Diversity-sensitive brain clocks linked to biophysical mechanisms in aging and dementia

Carlos Coronel-Oliveros, Sebastián Moguilner, Hernan Hernandez, Josephine Cruzat, Sandra Baez, Vicente Medel, Jhosmary Cuadros, Hernando Santamaria-Garcia, Pedro A. Valdes-Sosa, Francisco Lopera, John Fredy Ochoa-Gómez, Alfredis González- Hernández, Jasmin Bonilla-Santos, Rodrigo A. Gonzalez-Montealegre, Tuba Aktürk, Ebru Yıldırım, Renato Anghinah, Agustina Legaz, Sol Fittipaldi, Görsev G. YenerJavier Escudero, Claudio Babiloni, Susanna Lopez, Robert Whelan, Alberto Fernández, David Huepe, Gaetano Di Caterina, Marcio Soto-Añari, Raul Gonzalez-Gomez, Eduar Herrera, Daniel Abasolo, Kerry Kilborn, Nicolás Rubido, Ruaridh Clark, Rubén Herzog, Deniz Yerlikaya, Bahar Güntekin, Gustavo Deco, Pavel Prado, Mario A. Parra, Patricio Orio, Enzo Tagliazucchi, Brian Lawlor, Agustin Ibanez*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Brain clocks track the deviations between predicted brain age and chronological age (brain age gaps, BAGs). These BAGs can be used to measure accelerated aging, monitoring deviations from the healthy brain trajectories associated with brain diseases and different cumulative burdens. However, the underlying biophysical mechanisms associated with BAGs in aging and dementia remain unclear. Here, we combine source space connectivity (EEG) with generative brain modeling in healthy controls (HCs) from the global south and north, alongside Alzheimer’s disease (AD) and behavioral variant frontotemporal dementia (bvFTD) patients (N=1,399). BAGs in aging were influenced by geography (south>north), income (low>high), sex (female>male), and education (low>high), with larger BAGs in patients, especially females with AD. Biophysical modeling revealed BAGs related to hyperexcitability and structural disintegration in aging, while hypoexcitability and severe disintegration were linked to dementia. Our work sheds light on the biophysical mechanisms of accelerated aging and dementia in diverse populations.
Original languageEnglish
JournalNature Mental Health
Early online date18 Sept 2025
Publication statusE-pub ahead of print - 18 Sept 2025

Funding

This work was supported by Latin American Brain Health Institute (BrainLat) # BL-SRGP2020-02 awarded to MAP and AI. AI is supported by grants from ReDLat [National Institutes of Health and the Fogarty International Center (FIC), National Institutes of Aging (R01 AG057234, R01 AG075775, AG021051, R01 AG083799, CARDS-NIH 75N95022C00031), Alzheimer's Association (SG-20-725707), Rainwater Charitable Foundation, The Bluefield project to cure FTD, and Global Brain Health Institute)], ANID/FONDECYT Regular (1210195, 1210176 and 1220995); and ANID/FONDAP/15150012. AMG is partially supported by the National Institute On Aging of the National Institutes of Health (R01AG075775, R01AG083799, 2P01AG019724); ANID (FONDECYT Regular 1210176, 1210195); and DICYT-USACH (032351G_DAS).

Keywords

  • brain clocks
  • biophysical modeling
  • dementia
  • electroencephalography
  • E/I balance
  • structural disintegration
  • Global South

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