A noradrenergic theory of cognitive reserve: implications for Alzheimer's disease.

Abstract:

:The gap between symptoms and pathology in Alzheimer's disease has been explained by the hypothetical construct of "cognitive reserve"--a set of variables including education, intelligence, and mental stimulation which putatively allow the brain to adapt to-and hence mask--underlying pathologies by maintaining cognitive function despite underlying neural changes. This review proposes a hypothesis that a biological mechanism may mediate between these social/psychological processes on the one hand, and apparently reduced risk of Alzheimer's disease on the other, namely repeated activation of the noradrenergic system over a lifetime by the processes implicated in cognitive reserve. Noradrenaline's neuroprotective effects both in vivo and in vitro, and its key role in mediating the neuroprotective effects of environmental enrichment on the brain, make noradrenaline's key role in mediating cognitive reserve--by disease compensation, disease modification, or a combination of both--a viable hypothesis.

journal_name

Neurobiol Aging

journal_title

Neurobiology of aging

authors

Robertson IH

doi

10.1016/j.neurobiolaging.2012.05.019

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

298-308

issue

1

eissn

0197-4580

issn

1558-1497

pii

S0197-4580(12)00319-3

journal_volume

34

pub_type

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