Cognitive Decline Biology refers to the complex array of molecular, cellular, and systemic processes that underpin the measurable deterioration of cognitive domains such as memory, executive function, and processing speed. This biology encompasses key pathological hallmarks including chronic neuroinflammation, mitochondrial dysfunction, and the accumulation of misfolded proteins in neural tissue. Understanding these biological drivers is crucial for developing effective intervention strategies to preserve brain health.
Origin
The term is rooted in the interdisciplinary study of gerontology, neuroscience, and clinical endocrinology, focusing specifically on the physiological changes that predispose the aging brain to functional impairment. It stems from decades of research into the structural and chemical changes observed in neurodegenerative conditions and age-related cognitive impairment.
Mechanism
Core mechanisms include the progressive failure of cerebral vascular regulation, leading to reduced nutrient and oxygen delivery to the brain. Furthermore, the biology involves a chronic shift in the microglial state towards a pro-inflammatory phenotype, which contributes to synaptic pruning and neuronal loss. Declining levels of neurosteroids, such as DHEA and estrogen, also compromise synaptic plasticity and neurogenesis, accelerating the functional decline.
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