The effects of normal aging on myelin and nerve fibers: a review
Abstract
It was believed that the cause of the cognitive decline exhibited by human and non-human primates during normal aging was a loss of cortical neurons. It is now known that significant numbers of cortical neurons are not lost and other bases for the cognitive decline have been sought. One contributing factor may be changes in nerve fibers. With age some myelin sheaths exhibit degenerative changes, such as the formation of splits containing electron dense cytoplasm, and the formation on myelin balloons. It is suggested that such degenerative changes lead to cognitive decline because they cause changes in conduction velocity, resulting in a disruption of the normal timing in neuronal circuits. Yet as degeneration occurs, other changes, such as the formation of redundant myelin and increasing thickness suggest of sheaths, suggest some myelin formation is continuing during aging. Another indication of this is that oligodendrocytes increase in number with age. In addition to the myelin changes, stereological studies have shown a loss of nerve fibers from the white matter of the cerebral hemispheres of humans, while other studies have shown a loss of nerve fibers from the optic nerves and anterior commissure in monkeys. It is likely that such nerve fiber loss also contributes to cognitive decline, because of the consequent decrease in connections between neurons. Degeneration of myelin itself does not seem to result in microglial cells undertaking phagocytosis. These cells are probably only activated when large numbers of nerve fibers are lost, as can occur in the optic nerve.
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Electron microscopy studies of non-human primate brain aging have revealed major alterations specifically in the white matter, particularly in the disruption of the myelin sheath.
“Electron microscopy studies of non-human primate brain aging have revealed major alterations specifically in the white matter, particularly in the disruption of the myelin sheath.51”
From Molecular and spatial signatures of mouse brain aging at single-cell resolution (2023) · cites this paper as [51]
Aging is associated with axonal degeneration characterized by accumulation of organelles and increase of neurofilaments in axoplasm, myelin splitting and degeneration, increase of cellular debris, and proliferation and activation of glial cells.
“For example, aging is associated with axonal degeneration characterized by accumulation of organelles and increase of neurofilaments in axoplasm, myelin splitting and degeneration, increase of cellular debris, and proliferation and activation of glial cells (Peters, 2003).”
From NODDI in clinical research (2020) · cites this paper as Peters, 2003
Some vacuoles resemble 'myelin balloons,' which are fluid-containing myelin structures observed in aged animals and believed to result from degenerating axons.
“By EM, some of these vacuoles (Fig. 6, labeled “v”) resemble “myelin balloons,” which are fluid-containing myelin structures observed in aged animals and believed to result from degenerating axons (48).”
From Microglia depletion exacerbates demyelination and impairs remyelination in a neurotropic coronavirus infection (2020) · cites this paper as [48]
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- Authors
- Peters, A.
- Affiliations
- Boston University (US)
- Corresponding author
- Peters, Alan
- ORCID
- Peters, Alan
- Venue
- Journal of Neurocytology
- Published
- 2002-09
- Volume
- 31
- Issue
- 8-9
- Pages
- 581-593
- ISSN
- 0300-4864 (ISSN-L)
- 1573-7381
- OpenAlex
- W2126587429
- Cited by
- 577
- References
- 71
- Citations by year
- 2026: 14 · 2025: 32 · 2024: 36 · 2023: 26 · 2022: 43 · 2021: 36 · 2020: 34 · 2019: 29 · 2018: 27 · 2017: 18 · 2016: 24 · 2015: 23 · 2014: 27 · 2013: 19 · 2012: 22
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Neurocytology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (1PO AG 00001)
- Topics
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- normal aging, myelin degeneration, nerve fiber loss, white matter, cognitive decline, conduction velocity, oligodendrocytes, microglial phagocytosis, optic nerve, anterior commissure, cortical neurons
- MeSH terms
- Aging, Animals, Cognition Disorders, Gliosis, Humans, Myelin Sheath, Nerve Degeneration, Nerve Fibers, Myelinated, Neural Conduction, Oligodendroglia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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