Glucose Hypometabolism Aging is a pattern of age-related decline characterized by a progressive reduction in the brain’s ability to efficiently utilize glucose as its primary energy source, often preceding overt cognitive impairment. This state of cerebral energy deficit is observed clinically through advanced neuroimaging and is linked to impaired neuronal function and accelerated neurodegenerative changes. It is a critical, early marker in the metabolic etiology of brain aging and is a primary target for intervention.
Origin
This concept originates from neuroimaging studies, particularly Positron Emission Tomography (PET) research, which revealed a distinct pattern of reduced cerebral glucose uptake in aging and disease states. It links metabolic dysfunction directly to the structural and functional decline seen in the aging brain. The clinical recognition of this pattern has spurred metabolic interventions in neurology.
Mechanism
The underlying mechanism involves a progressive reduction in insulin sensitivity at the blood-brain barrier and within neuronal and glial cells, impairing the transport and phosphorylation of glucose. This energy crisis is further compounded by mitochondrial dysfunction, which limits the efficiency of oxidative phosphorylation. The resulting chronic energy deficit triggers compensatory metabolic shifts and contributes to the accumulation of pathological proteins, accelerating the aging trajectory of the brain.
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