Neural Regeneration Research (Aug 2025)

Decoding molecular mechanisms: brain aging and Alzheimer’s disease

  • Mahnoor Hayat,
  • Rafay Ali Syed,
  • Hammad Qaiser,
  • Mohammad Uzair,
  • Khalid Al-Regaiey,
  • Roaa Khallaf,
  • Lubna Abdullah Mohammed Albassam,
  • Imdad Kaleem,
  • Xueyi Wang,
  • Ran Wang,
  • Mehwish S. Bhatti,
  • Shahid Bashir

DOI
https://doi.org/10.4103/NRR.NRR-D-23-01403
Journal volume & issue
Vol. 20, no. 8
pp. 2279 – 2299

Abstract

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The complex morphological, anatomical, physiological, and chemical mechanisms within the aging brain have been the hot topic of research for centuries. The aging process alters the brain structure that affects functions and cognitions, but the worsening of such processes contributes to the pathogenesis of neurodegenerative disorders, such as Alzheimer’s disease. Beyond these observable, mild morphological shifts, significant functional modifications in neurotransmission and neuronal activity critically influence the aging brain. Understanding these changes is important for maintaining cognitive health, especially given the increasing prevalence of age-related conditions that affect cognition. This review aims to explore the age-induced changes in brain plasticity and molecular processes, differentiating normal aging from the pathogenesis of Alzheimer’s disease, thereby providing insights into predicting the risk of dementia, particularly Alzheimer’s disease.

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