The progressive deterioration of cognitive functions, motor control, and sensory processing capabilities that occurs over time, often accelerating with advancing age. This clinical phenomenon is characterized by structural changes in the brain, including neuronal loss, reduced synaptic density, and impaired cerebral blood flow. It represents a significant clinical challenge in the pursuit of longevity and healthspan.
Origin
This term is a central focus in geriatrics, neurology, and neuroscience, encompassing the pathology of neurodegenerative diseases and the normal cognitive changes associated with aging. Within the hormonal domain, its origin is linked to the neuroprotective roles of various hormones that diminish with age.
Mechanism
The decline is mechanistically complex, involving several converging pathways, including chronic oxidative stress, accumulation of misfolded proteins, and persistent neuroinflammation driven by activated glial cells. Reduced neurotrophic support from factors like BDNF and compromised hormonal signaling, particularly the decline in neurosteroids like allopregnanolone and DHEA, contribute significantly to synaptic dysfunction and neuronal vulnerability. This cascade of events ultimately impairs the neural pathway tuning necessary for peak cognitive performance.
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