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Related Experiment Video

Updated: May 8, 2026

Assessment of Age-related Changes in Cognitive Functions Using EmoCogMeter, a Novel Tablet-computer Based Approach
10:13

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Published on: February 14, 2014

Biomarkers, Cognitive Function, and Mortality in Centenarians.

Ryo Shikimoto1,2,3, Takashi Sasaki1, Yukiko Abe1

  • 1Center for Supercentenarian Medical Research, Keio University School of Medicine, Tokyo, Japan.

JAMA Network Open
|May 7, 2026
PubMed
Summary

Higher plasma neurofilament light chain (NfL) levels in centenarians correlated with poorer cognitive function and increased mortality. Amyloid biomarkers showed no significant association, suggesting NfL

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Area of Science:

  • Gerontology and Aging Research
  • Neuroscience and Neurology
  • Biomarker Discovery

Background:

  • Aging is associated with neural changes, but key blood biomarkers for cognition and mortality in centenarians are not well-defined.
  • Understanding these biomarkers is crucial for insights into extreme human aging and lifespan.

Purpose of the Study:

  • To investigate the association between three neural biomarkers—amyloid-β42/40 ratio (Aβ42/40), phosphorylated tau 181 (p-tau181), and neurofilament light chain (NfL)—with cognitive function and all-cause mortality in centenarians.

Main Methods:

  • A population-based cohort study of Japanese centenarians (≥100 years) with baseline cognitive assessments and blood sampling.
  • Follow-up for up to 17 years for mortality, with plasma biomarker levels measured using ultrasensitive immunoassays.
  • Statistical analysis adjusted for confounders to assess associations with cognitive function (MMSE) and mortality.

Main Results:

  • Higher plasma NfL levels were significantly associated with lower Mini-Mental State Examination (MMSE) scores.
  • Elevated plasma NfL levels were also linked to increased all-cause mortality in centenarians.
  • Plasma Aβ42/40 and p-tau181 did not show statistically significant associations with cognitive function or mortality after full adjustment.

Conclusions:

  • Higher plasma NfL levels are associated with poorer cognitive function and increased mortality in centenarians.
  • These findings suggest plasma NfL may be a relevant biomarker for neurodegeneration in extreme aging.
  • Further research is needed to confirm the clinical utility of plasma NfL before routine implementation.