Structural Brain Mapping Group, Department of Psychiatry, Jena University Hospital Jena, Germany ; Department of Neurology, Jena University Hospital Jena, Germany.
Department of Human Nutrition, Friedrich Schiller-University Jena Jena, Germany ; Energy Metabolism Laboratory, ETH Zurich (Swiss Federal Institute of Technology) Schwerzenbach, Zürich, Switzerland.
Front Aging Neurosci. 2014 May 23;6:94. doi: 10.3389/fnagi.2014.00094. eCollection 2014.
Aging alters brain structure and function. Personal health markers and modifiable lifestyle factors are related to individual brain aging as well as to the risk of developing Alzheimer's disease (AD). This study used a novel magnetic resonance imaging (MRI)-based biomarker to assess the effects of 17 health markers on individual brain aging in cognitively unimpaired elderly subjects. By employing kernel regression methods, the expression of normal brain-aging patterns forms the basis to estimate the brain age of a given new subject. If the estimated age is higher than the chronological age, a positive brain age gap estimation (BrainAGE) score indicates accelerated atrophy and is considered a risk factor for developing AD. Within this cross-sectional, multi-center study 228 cognitively unimpaired elderly subjects (118 males) completed an MRI at 1.5Tesla, physiological and blood parameter assessments. The multivariate regression model combining all measured parameters was capable of explaining 39% of BrainAGE variance in males (p < 0.001) and 32% in females (p < 0.01). Furthermore, markers of the metabolic syndrome as well as markers of liver and kidney functions were profoundly related to BrainAGE scores in males (p < 0.05). In females, markers of liver and kidney functions as well as supply of vitamin B12 were significantly related to BrainAGE (p < 0.05). In conclusion, in cognitively unimpaired elderly subjects several clinical markers of poor health were associated with subtle structural changes in the brain that reflect accelerated aging, whereas protective effects on brain aging were observed for markers of good health. Additionally, the relations between individual brain aging and miscellaneous health markers show gender-specific patterns. The BrainAGE approach may thus serve as a clinically relevant biomarker for the detection of subtly abnormal patterns of brain aging probably preceding cognitive decline and development of AD.
衰老改变大脑结构和功能。个人健康标志物和可改变的生活方式因素与个体大脑衰老以及阿尔茨海默病(AD)的发病风险有关。本研究使用一种新的基于磁共振成像(MRI)的生物标志物来评估 17 种健康标志物对认知正常的老年受试者个体大脑衰老的影响。通过使用核回归方法,正常大脑衰老模式的表达构成了估计给定新受试者大脑年龄的基础。如果估计年龄高于实际年龄,则表示存在正的大脑年龄差距(BrainAGE)评分,表明大脑萎缩加速,被认为是 AD 发病的风险因素。在这项横断面、多中心研究中,228 名认知正常的老年受试者(118 名男性)在 1.5Tesla 磁共振扫描仪上完成了 MRI 检查,并进行了生理和血液参数评估。结合所有测量参数的多元回归模型能够解释男性的 BrainAGE 变异的 39%(p<0.001)和女性的 32%(p<0.01)。此外,代谢综合征标志物以及肝肾功能标志物与男性的 BrainAGE 评分显著相关(p<0.05)。在女性中,肝肾功能标志物以及维生素 B12 的供应与 BrainAGE 显著相关(p<0.05)。总之,在认知正常的老年受试者中,几种健康状况不佳的临床标志物与反映加速衰老的大脑结构细微变化相关,而对健康状况良好的标志物则观察到对大脑衰老的保护作用。此外,个体大脑衰老与各种健康标志物之间的关系表现出性别特异性模式。因此,BrainAGE 方法可能成为一种有临床意义的生物标志物,用于检测可能在认知能力下降和 AD 发展之前出现的大脑衰老的异常模式。