The highly regulated neurodevelopmental and adult process of eliminating unnecessary or weak synaptic connections between neurons, a critical mechanism for refining neural circuits and optimizing brain efficiency. “Control” refers to the biological factors and therapeutic interventions that influence the appropriate timing and extent of this selective elimination. Dysregulation of pruning is implicated in both developmental and age-related neurological disorders.
Origin
This term is a core concept in developmental neuroscience, with “Synaptic Pruning” describing the selective removal of synapses, a process first extensively studied in the developing brain. The clinical emphasis on “Control” reflects the modern understanding that this process continues throughout life and can be modulated to maintain cognitive health and neuroplasticity in adulthood.
Mechanism
The control of synaptic pruning is primarily mediated by glial cells, particularly microglia, which actively survey and engulf less active synapses in a process regulated by the complement cascade proteins. Hormonal factors, notably sex steroids and neurotrophins like BDNF, influence the overall rate of synaptic turnover and maintenance. Optimal control requires a balance between pruning and synaptogenesis, ensuring that the brain retains essential connections while clearing out neural “noise” to maintain efficient processing speed.
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