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健康与病理性脑老化:从波动、功能连接和信号复杂性角度看。

Healthy and Pathological Brain Aging: From the Perspective of Oscillations, Functional Connectivity, and Signal Complexity.

机构信息

Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, Japan.

Department of Palliative Care, Ashiya Municipal Hospital, Ashiya, Japan.

出版信息

Neuropsychobiology. 2017;75(4):151-161. doi: 10.1159/000486870. Epub 2018 Feb 21.

Abstract

Healthy aging is associated with impairment in cognitive information processing. Several neuroimaging methods such as functional magnetic resonance imaging, positron emission tomography and near-infrared spectroscopy have been used to explore healthy and pathological aging by relying on hemodynamic or metabolic changes that occur in response to brain activity. Since electroencephalography (EEG) and magnetoencephalography (MEG) are able to measure neural activity directly with a high temporal resolution of milliseconds, these neurophysiological techniques are particularly important to investigate the dynamics of brain activity underlying neurocognitive aging. It is well known that age is a major risk factor for Alzheimer's disease (AD), and that synaptic dysfunction represents an early sign of this disease associated with hallmark neuropathological findings. However, the neurophysiological mechanisms underlying AD are not fully elucidated. This review addresses healthy and pathological brain aging from a neurophysiological perspective, focusing on oscillatory activity changes during the resting state, event-related potentials and stimulus-induced oscillatory responses during cognitive or motor tasks, functional connectivity between brain regions, and changes in signal complexity. We also highlight the accumulating evidence on age-related EEG/MEG changes and biological markers of brain neurodegeneration, including genetic factors, structural abnormalities on magnetic resonance images, and the biochemical changes associated with Aβ deposition and tau pathology.

摘要

健康老龄化与认知信息处理能力受损有关。几种神经影像学方法,如功能磁共振成像、正电子发射断层扫描和近红外光谱,已被用于通过依赖于对大脑活动的反应发生的血液动力学或代谢变化来探索健康和病理性衰老。由于脑电图 (EEG) 和脑磁图 (MEG) 能够以毫秒的高时间分辨率直接测量神经活动,因此这些神经生理学技术对于研究神经认知衰老的大脑活动动力学尤为重要。众所周知,年龄是阿尔茨海默病 (AD) 的主要危险因素,突触功能障碍是该疾病的早期标志,与标志性的神经病理学发现有关。然而,AD 的神经生理学机制尚未完全阐明。本综述从神经生理学的角度探讨健康和病理性脑老化,重点关注静息状态下的振荡活动变化、认知或运动任务期间的事件相关电位和刺激诱导的振荡反应、脑区之间的功能连接以及信号复杂性的变化。我们还强调了关于与年龄相关的 EEG/MEG 变化和大脑神经退行性变的生物标志物的累积证据,包括遗传因素、磁共振图像上的结构异常,以及与 Aβ 沉积和 tau 病理学相关的生化变化。

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