Semyanov Alexey, Verkhratsky Alexei
Department of Physiology, Jiaxing University College of Medicine, Jiaxing, Zhejiang, China.
Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; Department of Neurosciences, University of the Basque Country UPV/EHU and CIBERNED, Leioa, Bizkaia, Spain; IKERBASQUE, Basque Foundation for Science, Bilbao, Spain.
Handb Clin Neurol. 2025;209:49-67. doi: 10.1016/B978-0-443-19104-6.00002-4.
Aging is associated with morphologic and functional decline of the brain active milieu and, in particular, of the neuroglia, which compromises homeostatic support and neuroprotection. Astrocytes in aging undergo complex and region specific changes, manifested by morphologic atrophy and widespread functional asthenia. Aging leads to mitochondrial malfunction and reduced protein/lipid ratio in human astrocytes. Oligodendrocyte lineage cells are the most affected cells by the aging process, which limits myelinating capacity, thus leading to a substantial reduction in the white matter and deficient brain connectome. Finally, microglia undergo a morphologic functional dystrophy in the aged human brain which curtails brain defenses and increases brain vulnerability to neuropathology and especially to age-dependent neurodegenerative disorders. Lifestyle modifications, such as enriched environment, physical exercise, and healthy dieting, boost neuroglial support, thus improving cognitive longevity.
衰老与大脑活跃环境尤其是神经胶质细胞的形态和功能衰退相关,这会损害稳态支持和神经保护。衰老过程中的星形胶质细胞会发生复杂的区域特异性变化,表现为形态萎缩和广泛的功能衰弱。衰老导致人类星形胶质细胞线粒体功能障碍以及蛋白质/脂质比率降低。少突胶质细胞谱系细胞是衰老过程中受影响最大的细胞,这限制了髓鞘形成能力,从而导致白质大量减少和脑连接组缺陷。最后,老年人大脑中的小胶质细胞会发生形态功能营养不良,这会削弱大脑防御能力,增加大脑对神经病理学尤其是对年龄依赖性神经退行性疾病的易感性。生活方式的改变,如丰富的环境、体育锻炼和健康饮食,可增强神经胶质支持,从而提高认知寿命。