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Age-related decline in circulating IGF-1 associates with impaired neurovascular coupling responses in older adults
Abstract
Impairment of moment-to-moment adjustment of cerebral blood flow (CBF) to the increased oxygen and energy requirements of active brain regions via neurovascular coupling (NVC) contributes to the genesis of age-related cognitive impairment. Aging is associated with marked deficiency in the vasoprotective hormone insulin-like growth factor-1 (IGF-1). Preclinical studies on animal models of aging suggest that circulating IGF-1 deficiency is causally linked to impairment of NVC responses. The present study was designed to test the hypotheses that decreases in circulating IGF-1 levels in older adults also predict the magnitude of age-related decline of NVC responses. In a single-center cross-sectional study, we enrolled healthy young ( n = 31, 11 female, 20 male, mean age: 28.4 + / − 4.2 years) and aged volunteers ( n = 32, 18 female, 14 male, mean age: 67.9 + / − 4.1 years). Serum IGF-1 level, basal CBF (phase contrast magnetic resonance imaging (MRI)), and NVC responses during the trail making task (with transcranial Doppler sonography) were assessed. We found that circulating IGF-1 levels were significantly decreased with age and associated with decreased basal CBF. Age-related decline in IGF-1 levels predicted the magnitude of age-related decline in NVC responses. In conclusion, our study provides additional evidence in support of the concept that age-related circulating IGF-1 deficiency contributes to neurovascular aging, impairing CBF and functional hyperemia in older adults.
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“GH and IGF-1 receptors are abundantly present throughout the central nervous system (CNS), mediating a range of critical functions. These include regulating endothelial function and vascular reactivity, ensuring proper neurovascular coupling (Toth et al., 2022) and autoregulation (Toth et al., 2014), and facilitating repair mechanisms.”
From Acute neuroendocrine changes after traumatic brain injury (2024) · cites this paper as Toth et al., 2022
In the citing paper
“These changes, combined with impaired function of neurons and astrocytes are causally linked to cognitive decline (Zhang et al., 2022; Toth et al., 2022; Kerkhofs et al., 2021; Bakhtiari et al., 2023; Fan et al., 2021; Montagne et al., 2022; Towner et al., 2021; Gulej, 2023; Vestergaard et al., 2022; Fang et al., 2022; Tarantini et al., 2021c; Sabayan et al., 2021; Verheggen et al., 2020).”
From Acute neuroendocrine changes after traumatic brain injury (2024) · cites this paper as Toth et al., 2022
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Glial and neuronal control of brain blood flow
Attwell, D., Buchan, A. M., Charpak, S., Lauritzen, M., MacVicar, B. A., & Newman, E. A. (2010) · Nature · doi:10.1038/nature09613 · Cited by 2,511
Administration and interpretation of the Trail Making Test
Bowie, C. R., & Harvey, P. D. (2006) · Nature Protocols · doi:10.1038/nprot.2006.390 · Cited by 1,418 · cited 1×
“For the evaluation, both the time needed to perform the test and the mistakes are evaluated [44].”
MethodThe many faces of insulin-like peptide signalling in the brain
Fernandez, A. M., & Torres-Alemán, I. (2012) · Nature reviews. Neuroscience · doi:10.1038/nrn3209 · Cited by 872
Tarantini, S., Tran, C. H. T., Gordon, G. R., Ungvari, Z., & Csiszar, A. (2017) · Experimental Gerontology · doi:10.1016/j.exger.2016.11.004 · Cited by 411
Self-citationRole of Astrocytes in Neurovascular Coupling
Petzold, G. C., & Murthy, V. N. (2011) · Neuron · doi:10.1016/j.neuron.2011.08.009 · Cited by 409
An fMRI study of the Trail Making Test
Zakzanis, K. K., Mraz, R., & Graham, S. J. (2005) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2005.03.013 · Cited by 408
Nox2-Derived Reactive Oxygen Species Mediate Neurovascular Dysregulation in the Aging Mouse Brain
Park, L., Anrather, J., Girouard, H., Zhou, P., & Iadecola, C. (2007) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1038/sj.jcbfm.9600491 · Cited by 275
Effects of IGF-1 isoforms on muscle growth and sarcopenia
Ascenzi, F., Barberi, L., Dobrowolny, G., Villa Nova Bacurau, A., Nicoletti, C., Rizzuto, E., Rosenthal, N., Scicchitano, B. M., & Musarò, A. (2019) · Aging Cell · doi:10.1111/acel.12954 · Cited by 250
Tarantini, S., Tucsek, Z., Valcarcel-Ares, M. N., Toth, P., Gautam, T., Giles, C. B., Ballabh, P., Wei, J. Y., Wren, J. D., Ashpole, N. M., et al. (2016) · AGE · doi:10.1007/s11357-016-9931-0 · Cited by 98
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Cited by
Aging Biomarker Consortium, Zhang, L., Guo, J., Liu, Y., Sun, S., Liu, B., Yang, Q., Tao, J., Tian, X.-L., Pu, J., et al. (2023) · Life Medicine · doi:10.1093/lifemedi/lnad033 · Cited by 60
Acute neuroendocrine changes after traumatic brain injury
Magyar-Sumegi, Z. D., Stankovics, L., Lendvai-Emmert, D., Czigler, A., Hegedus, E., Csendes, M., Toth, L., Ungvari, Z., Buki, A., & Toth, P. (2024) · Brain and Spine · doi:10.1016/j.bas.2024.102830 · Cited by 23
Self-citationAge-Related Alterations of Cerebral Autoregulation
Ungvari, A., Kállai, A., Stankovics, L., Lendvai-Emmert, D., Gulej, R., Pal, E., Patai, R., Csik, B., Fekete, M., Lipecz, Á., et al. (2025) · Life · doi:10.3390/life15111669 · Cited by 14
Metadata
- Authors
- Toth, L., Czigler, A., Hegedus, E., Komaromy, H., Amrein, K., Czeiter, E., Yabluchanskiy, A., Koller, A., Orsi, G., Perlaki, G., Schwarcz, A., Buki, A., Ungvari, Z., & Toth, P. J.
- ORCID
- Toth, Peter J.
- Venue
- GeroScience
- Published
- 2022-07-23
- Volume
- 44
- Issue
- 6
- Pages
- 2771-2783
- ISSN
- 2509-2715
- 2509-2723
- Cited by
- 77
- References
- 9
- Language
- en
- Licence
- creativecommons.org/licenses/by/4.0 (tdm)
- creativecommons.org/licenses/by/4.0 (vor)
- Funders
- Nemzeti Kutatási, Fejlesztési és Innovaciós Alap (NKFI-FK123798, NKFI-K 134555, TKP2021-EGA-16, TKP2021-NKTA-47, TKP2021-NVA)
- Magyar Tudományos Akadémia
- National Institute on Aging (RF1AG072295, R01AG055395, R01AG068295; K01-AG073614)
- National Institute of Neurological Disorders and Stroke (R01NS100782)
- National Cancer Center (R01CA255840)
- Cellular and Molecular GeroScience (P20GM125528)
- University of Pécs
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