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TOMM40 may mediate GFAP, neurofilament light Protein, pTau181, and brain morphometry in aging TOMM40可能在衰老过程中介导GFAP、神经丝轻蛋白、pTau181和脑形态计量学。
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.nbas.2024.100134
Robyn A. Honea , Heather Wilkins , Suzanne L. Hunt , Paul J. Kueck , Jeffrey M. Burns , Russell H. Swerdlow , Jill K. Morris
A growing amount of data has implicated the TOMM40 gene in the risk for Alzheimer’s disease (AD), neurodegeneration, and accelerated aging. No studies have investigated the relationship of TOMM40 rs2075650 (‘650) on the structural complexity of the brain or plasma markers of neurodegeneration. We used a comprehensive approach to quantify the impact of TOMM40 ‘650 on brain morphology and multiple cortical attributes in cognitively unimpaired (CU) individuals. We also tested whether the presence of the risk allele, G, of TOMM40 ‘650 was associated with plasma markers of amyloid, tau, and neurodegeneration and if there were interactions with age and sex, controlling for the effects of APOE ε4. We found that the TOMM40 ‘650 G-allele was associated with decreased sulcal depth, increased gyrification index, and decreased gray matter volume. NfL, GFAP, and pTau181 had independent and age-associated increases in individuals with a G-allele. Our data suggest that TOMM40 ‘650 is associated with aging-related plasma biomarkers and brain structure variation in temporal-limbic circuits.
越来越多的数据表明,TOMM40基因与阿尔茨海默病(AD)、神经变性和加速衰老的风险有关。尚未有研究研究TOMM40 rs2075650('650)与脑结构复杂性或神经变性血浆标志物的关系。我们使用了一种综合的方法来量化TOMM40 '650对认知未受损(CU)个体的大脑形态和多种皮质属性的影响。我们还测试了TOMM40 '650的风险等位基因G的存在是否与淀粉样蛋白、tau蛋白和神经变性的血浆标志物相关,以及是否与年龄和性别相互作用,控制APOE ε4的影响。我们发现TOMM40 '650 g等位基因与沟深减小、旋转指数增加和灰质体积减小有关。在携带g等位基因的个体中,NfL、GFAP和pTau181具有独立的和与年龄相关的增加。我们的数据表明TOMM40 '650与衰老相关的血浆生物标志物和颞边缘回路的大脑结构变化有关。
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引用次数: 0
White matter differences between younger and older adults revealed by fixel-based analysis 基于固定颗粒的分析揭示了年轻人和老年人的白质差异
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100132
Feliberto de la Cruz , Andy Schumann , Katrin Rieger , Daniel Güllmar , Jürgen R. Reichenbach , Karl-Jürgen Bär
The process of healthy aging involves complex alterations in neural structures, with white matter (WM) changes significantly impacting cognitive and motor functions. Conventional methods such as diffusion tensor imaging provide valuable insights, but their limitations in capturing complex WM geometry advocate for more advanced approaches. In this study involving 120 healthy volunteers, we investigated whole-brain WM differences between young and old individuals using a novel technique called fixel-based analysis (FBA). This approach revealed that older adults exhibited reduced FBA-derived metrics in several WM tracts, with frontal areas particularly affected. Surprisingly, age-related differences in FBA-derived measures showed no significant correlation with risk factors such as alcohol consumption, exercise frequency, or pulse pressure but predicted cognitive performance. These findings emphasize FBA’s potential in characterizing complex WM changes and the link between cognitive abilities and WM alterations in healthy aging. Overall, this study advances our understanding of age-related neurodegeneration, highlighting the importance of comprehensive assessments that integrate advanced neuroimaging techniques, cognitive evaluation, and demographic factors to gain insights into healthy aging.
健康老龄化过程涉及神经结构的复杂变化,其中白质(WM)的变化对认知和运动功能有重大影响。扩散张量成像等传统方法能提供有价值的见解,但它们在捕捉复杂的 WM 几何结构方面存在局限性,因此需要更先进的方法。在这项涉及 120 名健康志愿者的研究中,我们使用一种名为 "基于定点的分析"(FBA)的新技术,研究了年轻人和老年人之间的全脑 WM 差异。这种方法显示,老年人在多个 WM 束中表现出 FBA 衍生指标的减少,额叶区域尤其受到影响。令人惊讶的是,FBA衍生指标中与年龄相关的差异与饮酒、运动频率或脉压等风险因素没有显著相关性,但却能预测认知表现。这些发现强调了 FBA 在描述复杂的 WM 变化方面的潜力,以及在健康老龄化过程中认知能力与 WM 变化之间的联系。总之,这项研究加深了我们对与年龄相关的神经退行性变的理解,强调了综合评估的重要性,即整合先进的神经影像技术、认知评估和人口因素,以深入了解健康老龄化。
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引用次数: 0
Longitudinal data are crucial for identifying superagers 纵向数据对确定超级用户至关重要
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100118
Lars Nyberg
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引用次数: 0
Targeted brain-specific tauopathy compromises peripheral skeletal muscle integrity and function 脑特异性牛磺酸病损害外周骨骼肌的完整性和功能
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100110
Bryan Alava , Gabriela Hery , Silvana Sidhom , Miguel Gutierrez-Monreal , Stefan Prokop , Karyn A. Esser , Jose Abisambra

Tauopathies are neurodegenerative disorders in which the pathological intracellular aggregation of the protein tau causes cognitive deficits. Additionally, clinical studies report muscle weakness in populations with tauopathy. However, whether neuronal pathological tau species confer muscle weakness, and whether skeletal muscle maintains contractile capacity in primary tauopathy remains unknown. Here, we identified skeletal muscle abnormalities in a mouse model of primary tauopathy, expressing human mutant P301L-tau using adeno-associated virus serotype 8 (AAV8). AAV8-P301L mice showed grip strength deficits, hyperactivity, and abnormal histological features of skeletal muscle. Additionally, spatially resolved gene expression of muscle cross sections were altered in AAV8-P301L myofibers. Transcriptional changes showed alterations of genes encoding sarcomeric proteins, proposing a weakness phenotype. Strikingly, specific force of the soleus muscle was blunted in AAV8-P301L tau male mice. Our findings suggest tauopathy has peripheral consequences in skeletal muscle that contribute to weakness in tauopathy.

牛头蛋白病是一种神经退行性疾病,细胞内牛头蛋白的病理性聚集会导致认知障碍。此外,临床研究报告称,患有牛头蛋白病的人群肌肉无力。然而,神经元病理tau物种是否会导致肌肉无力,以及原发性tau病的骨骼肌是否能保持收缩能力,目前仍是未知数。在这里,我们利用腺相关病毒血清型8(AAV8)表达人类突变体P301L-tau,在原发性tau病小鼠模型中发现了骨骼肌异常。AAV8-P301L 小鼠表现出握力缺陷、多动和骨骼肌组织学特征异常。此外,AAV8-P301L肌纤维肌肉横截面的空间分辨基因表达也发生了改变。转录变化显示编码肌纤维蛋白的基因发生了改变,从而提出了一种虚弱表型。引人注目的是,AAV8-P301L tau雄性小鼠比目鱼肌的特异性力量减弱。我们的研究结果表明,tau病会对骨骼肌产生外周影响,从而导致tau病的虚弱。
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引用次数: 0
Estrogen’s sex-specific effects on ischemic cell death and estrogen receptor mRNA expression in rat cortical organotypic explants 雌激素对大鼠大脑皮层器官外植体缺血性细胞死亡和雌激素受体 mRNA 表达的性别特异性影响
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100117
Amanda L. Trout , Christopher J McLouth , Jenne M. Westberry , Tomoko Sengoku , Melinda E. Wilson

Estrogens, such as the biologically active 17-β estradiol (E2), regulate not only reproductive behaviors in adults, but also influence neurodevelopment and neuroprotection in both females and males. E2, contingent upon the timing and concentration of the therapy, is neuroprotective in female and male rodent models of stroke. In Vivo studies suggest that E2 may partially mediate this neuroprotection, particularly in the cortex, via ERα. In Vitro studies, utilizing a chemically induced ischemic injury in cortical explants from both sexes, suggest that ERα or ERβ signaling is needed to mediate the E2 protection. Since we know that the timing and concentration of E2 therapy may be sex-specific, we examined if E2 (1 nM) mediates neuroprotection when female and male cortical explants are separately isolated from postnatal day (PND) 3–4 rat. Changes in basal levels ERα, ERβ, and AR mRNA expression are compared across early post-natal development in the intact cortex and the corresponding days in vitro (DIV) for cortical explants. Following ischemic injury at 7 DIV, cell death and ERα, ERβ and AR mRNA expression was compared in female and male cortical explants. We provide evidence that E2-mediated protection is maintained in isolated cortical explants from females, but not male rats. In female cortical explants, the E2-mediated protection at 24 h occurs secondarily to a blunted transient increase in ERα mRNA at 12 h. These results suggest that cortical E2-mediated protection is influenced by sex and supports data to differentially treat females and males following ischemic injury.

雌激素,如具有生物活性的 17-β 雌二醇(E2),不仅能调节成年人的生殖行为,还能影响雌性和雄性的神经发育和神经保护。根据治疗时机和浓度的不同,E2 对雌性和雄性中风啮齿动物模型具有神经保护作用。体内研究表明,E2 可通过 ERα 部分介导这种神经保护作用,尤其是在大脑皮层。体外研究利用化学诱导的缺血性损伤对雌雄啮齿动物的大脑皮层外植体进行了研究,结果表明ERα或ERβ信号传导是E2保护作用的必要介导因素。由于我们知道E2治疗的时间和浓度可能具有性别特异性,因此我们研究了当从出生后第3-4天的大鼠中分别分离出雌性和雄性皮层外植体时,E2(1 nM)是否能介导神经保护作用。我们比较了完整皮层在出生后早期发育过程中ERα、ERβ和AR mRNA表达的基础水平变化,以及皮层外植体在体外相应天数(DIV)的变化。在缺血损伤 7 DIV 后,比较了雌性和雄性皮层外植体的细胞死亡及 ERα、ERβ 和 AR mRNA 表达。我们提供的证据表明,E2-介导的保护作用在雌性而非雄性大鼠的离体皮质外植体中得以维持。这些结果表明,E2-介导的大脑皮层保护作用受性别影响,并支持对缺血损伤后的雌性和雄性进行不同处理的数据。
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引用次数: 0
Neural correlates of home-based intervention effects on value-based sequential decision-making in healthy older adults 家庭干预对健康老年人基于价值的顺序决策影响的神经相关性
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100109
Kathleen Kang , Daria Antonenko , Franka Glöckner , Agnes Flöel , Shu-Chen Li

Older adults demonstrate difficulties in sequential decision-making, which is partly attributed to under-recruitment of prefrontal networks. It is, therefore, important to understand the mechanisms that may improve this ability. This study investigated the effectiveness of an 18-sessions, home-based cognitive intervention and the neural mechanisms that underpin individual differences in intervention effects. Participants were required to learn sequential choices in a 3-stage Markov decision-making task that would yield the most rewards. Participants were assigned to better or worse responders group based on their performance at the last intervention session (T18). Better responders improved significantly starting from the fifth intervention session while worse responders did not improve across all training sessions. At post-intervention, only better responders showed condition-dependent modulation of the dorsolateral prefrontal cortex (DLPFC) as measured by fNIRS, with higher DLPFC activity in the delayed condition. Despite large individual differences, our data showed that value-based sequential-decision-making and its corresponding neural mechanisms can be remediated via home-based cognitive intervention in some older adults; moreover, individual differences in recruiting prefrontal activities after the intervention are associated with variations in intervention outcomes. Intervention-related gains were also maintained at three months after post-intervention. However, future studies should investigate the potential of combining other intervention methods such as non-invasive brain stimulation with cognitive intervention for older adults who do not respond to the intervention, thus emphasizing the importance of developing individualized intervention programs for older adults.

老年人在顺序决策方面表现出困难,部分原因是前额叶网络招募不足。因此,了解提高这种能力的机制非常重要。本研究调查了一项为期 18 个疗程、基于家庭的认知干预的有效性,以及导致干预效果个体差异的神经机制。参与者需要在一个三阶段马尔可夫决策任务中学习如何做出能获得最多奖励的顺序选择。根据参与者在最后一个干预环节(T18)的表现,将他们分配到反应较好或反应较差组。从第五次干预课程开始,反应较好的学员的成绩有了明显提高,而反应较差的学员在所有培训课程中的成绩都没有提高。在干预后,根据 fNIRS 测量,只有反应较好者的背外侧前额叶皮层(DLPFC)表现出与条件相关的调节,延迟条件下的 DLPFC 活性较高。尽管个体差异很大,但我们的数据表明,基于价值的顺序决策及其相应的神经机制可以通过基于家庭的认知干预对一些老年人进行补救;此外,干预后前额叶活动的个体差异与干预结果的变化有关。干预后三个月,与干预相关的收益也得以保持。不过,未来的研究应探讨将其他干预方法(如无创脑刺激)与认知干预相结合的可能性,以帮助那些对干预没有反应的老年人,从而强调为老年人制定个性化干预方案的重要性。
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引用次数: 0
Cognitive and gray matter volume predictors of learning across two types of casual video games in older Adults: Action vs Strategy 预测老年人学习两种类型休闲电子游戏的认知和灰质体积:动作与策略
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100131
Evan T. Smith , Kaoru Nashiro , Margaret O’Connell , Xi Chen , Chandramallika Basak
Video game based and other computerized cognitive interventions are generally efficacious in bolstering cognition in adults over the age of 60, though specific efficacy varies widely by intervention methodology. Furthermore, there is reason to suspect that the process of learning complex tasks like video games is a major factor underpinning training-related transfer to cognition. The current study examined the neurocognitive predictors of learning of video games, and how those predictors may differentially relate to games of different genres. Learning rates from two different types of games, one action and another strategy, were calculated for 32 older adults (mean age = 66.29 years, 65 % Female). An extensive cognitive battery as well as structural measures of regional gray matter volumes were examined to identify the cognitive and the brain structure contributors to the learning rates for each type of game. A broad leftlateralized gray matter volume construct, as well as cognitive constructs of processing speed, episodic memory and reasoning, were found to significantly predict learning of the Strategy game, but not the Action game. Additionally, this gray matter construct was found to entirely mediate the relationships between the Strategy game learning and cognition, esp. episodic memory and reasoning. The contributions of age-sensitive cognitive skills as well as related brain volumes of lateral fronto-parietal regions to Strategy video games implicate the examined game as a potential game training tool in normal aging.
以电子游戏为基础的认知干预和其他计算机化的认知干预对提高 60 岁以上成年人的认知能力普遍有效,但不同干预方法的具体效果差别很大。此外,我们有理由怀疑,学习电子游戏等复杂任务的过程是与训练相关的认知迁移的一个主要因素。本研究考察了学习电子游戏的神经认知预测因素,以及这些预测因素与不同类型游戏的不同关系。研究计算了 32 名老年人(平均年龄为 66.29 岁,女性占 65%)在两种不同类型游戏(一种是动作游戏,另一种是策略游戏)中的学习率。通过大量的认知测试以及区域灰质体积的结构测量来确定每种游戏学习率的认知和大脑结构促成因素。研究发现,一个广泛的左侧灰质体积结构以及处理速度、外显记忆和推理等认知结构,能显著预测策略游戏的学习效果,但不能预测动作游戏的学习效果。此外,研究还发现该灰质结构完全介导了策略游戏学习与认知(尤其是外显记忆和推理)之间的关系。对年龄敏感的认知技能以及侧额顶叶区域的相关脑容量对策略视频游戏的贡献表明,所研究的游戏是正常老龄化过程中一种潜在的游戏训练工具。
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引用次数: 0
Microbiome-driven alterations in metabolic pathways and impaired cognition in aged female TgF344-AD rats 微生物驱动的代谢途径改变和老年雌性 TgF344-AD 大鼠认知能力受损
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100119
Abbi R. Hernandez , Erik Parker , Maham Babar , Anisha Banerjee , Sarah Ding , Alexis Simley , Thomas W. Buford

Alzheimer’s disease (AD) not only affects cognition and neuropathology, but several other facets capable of negatively impacting quality of life and potentially driving impairments, including altered gut microbiome (GMB) composition and metabolism. Aged (20 + mo) female TgF344-AD and wildtype rats were cognitively characterized on several tasks incorporating several cognitive domains, including task acquisition, object recognition memory, anxiety-like behaviors, and spatial navigation. Additionally, metabolic phenotyping, GMB sequencing throughout the intestinal tract (duodenum, jejunum, ileum, colon, and feces), neuropathological burden assessment and marker gene functional abundance predictions (PICRUSt2) were conducted. TgF344-AD rats demonstrated significant cognitive impairment in multiple domains, as well as regionally specific GMB dysbiosis. Relationships between peripheral factors were investigated using Canonical Correspondence Analysis (CCA), revealing correlations between GMB changes and both cognitive and metabolic factors. Moreover, communities of gut microbes contributing to essential metabolic pathways were significantly altered in TgF344-AD rats. These data indicate dysbiosis may affect cognitive outcomes in AD through alterations in metabolism-related enzymatic pathways that are necessary for proper brain function. Moreover, these changes were mostly observed in intestinal segments required for carbohydrate digestion, not fecal samples. These data support the targeting of intestinal and microbiome health for the treatment of AD.

阿尔茨海默病(AD)不仅会影响认知和神经病理学,还会影响其他几个方面,包括肠道微生物组(GMB)组成和新陈代谢的改变,从而对生活质量产生负面影响,并可能导致机体损伤。研究人员对20+月龄的雌性TgF344-AD大鼠和野生型大鼠进行了认知测试,测试任务包括任务获取、物体识别记忆、焦虑样行为和空间导航等多个认知领域。此外,还进行了代谢表型、整个肠道(十二指肠、空肠、回肠、结肠和粪便)的 GMB 测序、神经病理学负担评估和标记基因功能丰度预测 (PICRUSt2)。TgF344-AD大鼠在多个领域表现出明显的认知障碍,以及区域特异性GMB菌群失调。利用典型对应分析(CCA)研究了外围因素之间的关系,发现 GMB 变化与认知和代谢因素之间存在相关性。此外,在 TgF344-AD 大鼠体内,有助于重要代谢途径的肠道微生物群落发生了显著变化。这些数据表明,菌群失调可能会通过改变正常脑功能所必需的代谢相关酶通路来影响注意力缺失症的认知结果。此外,这些变化主要是在碳水化合物消化所需的肠段而非粪便样本中观察到的。这些数据支持以肠道和微生物组健康为目标来治疗注意力缺失症。
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引用次数: 0
Network connectivity differences in music listening among older adults following a music-based intervention 音乐干预后老年人听音乐时的网络连接差异
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100128
Sarah Faber , Alexander Belden , Psyche Loui , A.R. McIntosh
Music-based interventions are a common feature in long-term care with clinical reports highlighting music’s ability to engage individuals with complex diagnoses. While these findings are promising, normative findings from healthy controls are needed to disambiguate treatment effects unique to pathology and those seen in healthy aging. The present study examines brain network dynamics during music listening in a sample of healthy older adults before and after a music-based intervention. We found intervention effects from hidden Markov model-estimated fMRI network data. Following the intervention, participants demonstrated greater occupancy (the amount of time a network was occupied) in a temporal-mesolimbic network. We conclude that network dynamics in healthy older adults are sensitive to music-based interventions. We discuss these findings’ implications for future studies with individuals with neurodegeneration.
以音乐为基础的干预措施是长期护理中的一个常见特点,临床报告强调音乐能够吸引患有复杂诊断的患者。虽然这些研究结果很有希望,但还需要健康对照组的标准研究结果,以区分病理学和健康老龄化所特有的治疗效果。本研究以健康老年人为样本,研究了在音乐干预前后听音乐时大脑网络的动态变化。我们从隐藏马尔可夫模型估计的 fMRI 网络数据中发现了干预效果。干预后,参与者在颞叶-边缘网络中表现出更高的占用率(网络被占用的时间量)。我们的结论是,健康老年人的网络动态对基于音乐的干预很敏感。我们将讨论这些发现对未来神经变性患者研究的影响。
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引用次数: 0
TMS-derived short afferent inhibition discriminates cognitive status in older adults without dementia TMS 衍生的短传入抑制可判别未患痴呆症的老年人的认知状态
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100123
Mark H. Sundman , Jacob M. Green , Andrew J. Fuglevand , Ying-hui Chou

Aging is a complex and diverse biological process characterized by progressive molecular, cellular, and tissue damage, resulting in a loss of physiological integrity and heightened vulnerability to pathology. This biological diversity corresponds with highly variable cognitive trajectories, which are further confounded by genetic and environmental factors that influence the resilience of the aging brain. Given this complexity, there is a need for neurophysiological indicators that not only discern physiologic and pathologic aging but also closely align with cognitive trajectories. Transcranial Magnetic Stimulation (TMS) may have utility in this regard as a non-invasive brain stimulation tool that can characterize features of cortical excitability. Particularly, as a proxy for central cholinergic function, short-afferent inhibition (SAI) dysfunction is robustly associated with cognitive deficits in the latter stages of Alzheimer’s Disease and Related Dementia (ADRD). In this study, we evaluated SAI in healthy young adults and older adults who, though absent clinical diagnoses, were algorithmically classified as cognitively normal (CN) or cognitively impaired (CI) according to the Jak/Bondi actuarial criteria. We report that SAI is preserved in the Old-CN cohort relative to the young adults, and SAI is significantly diminished in the Old-CI cohort relative to both young and CN older adults. Additionally, diminished SAI was significantly associated with impaired sustained attention and working memory. As a proxy measure for central cholinergic deficits, we discuss the potential value of SAI for discerning physiological and pathological aging.

衰老是一个复杂多样的生物过程,其特点是分子、细胞和组织逐渐受损,导致生理完整性丧失,更容易发生病变。这种生物多样性与千变万化的认知轨迹相对应,而影响衰老大脑恢复能力的遗传和环境因素又进一步加剧了这种多样性。鉴于这种复杂性,我们需要一种神经生理指标,它不仅能辨别生理和病理衰老,还能与认知轨迹紧密结合。经颅磁刺激(TMS)作为一种非侵入性的脑刺激工具,可以描述大脑皮层兴奋性的特征,因此在这方面可能具有实用价值。特别是,作为中枢胆碱能功能的代表,短感觉抑制(SAI)功能障碍与阿尔茨海默病及相关痴呆症(ADRD)后期的认知障碍密切相关。在这项研究中,我们对健康的年轻人和老年人的 SAI 进行了评估,这些人虽然没有临床诊断,但根据 Jak/Bondi 精算标准被算法分类为认知正常(CN)或认知受损(CI)。我们的报告显示,与年轻人相比,老年认知障碍组群中的SAI得到了保留,而与年轻人和认知障碍老年人相比,老年认知障碍组群中的SAI明显减弱。此外,SAI 的减弱与持续注意力和工作记忆的受损有显著关联。作为中枢胆碱能缺陷的替代测量指标,我们讨论了 SAI 在鉴别生理性和病理性衰老方面的潜在价值。
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引用次数: 0
期刊
Aging brain
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