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Memory breakthroughs from the brains of ‘SuperAgers’

New research reveals clues about memory from the brains of 'SuperAgers'

An extraordinary group of older adults is challenging conventional understanding of cognitive decline, maintaining mental sharpness comparable to people decades younger. These individuals, known as SuperAgers, demonstrate that memory loss and reduced mental capacity aren’t inevitable consequences of aging.

Northwestern University’s SuperAging Research Program has studied these exceptional seniors for over two decades, revealing fascinating patterns about brain health in later life. The program defines SuperAgers as individuals over 80 who perform as well on memory tests as healthy adults in their 50s or 60s. Their research suggests that maintaining youthful cognitive abilities involves a combination of biological advantages and lifestyle choices.

Sel Yackley, an 85-year-old participant in the study, exemplifies the SuperAger profile. Her packed schedule includes crafting jewelry, singing in a choir, knitting for charity, participating in a book club, regular gym visits, and civic engagement – all while maintaining healthy sleep patterns. “Take good care of your health, eat right, and be sociable,” Yackley advises, summarizing her approach to aging well.

The Northwestern research team has identified several common traits among SuperAgers through extensive psychological testing, brain imaging, and in some cases, postmortem brain examinations. Their findings challenge assumptions about Alzheimer’s disease and cognitive aging.

Neuro examinations of SuperAger brains after they have died showed that there were considerably fewer tau protein tangles, a significant feature of Alzheimer’s, in memory areas compared to average older individuals. Interestingly, the buildup of amyloid plaques, another marker of Alzheimer’s, seemed to be alike in both groups. This finding prompts important inquiries about existing Alzheimer’s therapies that mainly focus on amyloid plaques.

SuperAgers also show distinct brain structural differences. Their entorhinal cortex neurons, crucial for memory formation, remain larger and more robust than those of their peers. Additionally, they possess higher concentrations of von Economo neurons, specialized cells associated with social cognition and emotional intelligence.

While genetics clearly play a role – SuperAgers typically lack high-risk Alzheimer’s genes like APOE4 – researchers emphasize that DNA isn’t destiny. The study participants display diverse lifestyles, with some following exemplary health regimens while others indulge in various vices. What unites them appears to be an engaged, purposeful approach to life rather than any single behavior.

Social connection emerges as a recurring theme among SuperAgers, though the nature of these bonds varies widely. Some maintain strong family ties, others connect through artistic communities, and many find meaning in civic participation or spiritual practices. “You don’t see many detached SuperAgers,” notes Dr. Tamar Gefen, a Northwestern psychiatry professor involved in the research.

The rarity of SuperAgers makes them particularly valuable to science. During initial study recruitment, only 10% of applicants met the stringent cognitive criteria. The current active research cohort includes 101 individuals aged 81 to 111, whose ongoing participation helps scientists understand protective factors against age-related cognitive decline.

These exceptional elders are contributing to science not just during their lives but beyond. Many, like Yackley, have pledged to donate their brains to the Northwestern Brain Bank. “I don’t want to be underground,” Yackley says, explaining her decision to donate her body to medical research and education.

The SuperAger phenomenon provides encouragement and direction for individuals aspiring to preserve cognitive sharpness throughout their lives. Although genetic benefits cannot be duplicated, the noted trends of social involvement, intellectual engagement, and physical exercise offer practical methods to enhance brain health at any stage of life.

As research continues, scientists hope to identify specific protective biological mechanisms that could lead to new approaches for preventing or treating dementia. The SuperAger study reminds us that aging doesn’t necessarily mean cognitive decline, and that maintaining a sharp, engaged mind into advanced age remains an achievable goal for many.

For now, Yackley continues her active life, working on a personal scrapbook project between her many activities. Her example and those of her fellow SuperAgers provide living proof that the golden years can truly shine with mental vitality and purpose.

By Kyle C. Garrison

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