Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus

Abstract As part of the hypothalamic-pituitary adrenal (HPA) axis, the hypothalamus exerts pivotal influence on metabolic and endocrine homeostasis. With age, these processes are subject to considerable change, resulting in increased prevalence of physical disability and cardiac disorders. Yet, rese...

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Main Authors: Melanie Spindler, Marco Palombo, Hui Zhang, Christiane M. Thiel
Format: Article
Language:English
Published: Nature Portfolio 2023-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-33922-5
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author Melanie Spindler
Marco Palombo
Hui Zhang
Christiane M. Thiel
author_facet Melanie Spindler
Marco Palombo
Hui Zhang
Christiane M. Thiel
author_sort Melanie Spindler
collection DOAJ
description Abstract As part of the hypothalamic-pituitary adrenal (HPA) axis, the hypothalamus exerts pivotal influence on metabolic and endocrine homeostasis. With age, these processes are subject to considerable change, resulting in increased prevalence of physical disability and cardiac disorders. Yet, research on the aging human hypothalamus is lacking. To assess detailed hypothalamic microstructure in middle adulthood, 39 healthy participants (35–65 years) underwent comprehensive structural magnetic resonance imaging. In addition, we studied HPA axis dysfunction proxied by hair cortisol and waist circumference as potential risk factors for hypothalamic alterations. We provide first evidence of regionally different hypothalamic microstructure, with age effects in its anterior–superior subunit, a critical area for HPA axis regulation. Further, we report that waist circumference was related to increased free water and decreased iron content in this region. In age, hair cortisol was additionally associated with free water content, such that older participants with higher cortisol levels were more vulnerable to free water content increase than younger participants. Overall, our results suggest no general age-related decline in hypothalamic microstructure. Instead, older individuals could be more susceptible to risk factors of hypothalamic decline especially in the anterior–superior subregion, including HPA axis dysfunction, indicating the importance of endocrine and stress management in age.
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spelling doaj.art-b6ce07aa19e24e9a89731a0456ca0c1a2023-04-30T11:15:55ZengNature PortfolioScientific Reports2045-23222023-04-0113111110.1038/s41598-023-33922-5Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamusMelanie Spindler0Marco Palombo1Hui Zhang2Christiane M. Thiel3Biological Psychology, Department of Psychology, School of Medicine and Health Sciences, Carl von Ossietzky Universität OldenburgCardiff University Brain Research Imaging Centre (CUBRIC), School of Psychology & School of Computer Science and Informatics, Cardiff UniversityDepartment of Computer Science and Centre for Medical Image Computing (CMIC), University College London (UCL)Biological Psychology, Department of Psychology, School of Medicine and Health Sciences, Carl von Ossietzky Universität OldenburgAbstract As part of the hypothalamic-pituitary adrenal (HPA) axis, the hypothalamus exerts pivotal influence on metabolic and endocrine homeostasis. With age, these processes are subject to considerable change, resulting in increased prevalence of physical disability and cardiac disorders. Yet, research on the aging human hypothalamus is lacking. To assess detailed hypothalamic microstructure in middle adulthood, 39 healthy participants (35–65 years) underwent comprehensive structural magnetic resonance imaging. In addition, we studied HPA axis dysfunction proxied by hair cortisol and waist circumference as potential risk factors for hypothalamic alterations. We provide first evidence of regionally different hypothalamic microstructure, with age effects in its anterior–superior subunit, a critical area for HPA axis regulation. Further, we report that waist circumference was related to increased free water and decreased iron content in this region. In age, hair cortisol was additionally associated with free water content, such that older participants with higher cortisol levels were more vulnerable to free water content increase than younger participants. Overall, our results suggest no general age-related decline in hypothalamic microstructure. Instead, older individuals could be more susceptible to risk factors of hypothalamic decline especially in the anterior–superior subregion, including HPA axis dysfunction, indicating the importance of endocrine and stress management in age.https://doi.org/10.1038/s41598-023-33922-5
spellingShingle Melanie Spindler
Marco Palombo
Hui Zhang
Christiane M. Thiel
Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus
Scientific Reports
title Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus
title_full Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus
title_fullStr Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus
title_full_unstemmed Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus
title_short Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus
title_sort dysfunction of the hypothalamic pituitary adrenal axis and its influence on aging the role of the hypothalamus
url https://doi.org/10.1038/s41598-023-33922-5
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