80+ Adults Super Agers Produce Twice as Many New Neurons as their Peers

A new study has found that as super agers (a unique group of adults over age 80 whose performance on tests of episodic memory was equal to or better than that of people in their 50s) age their brain continues to generate new neurons in the hippocampus at much higher levels than older adults and even younger individuals.

Chicago/USA – Super Agers don’t just preserve their memory abilities well into their 80s and beyond —their brains continue to generate new neurons in the hippocampus at levels far higher than typical older adults, and even much younger individuals.

That is the groundbreaking finding from a new study led by scientists at University of Illinois Chicago (UIC), who examined, in part, donated brains from the Northwestern University Super Ager Program. Super Agers are a unique group of adults over age 80 whose performance on tests of episodic memory was equal to or better than that of people in their 50s.

Over the more than 25 years of Super Ager research at Northwestern, scientists have documented biological and behavioral differences in this group, from slower cortical thinning to lifestyle factors such as stronger social engagement. But this is the first study to identify a genetic difference between Super Agers and typical older adults.

“We’ve always said that Super Agers show that the aging brain can be biologically active, adaptable, flexible, but we didn’t know why,” said co-author Tamar Gefen, associate professor of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine and a neuropsychologist at Northwestern’s Mesulam Institute for Cognitive Neurology and Alzheimer's Disease. “This is biological proof that their brains are more plastic, and a real discovery that shows that neurogenesis of young neurons in the hippocampus may be a contributing factor.

The study was published on February 25 in Nature.

Human neurogenesis and why Super Agers stand out

While scientists have long documented ongoing neurogenesis (the creation of new neurons) in animals such as mice, evidence in humans has been mixed.

This study not only confirms neurogenesis happens in healthy human adults, it found Super Agers produce between two and two and a half times more new neurons than their healthy peers and peers with Alzheimer’s disease, respectively, which may help explain why their memory stays strong with age. The scientists also discovered a distinct “resilience signature” in Super Agers’ hippocampi — a unique cellular environment that supports the birth and survival of new neurons.

“This is a big step forward in understanding how the human brain processes cognition, forms memories and ages,” said corresponding author Orly Lazarov, professor in the University of Illinois College of Medicine and director of UIC’s Alzheimer’s Disease and Related Dementia Training Program. “Determining why some brains age more healthily than others can help researchers make therapeutics for healthy aging, cognitive resilience and the prevention of Alzheimer’s disease and related dementia.”

Key cell types linked to cognitive resilience

The study also found changes in two types of brain cells — astrocytes and CA1 neurons — are key drivers of how well cognition and memory hold up as the hippocampus ages.

“What’s emerging from this study is this idea that Super Agers are, in general, very distinct,” said co-author Changiz Geula, research professor at the Mesulam Institute. “The genetic programs that support brain cell survival and communication stay on in Super Agers in these cells, but they’re switched off in Alzheimer’s disease.”

The findings suggest that preserving the integrity of the excitatory synapses — the brain’s primary sites of neuronal communication and memory formation — could be a potential target for drug interventions aimed at preventing cognitive decline.

How the study worked: The scientists examined the hippocampus regions of donated postmortem brains from five groups: healthy young adults; older adults without impaired cognitive functioning; older adults with mild or early dementia; older adults diagnosed with Alzheimer’s disease; and Super Agers.

Led by UIC scientists, the study examined nearly 356,000 individual cell nuclei from the hippocampus using an advanced single‑cell technique — called multiomic single cell sequencing — that can read both gene activity and the accessibility of DNA. This allowed the team to identify different stages of developing brain cells, including progenitor cells (early descendants of stem cells), immature neurons and mature neurons.

The study is titled, “Human hippocampal neurogenesis in adulthood, aging and Alzheimer’s disease.” Other Northwestern authors include Ivan Alejandro Ayala, Dr. Sandra Weintraub and Dr. Marek Marsel Mesulam.

Funding for the study was provided in part by the National Institute on Aging (grant P30 AG013854), which is part of the National Institutes of Health.

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