reviewJournal of Clinical InvestigationMay 15, 2022GOLD OA

Biological aging processes underlying cognitive decline and neurodegenerative disease

Institute for Neurodegenerative Disorders · The University of Texas Health Science Center at San Antonio · +2 more institutions

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Abstract

Alzheimer's disease and related dementias (ADRD) are among the top contributors to disability and mortality in later life. As with many chronic conditions, aging is the single most influential factor in the development of ADRD. Even among older adults who remain free of dementia throughout their lives, cognitive decline and neurodegenerative changes are appreciable with advancing age, suggesting shared pathophysiological mechanisms. In this Review, we provide an overview of changes in cognition, brain morphology, and neuropathological protein accumulation across the lifespan in humans, with complementary and mechanistic evidence from animal models. Next, we highlight selected aging processes that are…

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