Understanding the molecular basis of resilience to Alzheimer’s disease

The cellular and molecular distinction between brain aging and neurodegenerative disease begins to blur in the oldest old. Approximately 15–25% of observations in humans do not fit predicted clinical manifestations, likely the result of suppressed damage despite usually adequate stressors and of res...

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Main Authors: Kathleen S. Montine, Eloïse Berson, Thanaphong Phongpreecha, Zhi Huang, Nima Aghaeepour, James Y. Zou, Michael J. MacCoss, Thomas J. Montine
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1311157/full
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author Kathleen S. Montine
Eloïse Berson
Eloïse Berson
Thanaphong Phongpreecha
Thanaphong Phongpreecha
Zhi Huang
Zhi Huang
Nima Aghaeepour
Nima Aghaeepour
James Y. Zou
James Y. Zou
Michael J. MacCoss
Thomas J. Montine
author_facet Kathleen S. Montine
Eloïse Berson
Eloïse Berson
Thanaphong Phongpreecha
Thanaphong Phongpreecha
Zhi Huang
Zhi Huang
Nima Aghaeepour
Nima Aghaeepour
James Y. Zou
James Y. Zou
Michael J. MacCoss
Thomas J. Montine
author_sort Kathleen S. Montine
collection DOAJ
description The cellular and molecular distinction between brain aging and neurodegenerative disease begins to blur in the oldest old. Approximately 15–25% of observations in humans do not fit predicted clinical manifestations, likely the result of suppressed damage despite usually adequate stressors and of resilience, the suppression of neurological dysfunction despite usually adequate degeneration. Factors during life may predict the clinico-pathologic state of resilience: cardiovascular health and mental health, more so than educational attainment, are predictive of a continuous measure of resilience to Alzheimer’s disease (AD) and AD-related dementias (ADRDs). In resilience to AD alone (RAD), core features include synaptic and axonal processes, especially in the hippocampus. Future focus on larger and more diverse cohorts and additional regions offer emerging opportunities to understand this counterforce to neurodegeneration. The focus of this review is the molecular basis of resilience to AD.
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spelling doaj.art-dfe0e267fc23495c84e5dd3daccf924d2023-12-19T11:01:17ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-12-011710.3389/fnins.2023.13111571311157Understanding the molecular basis of resilience to Alzheimer’s diseaseKathleen S. Montine0Eloïse Berson1Eloïse Berson2Thanaphong Phongpreecha3Thanaphong Phongpreecha4Zhi Huang5Zhi Huang6Nima Aghaeepour7Nima Aghaeepour8James Y. Zou9James Y. Zou10Michael J. MacCoss11Thomas J. Montine12Department of Pathology, Stanford University, Stanford, CA, United StatesDepartment of Pathology, Stanford University, Stanford, CA, United StatesDepartment of Anesthesiology, Stanford University, Stanford, CA, United StatesDepartment of Pathology, Stanford University, Stanford, CA, United StatesDepartment of Anesthesiology, Stanford University, Stanford, CA, United StatesDepartment of Pathology, Stanford University, Stanford, CA, United StatesDepartment of Biomedical Data Science, Stanford University, Stanford, CA, United StatesDepartment of Anesthesiology, Stanford University, Stanford, CA, United StatesDepartment of Biomedical Data Science, Stanford University, Stanford, CA, United StatesDepartment of Biomedical Data Science, Stanford University, Stanford, CA, United StatesDepartment of Computer Science, Stanford University, Stanford, CA, United StatesDepartment of Genome Sciences, University of Washington, Seattle, WA, United StatesDepartment of Pathology, Stanford University, Stanford, CA, United StatesThe cellular and molecular distinction between brain aging and neurodegenerative disease begins to blur in the oldest old. Approximately 15–25% of observations in humans do not fit predicted clinical manifestations, likely the result of suppressed damage despite usually adequate stressors and of resilience, the suppression of neurological dysfunction despite usually adequate degeneration. Factors during life may predict the clinico-pathologic state of resilience: cardiovascular health and mental health, more so than educational attainment, are predictive of a continuous measure of resilience to Alzheimer’s disease (AD) and AD-related dementias (ADRDs). In resilience to AD alone (RAD), core features include synaptic and axonal processes, especially in the hippocampus. Future focus on larger and more diverse cohorts and additional regions offer emerging opportunities to understand this counterforce to neurodegeneration. The focus of this review is the molecular basis of resilience to AD.https://www.frontiersin.org/articles/10.3389/fnins.2023.1311157/fullagingcognitioncomputational modelsdementiaproteomic analysisneuropathologic lesion
spellingShingle Kathleen S. Montine
Eloïse Berson
Eloïse Berson
Thanaphong Phongpreecha
Thanaphong Phongpreecha
Zhi Huang
Zhi Huang
Nima Aghaeepour
Nima Aghaeepour
James Y. Zou
James Y. Zou
Michael J. MacCoss
Thomas J. Montine
Understanding the molecular basis of resilience to Alzheimer’s disease
Frontiers in Neuroscience
aging
cognition
computational models
dementia
proteomic analysis
neuropathologic lesion
title Understanding the molecular basis of resilience to Alzheimer’s disease
title_full Understanding the molecular basis of resilience to Alzheimer’s disease
title_fullStr Understanding the molecular basis of resilience to Alzheimer’s disease
title_full_unstemmed Understanding the molecular basis of resilience to Alzheimer’s disease
title_short Understanding the molecular basis of resilience to Alzheimer’s disease
title_sort understanding the molecular basis of resilience to alzheimer s disease
topic aging
cognition
computational models
dementia
proteomic analysis
neuropathologic lesion
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1311157/full
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