Sounds like your doctor should completely understand this so your cognitive resilience can be built up again to prevent dementia. At least if you have a competent doctor! Do you have a competent? doctor?
An aging-sensitive compensatory secretory phospholipase that confers neuroprotection and cognitive resilience
Cinzia Vicidomini2
Travis Goode3
Kathleen McAvoy1
Ruilin Yu4
Conor Beveridge4
Sanjay Iyer4
Matheus Victor5
Noelle Leary5
Michael Steinbaugh3
Zon Lai6
Marina Lyon7
Manuel Silvestre7
Gracia Bonilla7
Ruslan Sadreyev8
Tobias Walther9
Shannan Sui10
Takaomi Saido11
Kei Yamamoto12
Makoto Murakami13
Li-Huei Tsai5
Gaurav Chopra14
Liam Evans7
1 Massachusetts General Hospital & Harvard Medical School,
2 CNR Neuroscience Insitute,
3 Harvard University,
4 Purdue University,
5 Massachusetts Institute of Technology,
6 Harvard Chan Advanced Multi-omics Platform, Harvard T.H. Chan School of Public Health,
7 MGH and HMS,
8 Massachusetts General Hospital/ Harvard Medical School,
9 MSKCC,
10 Harvard Chan Bioinformatics Core, Harvard School of Public Health,
11 RIKEN Center for Brain Science,
12 Tokushima University,
13 Lipid Metabolism Project, Tokyo Metropolitan Institute of Medical Science,
14 Purdue University West Lafayette
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https://doi.org/10.21203/rs.3.rs-4920738/v1
This work is licensed under a CC BY 4.0 License
Breakdown of lipid homeostasis is thought to contribute to pathological aging, the largest risk factor for neurodegenerative disorders such as Alzheimer’s Disease (AD). Cognitive reserve theory posits a role for compensatory mechanisms in the aging brain in preserving neuronal circuit functions, staving off cognitive decline, and mitigating risk for AD. However, the identities of such mechanisms have remained elusive. A screen for hippocampal dentate granule cell (DGC) synapse loss-induced factors identified a secreted phospholipase, Pla2g2f, whose expression increases in DGCs during aging. Pla2g2f deletion in DGCs exacerbates aging-associated pathophysiological changes including synapse loss, inflammatory microglia, reactive astrogliosis, impaired neurogenesis, lipid dysregulation and hippocampal-dependent memory loss. Conversely, boosting Pla2g2f in DGCs during aging is sufficient to preserve synapses, reduce inflammatory microglia and reactive gliosis, prevent hippocampal-dependent memory impairment and modify trajectory of cognitive decline. Ex vivo, neuronal-PLA2G2F mediates intercellular signaling to decrease lipid droplet burden in microglia. Boosting Pla2g2f expression in DGCs of an aging-sensitive AD model reduces amyloid load and improves memory. Our findings implicate PLA2G2F as a compensatory neuroprotective factor that maintains lipid homeostasis to counteract aging-associated cognitive decline.
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