Magnaeva A S, Gulevskaya T S, Anufriev P L, Baranich T I, Sukhorukov V S
Research Center of Neurology, Moscow, Russia.
Pirogov Russian National Research Medical University, Moscow, Russia.
Arkh Patol. 2022;84(4):20-28. doi: 10.17116/patol20228404120.
Identification of morphological manifestations and evaluation of morphometric parameters of the nervous tissue in various structures of the human brain during aging.
Autopsy material was obtained from patients whose causes of death were not associated with neurological diseases. Three age groups were studied: young (35-45 years old) (=10); eldery (75-89 years old) (=20); centenarians (over 90 years old) (=10). Quantitative analysis of large neurons in the compact part of the substantia nigra, basal ganglia, layer V of the cortex, and the pyramidal layer of the hippocampus was carried out. In addition, the brain mass, the thickness of the cortex of the precentral gyrus were measured, the glial index was calculated, and the morphological signs of age-related involution of the brain tissue and intracerebral vessels were assessed.
In senile and centenarians, compared with young people, there was a progressive reduction in large neurons of layer V of the cortex, basal ganglia, the pyramidal layer of the hippocampus and substantia nigra, a decrease in brain mass and thickness of the cortex of the precentral gyrus, as well as an increase in the glial index. Changes in blood vessels characteristic of aging are described. Also, during aging, signs characteristic of neurodegeneration were found.
The results of the study confirm that such brain structures as the cortex of the precentral gyrus, the hippocampus, the basal ganglia, and the substantia nigra lose large neurons with age, followed by the development of gliosis. The identified morphological changes characteristic of aging are phenomenologically similar to a certain set of morphological changes in neurodegenerative diseases of late age.
识别衰老过程中人类大脑不同结构中神经组织的形态学表现并评估其形态计量学参数。
尸检材料取自死因与神经系统疾病无关的患者。研究了三个年龄组:青年组(35 - 45岁)(=10例);老年组(75 - 89岁)(=20例);百岁老人组(90岁以上)(=10例)。对黑质致密部、基底神经节、皮质第V层和海马锥体细胞层中的大神经元进行了定量分析。此外,测量了脑重量、中央前回皮质厚度,计算了胶质细胞指数,并评估了脑组织和脑内血管与年龄相关的退化的形态学特征。
与年轻人相比,老年组和百岁老人组中,皮质第V层、基底神经节、海马锥体细胞层和黑质中的大神经元逐渐减少,脑重量和中央前回皮质厚度降低,胶质细胞指数增加。描述了血管的衰老特征性变化。此外,在衰老过程中还发现了神经退行性变的特征性表现。
研究结果证实,随着年龄增长,中央前回皮质、海马、基底神经节和黑质等脑结构会失去大神经元,随后出现胶质增生。所确定的衰老特征性形态学变化在现象学上与老年神经退行性疾病中的某些形态学变化相似。