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Clinical
Brain Aging
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Cards (24)
Why is it important to study normal aging ?
In order to distinguish
normal
vs
pathological
aging
How does aging impact cognition ?
Aging starts affecting processes during
middle
ages but this
decline
in cognition is not the same for everybody
What are the main changes in network and connectivity ?
Hyperexcitability
of hippocampus
Reorganization
of networks aka
compensation
What elements cause hyperexcitability in hippocampus ?
Impairment in
GABA
inhibtion
E/I ration in granule cell increased
What is the compensation phenomenon ?
It is the
recruitment
of additional
brain
regions in order to perform a task
What are the 2 forms of reorganization in compensation ?
HAROLD
PASA
What is Harold ?
Model stating that aging causes
reduced hemispheric asymetry
What is
PASA
?
Model stating that aged individuals use more their
anterior
regions :
posterior anterior
activity
shift
What are the 6 changes at the cellular level ?
Mitochondrial
dysfunction
Disruption of
homeostasis
Disruption of
inflamation
Changes in
glial
cells
Changes in
neuronal
cells
Gene
modification
What are the 4 gene modification you can observe in aging ?
NT
receptors
and
vesicles
Synaptic
calcium
systems :
calmodulin
and
PKC
Vesicle,
protein transport
and cytoskeleton modulation :
MT
,
dyneine
,
GTPase
and
clathrine
base-excision
pair = increased
oxidative DNA
damage
More DNA damages in
downregulated
genes than
upregulated
genes
Where are located most activated cells in aged mice ?
for astro and oligo in the
subcortical
white matter =
corpus callosum
for microglia in the
superficial white matter
What do you see in oligodendrocytes ?
INCREASE of :
myelin
decompaction
,
ribosome
biogenesis
,
immune
genes
DECREASE of :
OPC
,
myelin
genes,
cholesterol
synthesis
What do you see in astrocytes ?
INCREASE of :
inflamation
and
reactivity
of astrocytes
DECREASE of :
trophic
support, reduced
den
sity and
upregulat
ion o
f reactive g
enes
What do you see in microglia ?
INCREASE of : activated
morphology
DECREASE of :
phagocytosis
,
total
nb of microglia and those that are reactive, upregu
lation
of
immune
response
What are the 3 elements important about neuronal + synaptic loss ?
you don't loose neurons but you have
abnormal synaptic
connection
downregulation
of most
synaptic
function genes
reduced
adult neurogenesis in
hippocampus
and
olfactory
bulb
What did they prove in terms of synaptic loss in rats vs monkeys ?
rats : loss of
spines
not
uniform
monkeys : loss of
spine
+ less
axospinal
synapses BUT ONLY in
thin
synapses
What do you see in neurons ?
Biophysical
changes
Modification of
dendritic
dynamics
Loss
of
spines
Synaptic
function changes
Modification of dendritic dynamics in neurons involve ?
increased
turnover
longer
spines
voluminous
spines
less
elimination
of the spines
Biophysical changes in neurons involve...?
Increased AHP
Synaptic function changes in neurons involve...?
Harder
to produce an
LTP
response
What techniques can you use to improve aging ? (6 elements)
Parabiosis
Target
NT
signalling
Decrease
inflamation
Epigenetics
Bone
marrow
transplant
Change
lifestyle
What is cognitive reserve ?
Ressources available to
preserve normal
cognition despite
brain damage
What are the challenges met in brain aging ?
Brain aging is
heterogenous
both
inter
and
intra
individuals