Cerebral Circulation - Cognition and Behavior,
Год журнала:
2024,
Номер
6, С. 100212 - 100212
Опубликована: Янв. 1, 2024
Impaired
recovery
of
blood
pressure
(BP)
in
response
to
standing
up
is
a
prevalent
condition
older
individuals.
We
evaluated
the
relationship
between
early
hemodynamic
responses
and
brain
health
adults
over
50.
Brain-age
can
be
inferred
from
structural
neuroimaging
and
compared
to
chronological
age
(brain-age
delta)
as
a
marker
of
biological
brain
aging.
Accelerated
aging
has
been
found
in
neurodegenerative
disorders
like
Alzheimer’s
disease
(AD),
but
its
validation
against
markers
neurodegeneration
AD
is
lacking.
Here,
imaging-derived
measures
the
UK
Biobank
dataset
(N=22,661)
were
used
predict
brain-age
2,314
cognitively
unimpaired
(CU)
individuals
at
higher
risk
mild
cognitive
impaired
(MCI)
patients
four
independent
cohorts
with
available
biomarker
data:
ALFA+,
ADNI,
EPAD,
OASIS.
delta
was
associated
abnormal
amyloid-β,
more
advanced
stages
(AT)
pathology
APOE
-ε4
status.
positively
plasma
neurofilament
light,
neurodegeneration,
sex
differences
effects
this
found.
These
results
validate
non-invasive
non-demented
levels
biomarkers
axonal
injury.
China
and
the
world
are
facing
severe
population
aging
an
increasing
burden
of
age-related
diseases.
Aging
brain
causes
major
diseases,
such
as
neurodegenerative
diseases
stroke.
Identifying
biomarkers
for
effective
assessment
establishing
a
system
could
facilitate
development
intervention
strategies
prevention
treatment
aging-related
Thus,
experts
from
Biomarker
Consortium
(ABC)
have
combined
latest
research
results
practical
experience
to
recommend
form
expert
consensus,
aiming
provide
basis
assessing
degree
conducting
brain-aging-related
with
ultimate
goal
improving
health
elderly
individuals
in
both
world.
Nature Neuroscience,
Год журнала:
2023,
Номер
26(8), С. 1449 - 1460
Опубликована: Июль 10, 2023
Abstract
The
Dominantly
Inherited
Alzheimer
Network
(DIAN)
is
an
international
collaboration
studying
autosomal
dominant
disease
(ADAD).
ADAD
arises
from
mutations
occurring
in
three
genes.
Offspring
families
have
a
50%
chance
of
inheriting
their
familial
mutation,
so
non-carrier
siblings
can
be
recruited
for
comparisons
case–control
studies.
age
onset
highly
predictable
within
families,
allowing
researchers
to
estimate
individual’s
point
the
trajectory.
These
characteristics
allow
candidate
AD
biomarker
measurements
reliably
mapped
during
preclinical
phase.
Although
represents
small
proportion
cases,
understanding
neuroimaging-based
changes
that
occur
period
may
provide
insight
into
early
stages
‘sporadic’
also.
Additionally,
this
study
provides
rich
data
research
healthy
aging
through
inclusion
controls.
Here
we
introduce
neuroimaging
dataset
collected
and
describe
how
resource
used
by
range
researchers.
Abstract
Identifying
the
clinical
implications
and
modifiable
unmodifiable
factors
of
aging
requires
measurement
biological
age
(BA)
gap.
Leveraging
biomedical
traits
involved
with
physical
measures,
biochemical
assays,
genomic
data,
cognitive
functions
from
healthy
participants
in
UK
Biobank,
we
establish
an
integrative
BA
model
consisting
multi‐dimensional
indicators.
Accelerated
(age
gap
>3.2
years)
at
baseline
is
associated
incident
circulatory
diseases,
related
chronic
disorders,
all‐cause,
cause‐specific
mortality.
We
identify
35
for
(
p
<
4.81
×
10
−4
),
where
pulmonary
functions,
body
mass,
hand
grip
strength,
basal
metabolic
rate,
estimated
glomerular
filtration
C‐reactive
protein
show
most
significant
associations.
Genetic
analyses
replicate
possible
associations
between
health‐related
outcomes
further
CST3
as
essential
gene
aging,
which
highly
expressed
brain
immune
traits.
Our
study
profiles
landscape
provides
insights
into
preventive
strategies
therapeutic
targets
aging.
JAMA Network Open,
Год журнала:
2025,
Номер
8(1), С. e2453669 - e2453669
Опубликована: Янв. 17, 2025
Importance
Both
sickle
cell
anemia
(SCA)
and
socioeconomic
status
have
been
associated
with
altered
brain
structure
cognitive
disability,
yet
precise
mechanisms
underlying
these
associations
are
unclear.
Objective
To
determine
whether
brains
of
individuals
without
SCA
appear
older
than
chronological
age
if
modeling
using
gap
(BAG)
can
estimate
outcomes
mediate
the
association
disease
outcomes.
Design,
Setting,
Participants
In
this
cross-sectional
study
230
adults
SCA,
underwent
magnetic
resonance
imaging
(MRI)
assessment.
Brain
was
estimated
DeepBrainNet,
a
model
trained
to
from
14
468
structural
MRIs
healthy
across
lifespan.
BAG
defined
as
minus
age.
Linear
regression
examined
clinical
factors
ability
performance
compared
neuroimaging
metrics
health
ischemic
injury,
such
normalized
whole
volume,
white
matter
mean
diffusivity
(MD),
infarct
volume.
MD
were
tested
further
mediators
performance.
Data
analyzed
October
15,
2023,
July
1,
2024.
Exposures
economic
deprivation
measured
area
index
(ADI).
Main
Outcome
Measures
Executive
function,
crystallized
processing
speed,
full-scale
intelligence
quotient
(FSIQ)
derived
National
Institutes
Health
(NIH)
Toolbox
Wechsler
Abbreviated
Scale
Intelligence,
Second
Edition.
Results
Among
included
adults,
123
had
(median
[IQR]
age,
26.4
[21.8-34.3]
years;
77
female
[63%])
107
did
not
(control
cohort;
median
30.1
[26.3-34.8]
[72%]).
larger
(IQR)
in
control
cohort
(14.2
[8.0-19.2]
vs
7.3
[3.2-11.1]
difference,
6.13
95%
CI,
4.29-8.05
P
&lt;
.001).
Individuals
demonstrated
relative
reference
population
(mean
7.52
6.32-8.72
Higher
(β
[SE]
per
1%
ADI
increase,
0.079
[0.028];
0.023
0.135;
=
.006),
while
intracranial
vasculopathy
[SE],
6.562
[1.883];
2.828
10.296;
.001)
hemoglobin
S
percentage
0.089
[0.032];
0.026
0.151;
.006)
participants
SCA.
Across
health,
largest
effect
size
for
(eg,
executive
function:
r
−0.430;
.001),
−0.365;
cohort.
population,
mediated
β
1-unit
decrease
ADI,
−0.031
[0.014];
−0.061
−0.006),
FSIQ:
−3.79
[1.42];
−6.87
−1.40)
−4.55
[1.82];
−8.14
−0.94)
Conclusions
Relevance
Adults
greater
suggestive
insufficient
development,
premature
aging,
or
both.
estimates
may
inform
between
chronic
populations,
will
require
confirmation
longitudinal
studies.
Human Brain Mapping,
Год журнала:
2025,
Номер
46(2)
Опубликована: Янв. 27, 2025
Neurodegeneration
is
presumed
to
be
the
pathological
process
measure
most
proximal
clinical
symptom
onset
in
Alzheimer
Disease
(AD).
Structural
MRI
routinely
collected
research
and
trial
settings.
Several
quantitative
MRI-based
measures
of
atrophy
have
been
proposed,
but
their
low
correspondence
with
each
other
has
previously
documented.
The
purpose
this
study
was
identify
which
commonly
used
structural
(hippocampal
volume,
cortical
thickness
AD
signature
regions,
or
brain
age
gap
[BAG])
had
best
Clinical
Dementia
Rating
(CDR)
an
ethno-racially
diverse
sample.
2870
individuals
recruited
by
Healthy
Aging
Brain
Study-Health
Disparities
completed
both
CDR
evaluation.
Of
these,
1887
were
matched
on
ethno-racial
identity
(Mexican
American
[MA],
non-Hispanic
Black
[NHB],
White
[NHW])
(27%
>
0).
We
estimated
using
two
pipelines
(DeepBrainNet,
BrainAgeR)
then
calculated
BAG
as
difference
between
chronological
age.
also
quantified
hippocampal
volumes
HippoDeep
thicknesses
(both
AD-specific
average
whole
brain)
FreeSurfer.
ordinal
regression
evaluate
associations
neuroimaging
test
whether
these
differed
groups.
Higher
(pDeepBrainNet
=
0.0002;
pBrainAgeR
0.00117)
lower
volume
(p
0.0015)
<
0.0001)
associated
worse
status
(higher
CDR).
strongest
relationship
(AICDeepBrainNet
2623,
AICwhole
cortex
2588,
AICBrainAgeR
2533,
AICHippocampus
2293,
AICSignature
Cortical
Thickness
1903).
groups
for
estimates
not
thickness.
interpret
lack
interaction
evidence
that
effectively
captures
sources
disease-related
may
differ
across
racial
ethnic
association
CDR.
These
results
suggest
a
more
sensitive
generalizable
marker
neurodegeneration
than
cohorts.