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认知衰老潜在机制研究的进展

Advancements in the investigation of the mechanisms underlying cognitive aging.

作者信息

Zou Honglu, Zhang Shuo, Cui Xinxin, Xu Hongyan, Zhou Zhangying, Cheng Danmeng, Han Yanan, Tang Youcai, Dong Anqin, Dong Xianwen

机构信息

Henan Provincial Rehabilitation Key Laboratory, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.

Institute of Rehabilitation Medicine, Henan Academy of Innovations in Medical Science, Zhengzhou, 450052, Henan, China.

出版信息

Biogerontology. 2025 Aug 10;26(4):158. doi: 10.1007/s10522-025-10300-4.

Abstract

Cognitive aging, a pivotal domain at the intersection of neuroscience and psychology, exhibits a strong association with neurodegenerative disorders; however, its comprehensive underlying mechanisms remain incompletely elucidated. This review aims to provide a thorough synthesis of recent advancements in the investigation of cognitive aging in the brain, highlighting multidimensional assessment techniques, neurobiological foundations, molecular regulatory pathways, systemic changes, environmental-gene interactions, and intervention strategies. Evidence suggests that cognitive aging is marked not only by widespread neuronal loss but also by subtle modifications within neural networks, protein homeostasis, mitochondrial functionality, and epigenetic regulation. The integration of various technological methodologies has shed light on the continuum that exists between cognitive aging and neurodegenerative disorders. Concurrently, multidimensional intervention strategies are being proposed; however, current research frameworks face challenges due to limitations in biomarker systems, indicating a need for a paradigm shift. Future investigations should leverage emerging technologies to develop more precise regulatory frameworks and personalized intervention strategies aimed at addressing the global challenges associated with aging, thereby enhancing the prevention and treatment of related pathologies.

摘要

认知老化是神经科学与心理学交叉领域的一个关键范畴,与神经退行性疾病密切相关;然而,其全面的潜在机制仍未完全阐明。本综述旨在全面综合近期大脑认知老化研究的进展,重点介绍多维度评估技术、神经生物学基础、分子调控途径、系统变化、环境 - 基因相互作用及干预策略。有证据表明,认知老化不仅以广泛的神经元丢失为特征,还表现为神经网络、蛋白质稳态、线粒体功能及表观遗传调控方面的细微改变。各种技术方法的整合揭示了认知老化与神经退行性疾病之间存在的连续性。与此同时,正在提出多维度干预策略;然而,由于生物标志物系统的局限性,当前的研究框架面临挑战,这表明需要范式转变。未来的研究应利用新兴技术来制定更精确的调控框架和个性化干预策略,以应对与衰老相关的全球性挑战,从而加强相关病症的预防和治疗。

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