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Orienteering as a Tool for Cognitive Research: An Implementation Guide
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Aerobic Exercise Combined with Multisensory Stimulation Training Improves Cognitive Frailty by Modulating Circulating

Minguang Yang1,2, Yuwei Ye1,2, Liumu Wang3

  • 1National-Local Joint Engineering Research Center of Rehabilitation Medicine Technology, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.

International Journal of Molecular Sciences
|May 13, 2026
PubMed
Summary
This summary is machine-generated.

Combined training significantly improved cognitive and motor function in aging mice. This intervention boosts the anti-aging protein Klotho, enhancing brain and muscle health for healthier aging.

Keywords:
FGFR1Klothocognitive frailtyhippocampusskeletal muscle

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Area of Science:

  • Neuroscience
  • Gerontology
  • Molecular Biology

Background:

  • Cognitive frailty (CF) presents a significant challenge to healthy aging, marked by simultaneous cognitive and motor decline.
  • Effective interventions for CF are limited, highlighting the need for novel therapeutic strategies.
  • The anti-aging protein Klotho plays a role in brain and muscle health but declines with age.

Purpose of the Study:

  • To investigate if combined training (aerobic exercise and multisensory stimulation) can ameliorate age-related cognitive frailty in mice.
  • To explore the role of systemic Klotho signaling in mediating the effects of combined training on cognitive and motor function.
  • To elucidate the molecular mechanisms underlying the benefits of combined training on hippocampal and skeletal muscle health.

Main Methods:

  • A mouse model of age-related cognitive frailty underwent aerobic training, multisensory stimulation, or combined training for 16 months.
  • Behavioral, electrophysiological, histological, and molecular assessments were conducted.
  • Systemic Klotho expression was inhibited using dual-route shRNA delivery to examine its mechanistic role.

Main Results:

  • Combined training significantly improved cognitive and motor performance compared to individual interventions.
  • Combined training increased hippocampal dendritic spine density and long-term potentiation, and reduced muscle collagen deposition.
  • Upregulation of Klotho, FGF19, and FGFR1 was observed in the hippocampus and muscle, with elevated serum Klotho levels. Klotho knockdown negated these benefits.

Conclusions:

  • Combined training effectively alleviates cognitive frailty in aging mice.
  • Systemic Klotho is a crucial mediator, linking improved hippocampal synaptic function and skeletal muscle homeostasis.
  • This study identifies a promising intervention strategy targeting Klotho signaling for promoting healthy aging.