This describes the biological processes essential for preserving the volume, density, and cellular health of the cerebral cortex’s gray matter, which primarily consists of neuronal cell bodies, dendrites, and synapses. Clinically, robust gray matter maintenance is correlated with sustained cognitive function and a reduced risk of neurodegenerative changes. Hormonal balance, particularly steroid hormones, is recognized as a key trophic factor in this long-term structural preservation.
Origin
This concept originates from structural neuroimaging and neuropathology, where gray matter volume changes are tracked over the lifespan. The term ‘maintenance’ emphasizes the continuous, energy-intensive effort required by the brain to sustain its cellular components. It is a critical metric in longevity and brain health research, linking structural integrity to functional outcomes.
Mechanism
Glial cells, including astrocytes and microglia, are central to the maintenance process, providing metabolic support and clearing cellular debris. Neurotrophic factors, such as BDNF and NGF, promote neuronal survival and synaptic plasticity. Steroid hormones exert genomic and non-genomic effects on cortical neurons, regulating gene expression related to cellular repair and survival. The interplay between systemic metabolism and neuroinflammation also significantly impacts gray matter integrity.
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