Hypothalamic MRI-derived microstructure is associated with neurocognitive aging in humans

Sandra Aleksic1, Roman Fleysher2, Erica F Weiss3

  • 1Department of Medicine, Institute for Aging Research, Albert Einstein College of Medicine, Bronx, NY, United States.

PubMed

Insights

The hypothalamus, crucial for aging, shows microstructural changes linked to cognitive decline in older adults. Lower hypothalamic fractional anisotropy (FA) may predict worsening neurocognition.

Area of Science:

  • Neuroscience
  • Aging Research
  • Medical Imaging

Background:

  • The hypothalamus regulates homeostasis and aging.
  • Aging-related hypothalamic changes, like microinflammation, are linked to neurocognitive decline in mice.
  • Human studies on hypothalamic microstructure and aging are limited.

Purpose of the Study:

  • To investigate the relationship between hypothalamic microstructure and neurocognitive aging in older adults.
  • To explore if hypothalamic microstructure predicts cognitive decline over time.

Main Methods:

  • Magnetic resonance imaging (MRI) diffusion metrics (mean diffusivity [MD] and fractional anisotropy [FA]) were used to assess hypothalamic microstructure.
  • A cohort of 124 community-dwelling older adults (65-97 years) and 99 younger controls (18-63 years) were studied.
  • Associations with cortical thickness and cognitive scores were analyzed.

Main Results:

  • In older adults, higher hypothalamic MD correlated with age and lower cortical thickness.
  • Hypothalamic FA positively correlated with neurocognitive scores, independent of cortical thickness.
  • Lower hypothalamic FA suggested potential prediction of cognitive decline in longitudinal analysis.

Conclusions:

  • Hypothalamic microstructure is associated with neurocognitive aging features in humans.
  • This study provides novel insights into the hypothalamus's role in human cognitive aging.
  • Hypothalamic FA may serve as a biomarker for cognitive aging and decline.