Unlocking the Secrets of Brain Aging: How Metabolism and Blood Flow Interact

Published on June 28, 2022

Imagine your brain is like a bustling city, with different neighborhoods representing different functions. Well, this study explored the connections between two important players in this city: brain metabolism and hemodynamic parameters. It found that certain measures like heart rate, systolic and pulse pressure, and diastolic pressure were associated with brain metabolism, particularly in the fronto-temporal lobes. These areas are also implicated in accelerated brain aging, so it seems like there might be some common aging mechanisms at play. This is exciting news because it suggests that targeting these parameters could potentially help slow down or prevent accelerated brain aging. So if you want to learn more about how your brain works and uncover potential therapeutic targets for the future, check out the full article!

Brain 18F-FDG PET imaging is useful to characterize accelerated brain aging at a pre-symptomatic stage. This study aims to examine the interactions between brain glycolytic metabolism and hemodynamic parameters in different age groups.Methods: A total of 72 patients (from 23 to 88 years of age, 38 women) without any cerebral diseases but with available cardiac, arterial peripheral, and central blood pressure measurements as well as arterial stiffness parameters obtained from brachial pressure and applanation tonometry and a brain 18F-FDG PET scan were prospectively included into this study. Quantitative voxel-to-voxel analyses were carried out to test for negative associations between brain glycolytic metabolism and individual hemodynamic parameters (p-voxel of <0.001 for the whole population and <0.005 for age groups).Results: The heart rate parameter of the whole population showed the most extensive associations with brain metabolism (15,857 mm3, T-score: 5.1), predominantly affecting the frontal and temporal regions (69% of the volume). Heart rate for the younger age group, systolic and pulse pressure for the 41–60-year-old group, and diastolic pressure for the older group were most extensively associated with brain metabolism and mainly involved the fronto-temporal lobes (respective involvement of 52.8%, 60.9%, and 65.5%) which are also the regions implicated in accelerated brain aging.Conclusion: This cross-sectional prospective study identified extensive associations between cerebral metabolism and hemodynamic parameters, indicating common aging mechanisms. Heart rate throughout adult life, systolic and pulse pressure parameters around middle age, and diastolic pressure parameters in older patients, suggest the existence of potentially therapeutic targets to prevent accelerated brain aging.

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