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Updated: Feb 20, 2026

Assessment of Vascular Tone Responsiveness using Isolated Mesenteric Arteries with a Focus on Modulation by Perivascular Adipose Tissues
Published on: June 3, 2019
Neurovascular interactions in the ageing heart
Julian U G Wagner1,2,3, Stefanie Dimmeler4,5,6
1Institute of Cardiovascular Regeneration, Goethe University Frankfurt, Frankfurt am Main, Germany.
Insights
As people live longer, extending healthspan is crucial. This review explores how ageing affects the heart
Area of Science:
- Cardiovascular Aging Research
- Neurovascular Biology
- Gerontology and Geriatric Medicine
Background:
- Increasing global life expectancy necessitates extending healthspan and preventing age-related diseases.
- Cardiovascular disease, driven by aging, is a leading cause of mortality, causing vascular dysfunction and cardiac decline.
- Aging impacts the neurovascular unit, affecting cardiac autonomic regulation and increasing risks for arrhythmias and heart failure.
Purpose of the Study:
- To review the impact of neurovascular aging on cardiac dysfunction.
- To explore therapeutic strategies targeting the cardiac neurovascular unit for cardiovascular aging.
Main Methods:
- Comprehensive literature review on neurovascular aging and cardiac function.
- Analysis of studies investigating the neurovascular unit's role in cardiovascular aging.
- Examination of therapeutic targets within the cardiac neurovascular unit.
Main Results:
- Aging significantly alters the structure and function of the cardiac neurovascular unit.
- Impaired neurovascular signaling contributes to autonomic dysfunction and increased susceptibility to heart failure.
- The cardiac neurovascular unit is a critical determinant of cardiovascular resilience during aging.
Conclusions:
- Neurovascular aging is a key driver of cardiac dysfunction and age-related cardiovascular diseases.
- Targeting the cardiac neurovascular unit offers promising therapeutic avenues to mitigate cardiovascular aging.
- Promoting neurovascular health may enhance resilience in aging populations.
Abstract:
The global rise in life expectancy underscores the urgent need to extend healthspan and prevent age-related diseases. Cardiovascular disease is the leading cause of death worldwide, with ageing as a major non-modifiable risk factor. Ageing drives progressive vascular dysfunction and cardiac decline, including heart failure with preserved or reduced ejection fraction. Vascular cells are particularly vulnerable to ageing, resulting in structural and functional deterioration of the microvasculature and macrovasculature. Emerging evidence highlights that ageing also disrupts the neurovascular interface - an intricate axis between the nervous and vascular systems that governs cardiac function. Alterations to the neurovascular unit in the heart contribute to impaired autonomic regulation, increasing the risk of arrhythmias and heart failure. In this Review, we examine how neurovascular ageing shapes cardiac dysfunction and explore the therapeutic potential of targeting the cardiac neurovascular unit to mitigate cardiovascular ageing and promote resilience in ageing populations.
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