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Vascular Aging: A Central Driver of Multimorbidity

11 hours 39 minutes ago
The aging of the vasculature is a primary determinant of cardiovascular disease risk and a key contributor to organismal decline. While our understanding of its molecular underpinnings has grown exponentially, the translation of these discoveries into effective clinical interventions remains a major hurdle. This review provides a critical appraisal of the current state of vascular aging pharmacology. We first dissect the core pathogenic mechanisms, including epigenetic drift, chronic low-grade...
Manyv Zheng

Differential profiles of motor dysfunction in amnestic versus non-amnestic mild cognitive impairment - The Vietnam Era Twin Study of Aging

11 hours 39 minutes ago
Motor dysfunction in different subtypes of mild cognitive impairment (MCI) and dementia have been widely reported. Whether motor profiles could differentiate between MCI subtypes such as amnestic MCI (aMCI) and non-amnestic MCI (naMCI) has not been systematically studied, but could augment the diagnostic process to improve diagnostic accuracy early on in the disease process. Here, we compare motor function across the motor domain between cognitively unimpaired (CU; n = 878), aMCI (n = 89) and...
Vincent Koppelmans

TMBIM6 enhances dopaminergic neuron survival by modulating the IRE1a pathway in Parkinson's disease

1 day 11 hours ago
The core pathological hallmark of Parkinson's disease (PD) is the progressive degeneration of dopaminergic (DAergic) neurons in the substantia nigra pars compacta (SNpc), driven by misfolding and aggregation of a-synuclein (aSyn) into Lewy bodies. This triggers severe cellular dysfunction, including endoplasmic reticulum (ER) stress and the dysregulation of the unfolded protein response (UPR). TMBIM6, an anti-apoptotic ER protein, inhibits the UPR sensor IRE1a. Although TMBIM6 exhibits...
Pablo Ahumada-Montalva

The exposome of brain aging across 34 countries

1 day 11 hours ago
The physical and social exposome affects human aging, and brain clocks may track its effects. However, most studies neglect multidomain exposures (physical, social and political) across diverse settings globally and their associations with brain aging. In this study, we characterized the associations between 73 country-level physical and social exposomal factors and multimodal brain age in 18,701 participants from 34 countries (healthy individuals and those with Alzheimer's disease,...
Agustina Legaz

Target product profiles for treatments to delay or prevent symptomatic Alzheimer's disease

1 day 11 hours ago
Despite advances in understanding the mechanisms, risk factors and treatment strategies for Alzheimer's disease (AD), no approved therapies exist to prevent or delay onset in at-risk individuals or those with elevated biomarkers who do not yet show symptoms. Multiple candidate interventions are now being evaluated in clinical trials in these settings, raising key questions around which populations are most appropriate and what criteria should guide regulatory and clinical decision-making. Data...
Jeffrey L Cummings

Neuronal APOE4-induced early hippocampal network hyperexcitability in Alzheimer's disease pathogenesis

1 day 11 hours ago
The full impact of APOE4 (apolipoprotein E4), the strongest genetic risk factor for Alzheimer's disease (AD), on neuronal and network function remains unclear, particularly during early preclinical stages of disease. Here we show that young APOE4 knockin (E4-KI) mice exhibit hippocampal region-specific network hyperexcitability that predicts later cognitive deficits. This early phenotype arises from cell-type-specific subpopulations of smaller, hyperexcitable neurons and is eliminated by...
Dennis R Tabuena

Neuroinflammation in stroke-A review of implications for precision immunomodulation

1 day 11 hours ago
Stroke remains a leading cause of mortality and long-term disability worldwide, and secondary injury mechanisms-particularly neuroinflammation-continue to limit functional recovery despite advances in reperfusion therapies. Post-stroke neuroinflammation is not a static or uniformly deleterious process but a temporally evolving and spatially heterogeneous continuum shaped by cellular transcriptional plasticity, metabolic reprogramming, and systemic modifiers such as aging and comorbidities....
Tatyana Zharikova

Metabolic and Inflammatory Roles of Glial Cells in Neurodegenerative and Cerebrovascular Diseases

1 day 11 hours ago
Chronic neuroinflammation is a hallmark of neurodegenerative and cerebrovascular diseases and is largely driven by dysfunctional activation of microglia and astrocytes. Recent advances in single-cell transcriptomics and metabolic profiling have revealed the remarkable heterogeneity and plasticity of these glial cells, highlighting their dual roles in neuroprotection and neurotoxicity. Upon activation, microglia adopt pro-inflammatory phenotypes and undergo metabolic reprogramming characterized...
Ogunleye Femi Abiola

Arterial pulse harmonic alterations: a novel biomarker linking vascular dysfunction to prefrailty

1 day 11 hours ago
CONCLUSION: These findings reveal a novel pulse-derived harmonic signature as a biomarker for prefrailty, indicating that subtle arterial functional alterations detectable via spectral analysis are associated with early physical vulnerability and may help bridge vascular pathology with geriatric decline. The discriminative performance (AUC = 0.70) is competitive with existing tools, while the 1-minute, noninvasive protocol establishes a favorable balance between accuracy and clinical...
Li-Wei Wu

Blood neurodegeneration biomarkers and the muscle-brain axis in older adults: physical performance as a functional mediator of cognition

1 day 11 hours ago
CONCLUSIONS: Blood neurodegeneration biomarkers show complex associations with cognition that involve direct and physical performance-related pathways. Our findings suggest that physical performance may serve as an early marker and therapeutic target in neurodegenerative aging, particularly in vulnerable populations, though longitudinal studies are needed to establish temporal relationships.
Chiara Ceolin

Imaging-derived biological age across multiple organs links to mortality and aging-related health outcomes

1 day 11 hours ago
Aging is a complex, multifactorial process, influencing disease risk and overall health. While chronological age (CA) is widely used in clinical practice, it fails to capture individual aging trajectories. Current approaches to estimate biological age (BA) often focus on single organs or predefined clinical biomarkers, limiting comprehensive assessment. We introduce a novel, purely imaging-driven deep learning framework for organ-specific BA estimation across seven organ systems. Our...
Veronika Ecker

Psilocybin and human longevity

1 day 11 hours ago
Psilocybin extends lifespan in aged mice, and this has prompted extensive media speculation about possible human longevity benefits. We examined mortality among prominent psychedelic personalities, researchers, and advocates who claimed psychedelic use (n = 11) and compared them with cancer (n = 12) and aging researchers (n = 5). All groups exceeded population life expectancy, reflecting the effect of socioeconomic advantage on lifespan, but psychedelic personalities did not outlive cancer and...
Leonard Lerer

Dissecting the boundary of quiescence and activation of murine melanocyte stem cells in the hair follicle niche

1 day 11 hours ago
Melanocyte stem cells (McSCs) are a crucial melanocyte reservoir within the hair follicle niche. This review provides an overview of the processes for McSC quiescence and activation. Because McSCs closely interact with hair follicle stem cells, we have focused on this interaction. Given the high prevalence of hair graying, the McSC system serves as a model for cellular aging. Here, we highlight current research on the mechanisms of hair graying.
Tatsuya Ogawa

Plasma Proteomic Profiling of Young and Older Adults Identifies Candidate Biomarkers of Biological Aging at the Intersection of Age and Disease

1 day 11 hours ago
Aging and chronic diseases intersect at the level of biological aging mechanisms, where age-related molecular and cellular changes contribute to the development of diverse pathologies. Biomarkers of biological aging could help predict and track the progression of chronic diseases and evaluate the effectiveness of interventions aimed at promoting healthy aging. Here, we aimed to identify biomarkers reflecting biological aging by analyzing protein signatures shared between older age and elevated...
Juliette Tavenier

The exposome of brain aging across 34 countries

1 day 11 hours ago
The physical and social exposome affects human aging, and brain clocks may track its effects. However, most studies neglect multidomain exposures (physical, social and political) across diverse settings globally and their associations with brain aging. In this study, we characterized the associations between 73 country-level physical and social exposomal factors and multimodal brain age in 18,701 participants from 34 countries (healthy individuals and those with Alzheimer's disease,...
Agustina Legaz

The case for space as a model of accelerated aging

1 day 11 hours ago
Aging is a complex biological and societal challenge, where modest advances can yield substantial clinical and economic benefits. While model organisms have uncovered key mechanisms of aging, their physiological relevance to humans remains limited. Astronauts offer a uniquely informative human model: despite being healthy and highly selected, they exhibit many hallmarks of aging and experience comparable declines in cardiovascular, musculoskeletal, cognitive and immune function-often on...
Max Manwaring-Mueller