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Effect of advanced maternal age on ischemic stroke vulnerability in aged rats: Investigating on blood-brain barrier permeability and gene expression 高龄产妇对老年大鼠缺血性中风易感性的影响血脑屏障通透性和基因表达研究
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100125
Samira Khayat , Hamed Fanaei

Background

Advanced maternal age (AMA), commonly defined as pregnancy at or above 35 years old. Based on the evidence, this trend has raised concerns about potential health consequences for mothers, particularly in relation to ischemic stroke. Studies suggest that AMA may be associated with a higher risk of ischemic stroke in women due to physiological changes that impact vascular health and increase cardiovascular risk factors. The aim of this study was to investigate the effect of AMA on the extent of damage after ischemic stroke in aged rats.

Methods

Female rats that gave birth at an old age (10 months) and at a young age (4 months) were subjected to ischemic stroke in old age (20 months) and subsequently compared.

We assessed neurological deficits, infarct volume, blood–brain barrier (BBB) permeability, TNF-alpha levels, total oxidant capacity, and gene expressions that play a role in BBB integrity (VEGF, Occludin, and MMP-9) following ischemic stroke.

Results

There were significantly elevated levels of MMP-9 expression and reduced levels of occludin in AMA rats. Additionally, AMA rats had significantly higher levels of TNF-alpha and total oxidant capacity after experiencing an ischemic stroke. AMA rats showed significantly higher brain water content (BBB permeability), infarct volume, and neurological deficits compared to young-aged pregnancies.

Discussion

Complex relationship between pregnancy-related physiological changes, aging, vascular gene expression, and inflammatory factors may play a role in the increased vulnerability observed in older pregnant rats. The similarities between pregnancy-related alterations and aging highlight the influence of advanced maternal age on susceptibility to ischemic stroke.

背景高龄产妇(AMA),通常指 35 岁或 35 岁以上怀孕。根据证据,这一趋势引起了人们对母亲潜在健康后果的关注,尤其是与缺血性中风有关的健康后果。研究表明,AMA 可能与女性缺血性中风的风险较高有关,这是因为生理变化会影响血管健康并增加心血管风险因素。本研究的目的是调查 AMA 对老年大鼠缺血性中风后损伤程度的影响。方法分别对高龄(10 个月)和低龄(4 个月)分娩的雌性大鼠进行老年(20 个月)缺血性中风试验,然后进行比较。我们评估了缺血性脑卒中后的神经功能缺损、梗死体积、血脑屏障(BBB)通透性、TNF-α水平、总氧化能力以及在BBB完整性中发挥作用的基因表达(血管内皮生长因子、闭塞素和MMP-9)。此外,AMA 大鼠在经历缺血性中风后,TNF-α 和总氧化能力水平明显升高。讨论 与妊娠相关的生理变化、衰老、血管基因表达和炎症因子之间的复杂关系可能是导致高龄妊娠大鼠脆弱性增加的原因之一。妊娠相关改变与衰老之间的相似性突显了高龄孕妇对缺血性中风易感性的影响。
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引用次数: 0
Protein quality control gone awry in Alzheimer’s 阿尔茨海默氏症的蛋白质质量控制出了问题
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100113
Sadashiva K. Pai
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引用次数: 0
Intrinsic functional connectivity strength of SuperAgers in the default mode and salience networks: Insights from ADNI SuperAgers 在默认模式和显著性网络中的内在功能连接强度:来自 ADNI 的启示
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100114
Haley E. Keenan , Alexis Czippel , Sepideh Heydari , Jodie R. Gawryluk , Erin L. Mazerolle , for the Alzheimer's Disease Neuroimaging Initiative

There exists a group of older individuals who appear to be resistant to age-related memory decline. These “SuperAgers” have been shown to demonstrate preservation of cortical thickness and functional connectivity strength across the cortex which positively correlates with memory performance. Over the last decade, roughly 30 articles have been published regarding SuperAgers; however, to our knowledge, no replications of these studies have been published. The current study sought to conceptually replicate Zhang and colleagues’ (2020) findings that SuperAgers demonstrate stronger intrinsic functional connectivity within the default mode (DMN) and salience networks (SN), and that connectivity strength within these networks correlates with memory performance. We identified 20 SuperAgers and 20 matched Normal Agers in the control cohort of the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database. We compared the functional connectivity strength of the DMN and SN between these groups, and used the Rey Auditory Verbal Learning Test (RAVLT) to evaluate correlations between functional connectivity and memory performance. Our results did not replicate Zhang and colleagues’ (2020) results, as we found negligible differences between SuperAgers and Normal Agers in the DMN and SN, and no significant correlations between functional connectivity and memory performance after accounting for multiple comparisons. More replications are needed to confirm existing work. In addition, more research with larger SuperAger samples and more consistent definitions of SuperAging is needed, so that we can better understand this remarkable group of older adults.

有一群老年人似乎能够抵御与年龄有关的记忆衰退。这些 "SuperAgers "已被证明能保持大脑皮层厚度和整个皮层的功能连接强度,而这与记忆表现呈正相关。在过去的十年中,已经发表了大约 30 篇有关 "超级记忆者 "的文章;然而,据我们所知,还没有发表过这些研究的重复文章。目前的研究试图从概念上复制 Zhang 及其同事(2020 年)的发现,即超级记忆者在默认模式(DMN)和显著性网络(SN)中表现出更强的内在功能连接,而且这些网络中的连接强度与记忆表现相关。我们在阿尔茨海默病神经影像倡议(ADNI)数据库的对照组中确定了 20 名超级老年患者和 20 名匹配的正常老年患者。我们比较了这两组之间DMN和SN的功能连接强度,并使用Rey听觉言语学习测试(RAVLT)来评估功能连接与记忆表现之间的相关性。我们的研究结果并没有重复Zhang及其同事(2020年)的研究结果,因为我们发现在DMN和SN方面,超级高龄者与正常高龄者之间的差异可以忽略不计,而且在考虑多重比较之后,功能连接与记忆表现之间也没有显著的相关性。我们需要更多的重复研究来证实现有的研究成果。此外,我们还需要对更大的超常者样本和更一致的超常老龄化定义进行更多的研究,这样我们才能更好地了解这一非凡的老年人群体。
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引用次数: 0
Daily fluctuations in blood glucose with normal aging are inversely related to hippocampal synaptic mitochondrial proteins 正常衰老过程中血糖的每日波动与海马突触线粒体蛋白成反比
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100116
Paul W. Braunstein , David J. Horovitz , Andreina M. Hampton , Fiona Hollis , Lori A. Newman , Reilly T. Enos , Joseph A. McQuail

Defective brain glucose utilization is a hallmark of Alzheimer’s disease (AD) while Type II diabetes and elevated blood glucose escalate the risk for AD in later life. Isolating contributions of normal aging from coincident metabolic or brain diseases could lead to refined approaches to manage specific health risks and optimize treatments targeted to susceptible older individuals. We evaluated metabolic, neuroendocrine, and neurobiological differences between young adult (6 months) and aged (24 months) male rats. Compared to young adults, blood glucose was significantly greater in aged rats at the start of the dark phase of the day but not during the light phase. When challenged with physical restraint, a potent stressor, aged rats effected no change in blood glucose whereas blood glucose increased in young adults. Tissues were evaluated for markers of oxidative phosphorylation (OXPHOS), neuronal glucose transport, and synapses. Outright differences in protein levels between age groups were not evident, but circadian blood glucose was inversely related to OXPHOS proteins in hippocampal synaptosomes, independent of age. The neuronal glucose transporter, GLUT3, was positively associated with circadian blood glucose in young adults whereas aged rats tended to show the opposite trend. Our data demonstrate aging increases daily fluctuations in blood glucose and, at the level of individual differences, negatively associates with proteins related to synaptic OXPHOS. Our findings imply that glucose dyshomeostasis may exacerbate metabolic aspects of synaptic dysfunction that contribute to risk for age-related brain disorders.

脑葡萄糖利用缺陷是阿尔茨海默病(AD)的标志,而 II 型糖尿病和血糖升高会增加晚年患阿尔茨海默病的风险。将正常衰老与同时发生的代谢或脑部疾病区分开来,可以改进管理特定健康风险的方法,并优化针对易感老年人的治疗。我们评估了幼年(6 个月)和老年(24 个月)雄性大鼠在代谢、神经内分泌和神经生物学方面的差异。与青壮年大鼠相比,老年大鼠在一天的黑暗阶段开始时血糖明显升高,而在光明阶段则没有。当大鼠受到身体束缚(一种强烈的应激源)时,老年大鼠的血糖没有变化,而青壮年大鼠的血糖却升高了。对组织中氧化磷酸化(OXPHOS)、神经元葡萄糖转运和突触的标记物进行了评估。不同年龄组之间蛋白质水平的明显差异并不明显,但昼夜节律血糖与海马突触体中的氧化磷酸化蛋白成反比,与年龄无关。在年轻成年人中,神经元葡萄糖转运体 GLUT3 与昼夜节律血糖呈正相关,而老年大鼠则倾向于呈现相反的趋势。我们的数据表明,衰老会增加血糖的每日波动,而且在个体差异的水平上,衰老与突触 OXPHOS 相关蛋白呈负相关。我们的研究结果表明,葡萄糖失衡可能会加剧突触功能障碍的代谢方面,而突触功能障碍会导致与年龄相关的脑部疾病风险。
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引用次数: 0
Innate immunity in brain aging and neurodegeneration 脑衰老和神经退行性病变中的先天性免疫
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100108
Sadashiva K. Pai
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引用次数: 0
Brain network correlates of affective symptoms in aMCI aMCI 患者情感症状的脑网络相关性
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100126
Parnika P. Saxena , Adam Turnbull , Daniel Kim, Barbara Sommer, F. Vankee Lin
Affective symptoms (i.e., depression, anxiety, and apathy) are the most prevalent subsyndrome of neuropsychiatric symptoms (NPS) in preclinical dementia, such as amnestic mild cognitive impairment (aMCI), and remain a challenge to understand and treat. The distressing nature of these symptoms and complexity of their concurrence and interaction necessitates improved understanding of their underlying neural correlates. We analyzed the relationships between functional brain topology (i.e., the way the brain’s functional network is organized to allow efficient communication between regions) and affective symptoms in aMCI using cross-sectional and longitudinal methods. The analyses demonstrated that increased clustering coefficient (CC) was related to lower baseline and greater decreases in affective symptoms, while higher participation coefficient (PC) was correlated with more severe baseline affective symptoms. These findings suggest that the brain losing the capacity to form segregated functional units may be related to prevalence and severity of affective symptoms seen in aMCI.
情感症状(即抑郁、焦虑和冷漠)是临床前痴呆症(如失忆性轻度认知功能障碍(aMCI))中最常见的神经精神症状(NPS)亚综合征,并且仍然是理解和治疗的难题。这些症状令人痛苦,其并发症和相互作用也很复杂,因此有必要加深对其潜在神经相关因素的了解。我们采用横断面和纵向方法分析了大脑功能拓扑(即大脑功能网络的组织方式,以实现区域之间的有效沟通)与 aMCI 患者情感症状之间的关系。分析表明,聚类系数(CC)的增加与情感症状基线的降低和减少有关,而参与系数(PC)的增加与更严重的基线情感症状有关。这些研究结果表明,大脑丧失形成分离功能单元的能力可能与 aMCI 中情感症状的流行和严重程度有关。
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引用次数: 0
Age-related differences in structural and resting-state functional brain network organization across the adult lifespan: A cross-sectional study 成年人一生中大脑结构和静息态功能网络组织的年龄相关性差异:横断面研究
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2023.100105
Maedeh Khalilian , Monica N. Toba , Martine Roussel , Sophie Tasseel-Ponche , Olivier Godefroy , Ardalan Aarabi

We investigated age-related trends in the topology and hierarchical organization of brain structural and functional networks using diffusion-weighted imaging and resting-state fMRI data from a large cohort of healthy aging adults. At the cross-modal level, we explored age-related patterns in the RC involvement of different functional subsystems using a high-resolution functional parcellation. We further assessed age-related differences in the structure–function coupling as well as the network vulnerability to damage to rich club connectivity.

Regardless of age, the structural and functional brain networks exhibited a rich club organization and small-world topology. In older individuals, we observed reduced integration and segregation within the frontal-occipital regions and the cerebellum along the brain's medial axis. Additionally, functional brain networks displayed decreased integration and increased segregation in the prefrontal, centrotemporal, and occipital regions, and the cerebellum. In older subjects, structural networks also exhibited decreased within-network and increased between-network RC connectivity. Furthermore, both within-network and between-network RC connectivity decreased in functional networks with age. An age-related decline in structure–function coupling was observed within sensory-motor, cognitive, and subcortical networks. The structural network exhibited greater vulnerability to damage to RC connectivity within the language-auditory, visual, and subcortical networks. Similarly, for functional networks, increased vulnerability was observed with damage to RC connectivity in the cerebellum, language-auditory, and sensory-motor networks. Overall, the network vulnerability decreased significantly in subjects older than 70 in both networks. Our findings underscore significant age-related differences in both brain functional and structural RC connectivity, with distinct patterns observed across the adult lifespan.

我们利用来自一大批健康老龄成年人的弥散加权成像和静息状态 fMRI 数据,研究了大脑结构和功能网络的拓扑和分层组织中与年龄有关的趋势。在跨模态水平上,我们使用高分辨率功能解析法探索了不同功能子系统参与 RC 的年龄相关模式。我们进一步评估了结构-功能耦合中与年龄相关的差异,以及网络对丰富的俱乐部连通性破坏的脆弱性。在老年人中,我们观察到大脑中轴线上的额叶-枕叶区和小脑内的整合和分离减少了。此外,大脑功能网络在前额叶、中颞叶、枕叶区和小脑的整合度降低,分离度提高。在老年受试者中,结构网络也表现出网络内 RC 连接性降低和网络间 RC 连接性增加。此外,随着年龄的增长,功能网络中网络内和网络间的RC连通性都有所下降。在感觉-运动、认知和皮层下网络中观察到了与年龄相关的结构-功能耦合下降。在语言-听觉、视觉和皮层下网络中,结构网络更容易受到 RC 连接性损伤的影响。同样,就功能网络而言,小脑、语言-听觉和感觉-运动网络的 RC 连接受损后,脆弱性也会增加。总体而言,70 岁以上的受试者在两个网络中的网络脆弱性都明显下降。我们的发现强调了大脑功能性和结构性 RC 连接中与年龄相关的显著差异,在整个成人生命周期中观察到了不同的模式。
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引用次数: 0
Corrigendum to “Neural distinctiveness and discriminability underlying unitization and associative memory in aging” [Aging Brain 4 (2023) 100097] 老化过程中单位化和联想记忆所依赖的神经独特性和可辨别性》[Aging Brain 4 (2023) 100097]勘误表
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100112
A.C. Steinkrauss , C.M. Carpenter , M.K. Tarkenton , A.A. Overman , N.A. Dennis
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引用次数: 0
Aging changes the expression of adenosine receptors, insulin-like growth factor 1 (IGF1), and hypoxia-inducible factor 1α (HIF1α) in hypothalamic astrocyte cultures 衰老会改变下丘脑星形胶质细胞培养物中腺苷受体、胰岛素样生长因子 1 (IGF1) 和缺氧诱导因子 1α (HIF1α) 的表达
Q3 CLINICAL NEUROLOGY Pub Date : 2023-12-23 DOI: 10.1016/j.nbas.2023.100104
Camila Leite Santos , Larissa Daniele Bobermin , André Quincozes-Santos

The aging process induces neurochemical alterations in different brain regions, including hypothalamus. This pivotal area of the central nervous system (CNS) is crucial for detection and integration of nutritional and hormonal signals from the periphery of the body to maintain metabolic homeostasis. Astrocytes support the CNS homeostasis, energy metabolism, and inflammatory response, as well as increasing evidence has highlighted a critical role of astrocytes in orchestrating hypothalamic functions and in gliocrine system. In this study, we aimed to investigate the age-dependent mRNA expression of adenosine receptors, the insulin-like growth factor 1 receptor (IGF1R), and the hypoxia-inducible factor 1α (HIF1α), in addition to the levels of IGF1 and HIF1α in hypothalamic astrocyte cultures derived from newborn, adult, and aged rats. Our results revealed age-dependent changes in adenosine receptors, as well as a decrease in IGF1R/IGF1 and HIF1α. Of note, adenosine receptors, IGF1, and HIF1α are affected by inflammatory, redox, and metabolic processes, which can remodel hypothalamic properties, as observed in aging brain, reinforcing the role of hypothalamic astrocytes as targets for understanding the onset and/or progression of age-related diseases.

衰老过程会诱发包括下丘脑在内的不同脑区的神经化学变化。中枢神经系统(CNS)的这一关键区域对于检测和整合来自身体外围的营养和激素信号以维持代谢平衡至关重要。星形胶质细胞支持中枢神经系统的平衡、能量代谢和炎症反应,越来越多的证据表明星形胶质细胞在协调下丘脑功能和神经胶质系统中发挥着关键作用。在这项研究中,我们旨在研究新生大鼠、成年大鼠和老龄大鼠下丘脑星形胶质细胞培养物中腺苷受体、胰岛素样生长因子1受体(IGF1R)和缺氧诱导因子1α(HIF1α)的mRNA表达以及IGF1和HIF1α的水平随年龄的变化。我们的研究结果表明,腺苷受体的变化与年龄有关,IGF1R/IGF1 和 HIF1α 的变化也与年龄有关。值得注意的是,腺苷受体、IGF1和HIF1α会受到炎症、氧化还原和新陈代谢过程的影响,这些过程会重塑下丘脑的特性,正如在衰老大脑中观察到的那样,这加强了下丘脑星形胶质细胞作为了解与年龄相关疾病的发生和/或进展的靶标的作用。
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引用次数: 0
Grey-matter structure in cortical and limbic regions correlates with general cognitive ability in old age 大脑皮层和边缘区域的灰质结构与老年人的一般认知能力有关
Q3 CLINICAL NEUROLOGY Pub Date : 2023-12-07 DOI: 10.1016/j.nbas.2023.100103
Ylva Köhncke , Simone Kühn , Sandra Düzel , Myriam C. Sander , Andreas M. Brandmaier , Ulman Lindenberger

According to the maintenance hypothesis (Nyberg et al., 2012), structural integrity of the brain’s grey matter helps to preserve cognitive functioning into old age. A corollary of this hypothesis that can be tested in cross-sectional data is that grey-matter structural integrity and general cognitive ability are positively associated in old age. Building on Köhncke et al. (2021), who found that region-specific latent factors of grey-matter integrity are positively associated with episodic memory ability among older adults, we examine associations between general factors of grey-matter integrity and a general factor of cognitive ability in a cross-sectional sample of 1466 participants aged 60–88 years, 319 of whom contributed imaging data. Indicator variables based on T1-weighted images (voxel-based morphometry, VBM), magnetization-transfer imaging (MT), and diffusion tensor imaging-derived mean diffusivity (MD) had sufficient portions of variance in common to establish latent factors of grey-matter structure for a comprehensive set of regions of interest (ROI). Individual differences in grey-matter factors were positively correlated across neocortical and limbic areas, allowing for the definition of second-order, general factors for neocortical and limbic ROI, respectively. Both general grey-matter factors were positively correlated with general cognitive ability. For the basal ganglia, the three modality-specific indicators showed heterogenous loading patterns, and no reliable associations of the general grey-matter factor to general cognitive ability were found. To provide more direct tests of the maintenance hypothesis, we recommend applying the present structural modeling approach to longitudinal data, thereby enhancing the physiological validity of latent constructs of brain structure.

根据维持假说(Nyberg 等人,2012 年),大脑灰质结构的完整性有助于将认知功能维持到老年。这一假说的一个推论可以在横截面数据中得到验证,即灰质结构的完整性与老年期的一般认知能力呈正相关。Köhncke 等人(2021 年)发现灰质完整性的特定区域潜在因素与老年人的记忆能力呈正相关,在此基础上,我们对 1466 名年龄在 60-88 岁之间的参与者(其中 319 人提供了成像数据)进行横截面抽样调查,研究灰质完整性的一般因素与认知能力的一般因素之间的关联。基于 T1 加权图像(基于体素的形态计量学,VBM)、磁化转移成像(MT)和扩散张量成像衍生的平均扩散率(MD)的指标变量有足够的共同方差部分,可以为一组全面的感兴趣区(ROI)建立灰质结构的潜在因子。灰质因子的个体差异在新皮层和边缘区域之间呈正相关,因此可以分别定义新皮层和边缘 ROI 的二阶一般因子。这两个一般灰质因子都与一般认知能力呈正相关。对于基底神经节,三种模式特异性指标显示出不同的负荷模式,并且没有发现一般灰质因子与一般认知能力的可靠关联。为了对维持假说进行更直接的检验,我们建议将目前的结构建模方法应用于纵向数据,从而提高大脑结构潜在构造的生理有效性。
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引用次数: 0
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Aging brain
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