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Synaptic resilience is associated with maintained cognition during ageing

  • Declan King
  • , Kris Holt
  • , Jamie Toombs
  • , Xin He
  • , Owen Dando
  • , Judith A. Okely
  • , Makis Tzioras
  • , Jamie Rose
  • , Ciaran Gunn
  • , Adele Correia
  • , Carmen Montero
  • , Hannah McAlister
  • , Jane Tulloch
  • , Douglas Lamont
  • , Adele M. Taylor
  • , Sarah E. Harris
  • , Paul Redmond
  • , Simon R. Cox
  • , Christopher M. Henstridge
  • , Ian J. Deary
  • Colin Smith, Tara L. Spires-Jones (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

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Abstract

Introduction: It remains unclear why age increases risk of Alzheimer's disease and why some people experience age-related cognitive decline in the absence of dementia. Here we test the hypothesis that resilience to molecular changes in synapses contribute to healthy cognitive ageing.

Methods: We examined post-mortem brain tissue from people in mid-life (n = 15), healthy ageing with either maintained cognition (n = 9) or lifetime cognitive decline (n = 8), and Alzheimer's disease (n = 13). Synapses were examined with high resolution imaging, proteomics, and RNA sequencing. Stem cell-derived neurons were challenged with Alzheimer's brain homogenate.

Results: Synaptic pathology increased, and expression of genes involved in synaptic signaling decreased between mid-life, healthy ageing and Alzheimer's. In contrast, brain tissue and neurons from people with maintained cognition during ageing exhibited decreases in synaptic signaling genes compared to people with cognitive decline.

Discussion: Efficient synaptic networks without pathological protein accumulation may contribute to maintained cognition during ageing.

Original languageEnglish
Pages (from-to)2560-2574
Number of pages15
JournalAlzheimer's and Dementia
Volume19
Issue number6
Early online date22 Dec 2022
DOIs
Publication statusPublished - Jun 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Alzheimer's
  • ageing
  • cognition
  • synapse

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Developmental Neuroscience
  • Clinical Neurology
  • Geriatrics and Gerontology
  • Cellular and Molecular Neuroscience
  • Psychiatry and Mental health

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