Environmental enrichment: a neurostimulatory approach to aging and ischemic stroke recovery and rehabilitation.

IF 4.4 4区 医学 Q1 GERIATRICS & GERONTOLOGY
Sijina Kinattingara Parambath, Navami Krishna, Rajanikant Golgodu Krishnamurthy
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引用次数: 0

Abstract

Environmental enrichment (EE) represents a robust experimental framework exploring the intricate interplay between genes and the environment in shaping brain development and function. EE is recognized as a non-invasive intervention, easily translatable to elderly human cohorts, and extrapolated from research on animal aging models. Age is the most important risk factor for ischemic stroke. Research indicates that EE, characterized by increased sensory, cognitive, and social stimulation, leads to structural changes in the brain, such as enhanced dendritic complexity and synaptic density, particularly in the hippocampus and cortex. Tailored EE interventions for elderly stroke survivors include cognitively stimulating activities and participation in social groups. These interventions enhance cognitive function and support recovery by promoting neural repair. Additionally, EE helps to mitigate sensory deficits commonly observed in older adults, ultimately improving mental performance and quality of life. EE has shown promise in preventing relapse, enhancing attention, reducing anxiety, forestalling age-related DNA methylation alterations, and amplifying neurogenesis through heightened neural progenitor cell (NPC) populations. Aligning preclinical studies with clinical trials can enhance neurorehabilitation conditions for stroke patients, thereby optimizing the environments in which they recover. This can be achieved through the concerted efforts of multidisciplinary teams working collaboratively. This review explores how EE specifically impacts the aging brain and ischemic stroke, a major age-related neurological disorder with global health implications. The potential of enviro-mimetics and relevant clinical studies on EE's effects on ischemic stroke survivors are discussed. This review enhances our understanding of the effects of EE on aging and ischemic stroke, motivating further research aimed at refining strategies for stroke management and recovery.

环境富集:衰老和缺血性脑卒中恢复和康复的神经刺激方法。
环境富集(EE)代表了一个强大的实验框架,探索基因和环境在塑造大脑发育和功能方面的复杂相互作用。情感表达被认为是一种非侵入性干预,很容易应用于老年人群体,并从动物衰老模型的研究中推断出来。年龄是缺血性脑卒中最重要的危险因素。研究表明,情感表达以增加感觉、认知和社会刺激为特征,导致大脑结构变化,如增强树突复杂性和突触密度,特别是在海马和皮层。为老年中风幸存者量身定制的情感表达干预包括认知刺激活动和社会团体参与。这些干预措施通过促进神经修复来增强认知功能和支持康复。此外,情感表达有助于减轻老年人普遍存在的感觉缺陷,最终改善精神表现和生活质量。EE在预防复发、增强注意力、减少焦虑、预防与年龄相关的DNA甲基化改变以及通过增加神经祖细胞(NPC)数量来扩大神经发生方面显示出了希望。将临床前研究与临床试验相结合可以改善脑卒中患者的神经康复条件,从而优化他们康复的环境。这可以通过多学科团队的协同努力来实现。这篇综述探讨了情感表达是如何影响衰老的大脑和缺血性中风的,缺血性中风是一种与全球健康相关的主要年龄相关神经系统疾病。本文讨论了环境模拟的潜力和相关的临床研究对缺血性脑卒中幸存者的影响。这篇综述提高了我们对情感表达对衰老和缺血性卒中影响的理解,推动了进一步的研究,旨在改进卒中管理和恢复的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Biogerontology
Biogerontology 医学-老年医学
CiteScore
8.00
自引率
4.40%
发文量
54
审稿时长
>12 weeks
期刊介绍: The journal Biogerontology offers a platform for research which aims primarily at achieving healthy old age accompanied by improved longevity. The focus is on efforts to understand, prevent, cure or minimize age-related impairments. Biogerontology provides a peer-reviewed forum for publishing original research data, new ideas and discussions on modulating the aging process by physical, chemical and biological means, including transgenic and knockout organisms; cell culture systems to develop new approaches and health care products for maintaining or recovering the lost biochemical functions; immunology, autoimmunity and infection in aging; vertebrates, invertebrates, micro-organisms and plants for experimental studies on genetic determinants of aging and longevity; biodemography and theoretical models linking aging and survival kinetics.
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