Statistical findings showed a significant main effect of group on differences in microglia density where cognitively-normal old showed highest densities; no difference between SuperAgers and young specimens were detected. In two autopsied SuperAgers with MRI FLAIR available, prominent hyperintensities in periventricular regions were observed, and interestingly, examination of corresponding postmortem sections showed only sparse microglia densities.
In conclusion, activated microglia appear to respond to age-related pathologic changes in cortical white matter, and this phenomenon is largely spared in SuperAgers. Findings offer insights into the relationship between white matter neuroinflammatory changes and cognitive integrity during aging.