“Surviving and Thriving”: Evidence for Cortical GABA Stabilization in Cognitively-Intact Oldest-Old Adults

Author:

Britton MKORCID,Jensen GORCID,Edden RAORCID,Puts NAORCID,Nolin SAORCID,Merritt SS,Rezaei RF,Forbes M,Johnson KJ,Bharadwaj PK,Franchetti MK,Raichlen DAORCID,Jessup CJ,Hishaw GA,Van Etten EJ,Gudmundson ATORCID,Murali-Manohar SORCID,Cowart H,Trouard TP,Geldmacher DS,Wadley VG,Alperin NORCID,Levin BE,Rundek TORCID,Visscher KMORCID,Woods AJORCID,Alexander GE,Cohen RA,Porges ECORCID

Abstract

AbstractCortical GABA levels are reduced in older age; age-related differences in GABA may be associated with age-related cognitive change. The nature of age-related GABA differences in the highest-functioning stratum of the oldest-old (85+) population is not yet known. We extend our previously-reported Individual Participant Data Meta-Analysis of GABA levels (Porges et al., 2021) across the lifespan with four novel datasets sampling the cognitively-intact oldest-old. The slope of age-related GABA differences in cognitively-intact oldest-old adults flattens after roughly age 80. We interpret these findings as an effect of survivorship: inclusion in the study required intact cognition, and too great a reduction of GABA levels may not be compatible with neurophysiological function needed for intact cognition. This work contributes to a growing body of evidence suggesting that successful cognitive aging may require intact GABAergic function, as well as further characterizing successful aging amongst oldest-old adults.

Publisher

Cold Spring Harbor Laboratory

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