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Neurochemical changes in the aging brain: A systematic review
Carlee Cleeland1, Andrew Pipingas1, Andrew Scholey1
1Centre of Human Psychopharmacology, Swinburne University of Technology, Hawthorn, Victoria, Australia.
Neuroscience and Biobehavioral Reviews
|January 10, 2019
Summary
Magnetic resonance spectroscopy (MRS) reveals key brain changes with aging. N-acetyl aspartate (NAA) decreases and Myo-inositol (mI) increases, offering insights into cognitive aging.
Area of Science:
- Neuroscience
- Biochemistry
- Medical Imaging
Background:
- Magnetic resonance spectroscopy (MRS) is crucial for in vivo neurochemical analysis.
- Advancements in magnetic field strength and methods enhance neurometabolite examination accuracy.
- Understanding cognitive aging requires detailed study of brain chemistry.
Purpose of the Study:
- To review age-associated neurometabolite changes using proton MRS.
- To associate these changes with cognition in non-clinical aging populations.
- To evaluate the potential of 1H-MRS in tracking age-related brain chemistry shifts.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Screened 179 studies, with 42 eligible for inclusion.
- Analyzed studies based on voxel placement, magnetic field strength, and sample size.
Main Results:
- N-acetyl aspartate (NAA) concentration consistently decreased with age, primarily in the frontal lobe.
- Myo-inositol (mI) concentration consistently increased with age, particularly in the posterior cingulate cortex (PCC).
- Observed NAA and mI changes resemble those seen in Alzheimer disease.
Conclusions:
- Proton MRS effectively measures age-related neurometabolite alterations.
- Reduced NAA and increased mI are significant indicators of cognitive aging.
- 1H-MRS shows promise for monitoring neurochemical changes associated with aging and neurodegenerative diseases.
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