroscience innovation, and that practice must reflect the interests of society. However, truly ethical and responsible innovation may require moving beyond current theory toward more creative and imaginative approaches. Here, we present neuroethics hackathons as a case study in bridging theory to practice.

伦理实践是神经科学创新的重要组成部分,这种实践必须反映社会的利益。然而,真正合乎道德和负责任的创新可能需要超越当前的理论,走向更具创造性和想象力的方法。在这里,我们提出神经伦理学黑客马拉松作为一个案例研究的桥梁理论到实践。
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引用次数: 0
Functional architecture of cerebral cortex during naturalistic movie watching. 自然观影过程中大脑皮层的功能结构。
IF 14.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-18 Epub Date: 2024-11-06 DOI: 10.1016/j.neuron.2024.10.005
Reza Rajimehr, Haoran Xu, Asa Farahani, Simon Kornblith, John Duncan, Robert Desimone

Characterizing the functional organization of cerebral cortex is a fundamental step in understanding how different kinds of information are processed in the brain. However, it is still unclear how these areas are organized during naturalistic visual and auditory stimulation. Here, we used high-resolution functional MRI data from 176 human subjects to map the macro-architecture of the entire cerebral cortex based on responses to a 60-min audiovisual movie stimulus. A data-driven clustering approach revealed a map of 24 functional areas/networks, each explicitly linked to a specific aspect of sensory or cognitive processing. Novel features of this map included an extended scene-selective network in the lateral prefrontal cortex, separate clusters responsive to human-object and human-human interaction, and a push-pull interaction between three executive control (domain-general) networks and domain-specific regions of the visual, auditory, and language cortex. Our cortical parcellation provides a comprehensive and unified map of functionally defined areas in the human cerebral cortex.

描述大脑皮层的功能组织是了解大脑如何处理各种信息的基本步骤。然而,目前还不清楚这些区域在自然视觉和听觉刺激时是如何组织的。在这里,我们利用 176 名人类受试者的高分辨率功能磁共振成像数据,根据他们对 60 分钟视听电影刺激的反应,绘制了整个大脑皮层的宏观架构图。数据驱动的聚类方法揭示了由 24 个功能区/网络组成的地图,每个功能区/网络都与感官或认知处理的特定方面明确相关。该图谱的新特征包括外侧前额叶皮层中的扩展场景选择网络、对人-物和人-人互动做出反应的独立群组,以及三个执行控制(领域一般)网络与视觉、听觉和语言皮层的特定领域区域之间的推拉互动。我们的大脑皮层划分为人类大脑皮层功能定义区域提供了一个全面而统一的地图。
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引用次数: 0
期刊
Neuron
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