Epigenetic changes and cognitive decline in aging: integrative review
DOI:
https://doi.org/10.34024/rnc.2025.v33.19832Keywords:
Aging, Cognitive decline, Epigenetics, Alzheimer's disease, Parkinson's diseaseAbstract
Objective. Investigate, through an integrative review, which epigenetic alterations contribute to cognitive decline and the onset of neurodegenerative diseases due to aging. Method. The search will utilize the PubMed and LILACS databases, along with descriptors such as “epigenetics and cognitive decline,” “epigenetics of Alzheimer’s disease,” and “epigenetics and Parkinson’s disease,” along with synonyms and related terms. Original articles involving animals or humans published in the last 10 years in English, Portuguese, and Spanish will be included. Screening and selection will involve analyzing the title and abstract of each article to determine relevance, followed by a full reading of selected articles to evaluate their quality and contribution to the work. Results. In the results of this study, 20 scientific articles investigating epigenetic influences on cognition were analyzed, with na emphasis on DNA acetylation and methylation alterations. The evaluation indicated that acetylation is strongly associated with improved cognition, promoting gene expression and optimizing neural processes involved in memory and learning. On the other hand, methylation was widely linked to cognitive decline, often associated with the inhibition of crucial genes for maintaining brain functions and the progression of neurodegenerative diseases. Conclusion. It is concluded that epigenetic modifications play na essential role in regulating cognitive processes, presenting varied impacts depending on the type of modification. These findings highlight the relevance of therapeutic strategies aimed at modulating acetylation and methylation, pointing to their potential as an approach to prevent or mitigate cognitive decline, particularly in contexts related to aging or neurodegenerative diseases.
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References
1.Hayward MD, Majmundar MK (eds.). Future Directions for the Demography of Aging. Washington: National Academies Press; 2018. https://doi.org/10.17226/25064
2.Gondim AS, Coelho Filho JM, Cavalcanti AA, Roriz Filho JS, Nogueira CB, Peixoto Junior AA, et al. Prevalence of functional cognitive impairment and associated factors in Brazilian community-dwelling older adults. Dement Neuropsychol 2017;11:32-9. https://doi.org/10.1590/1980-57642016dn11-010006
3.World Health Organization. Dementia (Internet). World Health Organization. 2025 (acessado em 21/09/2024). Disponível em: https://www.who.int/news-room/fact-sheets/detail/dementia
4.Hamilton JP. Epigenetics: principles and practice. Dig Dis 2011;29:130-5. https://doi.org/10.1159/000323874
5.Liu X, Jiao B, Shen L. The Epigenetics of Alzheimer’s Disease: Factors and Therapeutic Implications. Front Genet 2018;30:9. https://doi.org/10.3389/fgene.2018.00579
6.Dubois B, Villain N, Frisoni GB, Rabinovici GD, Sabbagh M, Cappa S, et al. Clinical diagnosis of Alzheimer’s disease: recommendations of the International Working Group. Lancet Neurol 2021;20:484-96. https://doi.org/10.1016/s1474-4422(21)00066-1
7.Pavlou MAS, Outeiro TF. Epigenetics in Parkinson’s Disease. Adv Exp Med Biol 2017;978:363-90. https://doi.org/10.1007/978-3-319-53889-1_19
8.Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein 2010;8:102-6. https://doi.org/10.1590/S1679-45082010RW1134
9.Beydoun MA, Shaked D, Tajuddin SM, Weiss J, Evans MK, Zonderman AB. Accelerated epigenetic age and cognitive decline among urban-dwelling adults. Neurology 2019;94:e613-25. https://doi.org/10.1212/WNL.0000000000008756
10.Gutman D, Rivkin E, Fadida A, Sharvit L, Hermush V, Rubin E, et al. Exceptionally Long-Lived Individuals (ELLI) Demonstrate Slower Aging Rate Calculated by DNA Methylation Clocks as Possible Modulators for Healthy Longevity. Int J Mol Sci 2020;21:615. https://doi.org/10.3390/ijms21020615
11.Hüls A, Robins C, Conneely KN, Edgar R, De Jager PL, Bennett DA, et al. Brain DNA Methylation Patterns in CLDN5 Associated With Cognitive Decline. Biol Psychiatr 2022;91:389-98. https://doi.org/10.1016/j.biopsych.2021.01.015
12.Puglia MH, Lynch ME, Nance MG, Connelly JJ, Morris JP. DNA methylation of the oxytocin receptor interacts with age to impact neural response to social stimuli. Front Aging Neurosci 2023;9:15. https://doi.org/10.3389/fnagi.2023.1252478
13.Karlsson IK, Ericsson M, Wang Y, Jylhävä J, Hägg S, Dahl Aslan AK, et al. Epigenome-wide association study of level and change in cognitive abilities from midlife through late life. Clin Epigenetics 2021;13:85. https://doi.org/10.1186/s13148-021-01075-9
14.Liu J, Zhao W, Ware EB, Turner ST, Mosley TH, Smith JA. DNA methylation in the APOE genomic region is associated with cognitive function in African Americans. BMC Med Genomics 2018;11:43. https://doi.org/10.1186/s12920-018-0363-9
15.Puigoriol-Illamola D, Martínez-Damas M, Griñán-Ferré C, Pallàs M. Chronic Mild Stress Modified Epigenetic Mechanisms Leading to Accelerated Senescence and Impaired Cognitive Performance in Mice. International J Mol Sci 2020;21:1154. https://doi.org/10.3390/ijms21031154
16.Starnawska A, Tan Q, McGue M, Mors O, Børglum AD, Christensen K, et al. Epigenome-Wide Association Study of Cognitive Functioning in Middle-Aged Monozygotic Twins. Front Aging Neurosci 2017;9:413. https://doi.org/10.3389/fnagi.2017.00413
17.Suarez A, Lahti J, Czamara D, Lahti‐Pulkkinen M, Girchenko P, Andersson S, et al. The epigenetic clock and pubertal, neuroendocrine, psychiatric, and cognitive outcomes in adolescents. Clin Epigen 2018;10:96. https://doi.org/10.1186/s13148-018-0528-6
18.Loeffler-Wirth H, Hopp L, Schmidt M, Zakharyan R, Arakelyan A, Binder H. The Transcriptome and Methylome of the Developing and Aging Brain and Their Relations to Gliomas and Psychological Disord Cells 2022;11:362. https://doi.org/10.3390/cells11030362
19.Vyas CM, Sadreyev RI, Gatchel JR, Kang JH, Reynolds CF, Mischoulon D, et al. Pilot Study of Second-Generation DNA Methylation Epigenetic Markers in Relation to Cognitive and Neuropsychiatric Symptoms in Older Adults. J Alz Dis 2023;93:1563-75. https://doi.org/10.3233/JAD-230093
20.Raffington L, Schwaba T, Aikins M, Richter D, Wagner GG, Harden KP, et al. Associations of socioeconomic disparities with buccal DNA-methylation measures of biological aging. Clin Epigen 2023;15:70. https://doi.org/10.1186/s13148-023-01489-7
21.Vyas CM, Hazra A, Chang SC, Qiu W, Reynolds CF, Mischoulon D, et al. Pilot study of DNA methylation, molecular aging markers and measures of health and well-being in aging. Transl Psych 2019;9:1-9. https://doi.org/10.1038/s41398-019-0446-1
22.Yannatos I, Stites SD, Boen C, Xie SX, Brown RT, McMillan CT. Epigenetic age and socioeconomic status contribute to racial disparities in cognitive and functional aging between Black and White older Americans. MedRxiv 2023;2023.09.29.23296351. https://doi.org/10.1101/2023.09.29.23296351
23.Fraga I, Weber C, Galiano WB, Iraci L, Wohlgemuth M, Morales G, et al. Effects of a multimodal exercise protocol on functional outcomes, epigenetic modulation and brain-derived neurotrophic factor levels in institutionalized older adults: a quasi-experimental pilot study. Neural Regen Res 2021:16:2479-85. https://doi.org/10.4103/1673-5374.313067
24.Feng Q, Chai GS, Wang ZH, Hu Y, Sun DS, Li XG, et al. Knockdown of pp32 Increases Histone Acetylation and Ameliorates Cognitive Deficits. Front Aging Neurosci 2017;9:104. https://doi.org/10.3389/fnagi.2017.00104
25.Keiser AA, Dong TN, Kramár EA, Butler CW, Chen S, Matheos DP, et al. Specific exercise patterns generate an epigenetic molecular memory window that drives long-term memory formation and identifies ACVR1C as a bidirectional regulator of memory in mice. Nature Comm 2024;15:3836. https://doi.org/10.1038/s41467-024-47996-w
26.Wu W, Alexander JS, Booth JL, Miller CA, Metcalf JP, Drevets DA. Influenza virus infection exacerbates gene expression related to neurocognitive dysfunction in brains of old mice. Immunity Ageing 2024;21:39. https://doi.org/10.1186/s12979-024-00447-y
27.Giménez-Llort L, Santana-Santana M, Bayascas JR. The Impact of the PI3K/Akt Signaling Pathway in Anxiety and Working Memory in Young and Middle-Aged PDK1 K465E Knock-In Mice. Front Behav Neurosci 2020;14:61. https://doi.org/10.3389/fnbeh.2020.00061
28.Stephan Y, Sutin AR, Luchetti M, Aschwanden D, Terracciano A. The Mediating Role of Biomarkers in the Association Between Subjective Aging and Episodic Memory. J Gerontol Psychol Sci Soc Sci 2023;78:242-52. https://doi.org/10.1093/geronb/gbac155
29.Rivas MP, Teixeira ACB, Krepischi ACV. Epigenética: conceito, mecanismos e impacto em doenças humanas. Gen Esc 2019;14:14-25. https://doi.org/10.55838/1980-3540.ge.2019.311
30.Hosseini S, Wilk E, Michaelsen-Preusse K, Gerhauser I, Baumgärtner W, Geffers R, et al. Long-Term Neuroinflammation Induced by Influenza A Virus Infection and the Impact on Hippocampal Neuron Morphology and Function. J Neurosci 2018:38:3060-80. https://doi.org/10.1523/jneurosci.1740-17.2018
31.Soto-Palma C, Niedernhofer LJ, Faulk CD, Dong X. Epigenetics, DNA damage, and aging. J Clin Invest 2022;132:e158446. https://doi.org/10.1172/JCI158446
32.Alegría-Torres JA, Baccarelli A, Bollati V. Epigenetics and Lifestyle. Epigenomics 2011;3:267-77. https://doi.org/10.2217/epi.11.22
33.Liu C, Jiao C, Wang K, Yuan N. DNA methylation and psychiatric disorders. Prog Mol Biol Transl Sci 2018;157:175-232. https://doi.org/10.1016/bs.pmbts.2018.01.006
34.Gampawar P, Veeranki SPK, Petrovic KE, Schmidt R, Schmidt H. Epigenetic age acceleration is related to cognitive decline in the elderly: results of the Austrian Stroke Prevention Study. Transl Psychiatry 2025;15:52. https://doi.org/10.1111/pcn.13793
35.Peixoto L, Abel T. The Role of Histone Acetylation in Memory Formation and Cognitive Impairments. Neuropsychopharmacol 2012;38:62-76. https://doi.org/10.1038/npp.2012.86
36.Wu X, Chen PS, Dallas S, Wilson B, Block ML, Wang CC, et al. Histone deacetylase inhibitors up-regulate astrocyte GDNF and BDNF gene transcription and protect dopaminergic neurons. Intern J Neuropsychopharmacol 2008:11:1123–34. https://doi.org/10.1017/S1461145708009024
37.Soles LV, Shi Y. Crosstalk Between mRNA 3’-End Processing and Epigenetics. Front Gen 2021;12:637705. https://doi.org/10.3389/fgene.2021.637705
38.Fernandes J, Arida RM, Gomez-Pinilla F. Physical exercise as an epigenetic modulator of brain plasticity and cognition. Neurosci Biobehav Rev 2017;80:443-56. https://doi.org/10.1016/j.neubiorev.2017.06.012
39.Balnis J, Madrid A, Hogan KJ, Drake LA, Adhikari A, Vancavage R, et al. Persistent blood DNA methylation changes one year after SARS-CoV-2 infection. Clin Epigen 2022;14:94. https://doi.org/10.1186/s13148-022-01313-8
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