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Cited by Other Article(s)

Mackin RS, Rhodes E, Kassel M, Kryza-Lacombe M, Burns E, Bickford D, Morin R, Tosun D, Landau S, Butters MA, Aisen P, Raman R, Saykin AJ, Toga A, Koeppe R, Jack C, Weiner MW, Nelson C, Insel PS. Cortico-limbic volume abnormalities in late life depression are distinct from β amyloid and white matter pathologies. Mol Psychiatry 2025;30:1267-1276. [PMID: 39511448 DOI: 10.1038/s41380-024-02677-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 05/31/2024] [Accepted: 07/15/2024] [Indexed: 11/15/2024]

Affiliation(s)

R Scott Mackin Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA. Veterans Administration Medical Center, San Francisco, CA, USA.
Emma Rhodes Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA Mental Illness Research Education and Clinical Centers, Veterans Administration Medical Center, San Francisco, CA, USA
Michelle Kassel Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA Mental Illness Research Education and Clinical Centers, Veterans Administration Medical Center, San Francisco, CA, USA
Maria Kryza-Lacombe Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA Mental Illness Research Education and Clinical Centers, Veterans Administration Medical Center, San Francisco, CA, USA
Emily Burns Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA
David Bickford Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA
Ruth Morin Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA Mental Illness Research Education and Clinical Centers, Veterans Administration Medical Center, San Francisco, CA, USA
Duygu Tosun Veterans Administration Medical Center, San Francisco, CA, USA Department of Radiology, University of California, San Francisco, CA, USA
Susan Landau Helen Wills Neuroscience Institute, University of California, Berkeley, CA, USA
Meryl A Butters Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Paul Aisen University of Southern California, San Diego, CA, USA Alzheimer's Therapeutic Research Institute, San Diego, CA, USA
Rema Raman University of Southern California, San Diego, CA, USA Alzheimer's Therapeutic Research Institute, San Diego, CA, USA
Andrew J Saykin Indiana Alzheimer's Disease Research Center and the Department of Radiology and Imaging Sciences University School of Medicine, Indianapolis, IN, USA
Arthur Toga Laboratory of Neuro Imaging, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Robert Koeppe Department of Radiology, University of Michigan, Ann Arbor, MI, USA
Clifford Jack Mayo Clinic, Rochester, MN, USA
Michael W Weiner Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA Veterans Administration Medical Center, San Francisco, CA, USA Department of Radiology, University of California, San Francisco, CA, USA Department of Neurology, University of California, San Francisco, CA, USA
Craig Nelson Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA
Philip S Insel Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA

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Arleo A, Bareš M, Bernard JA, Bogoian HR, Bruchhage MMK, Bryant P, Carlson ES, Chan CCH, Chen LK, Chung CP, Dotson VM, Filip P, Guell X, Habas C, Jacobs HIL, Kakei S, Lee TMC, Leggio M, Misiura M, Mitoma H, Olivito G, Ramanoël S, Rezaee Z, Samstag CL, Schmahmann JD, Sekiyama K, Wong CHY, Yamashita M, Manto M. Consensus Paper: Cerebellum and Ageing. CEREBELLUM (LONDON, ENGLAND) 2024;23:802-832. [PMID: 37428408 PMCID: PMC10776824 DOI: 10.1007/s12311-023-01577-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/08/2023] [Indexed: 07/11/2023]

Abstract

Given the key roles of the cerebellum in motor, cognitive, and affective operations and given the decline of brain functions with aging, cerebellar circuitry is attracting the attention of the scientific community. The cerebellum plays a key role in timing aspects of both motor and cognitive operations, including for complex tasks such as spatial navigation. Anatomically, the cerebellum is connected with the basal ganglia via disynaptic loops, and it receives inputs from nearly every region in the cerebral cortex. The current leading hypothesis is that the cerebellum builds internal models and facilitates automatic behaviors through multiple interactions with the cerebral cortex, basal ganglia and spinal cord. The cerebellum undergoes structural and functional changes with aging, being involved in mobility frailty and related cognitive impairment as observed in the physio-cognitive decline syndrome (PCDS) affecting older, functionally-preserved adults who show slowness and/or weakness. Reductions in cerebellar volume accompany aging and are at least correlated with cognitive decline. There is a strongly negative correlation between cerebellar volume and age in cross-sectional studies, often mirrored by a reduced performance in motor tasks. Still, predictive motor timing scores remain stable over various age groups despite marked cerebellar atrophy. The cerebello-frontal network could play a significant role in processing speed and impaired cerebellar function due to aging might be compensated by increasing frontal activity to optimize processing speed in the elderly. For cognitive operations, decreased functional connectivity of the default mode network (DMN) is correlated with lower performances. Neuroimaging studies highlight that the cerebellum might be involved in the cognitive decline occurring in Alzheimer's disease (AD), independently of contributions of the cerebral cortex. Grey matter volume loss in AD is distinct from that seen in normal aging, occurring initially in cerebellar posterior lobe regions, and is associated with neuronal, synaptic and beta-amyloid neuropathology. Regarding depression, structural imaging studies have identified a relationship between depressive symptoms and cerebellar gray matter volume. In particular, major depressive disorder (MDD) and higher depressive symptom burden are associated with smaller gray matter volumes in the total cerebellum as well as the posterior cerebellum, vermis, and posterior Crus I. From the genetic/epigenetic standpoint, prominent DNA methylation changes in the cerebellum with aging are both in the form of hypo- and hyper-methylation, and the presumably increased/decreased expression of certain genes might impact on motor coordination. Training influences motor skills and lifelong practice might contribute to structural maintenance of the cerebellum in old age, reducing loss of grey matter volume and therefore contributing to the maintenance of cerebellar reserve. Non-invasive cerebellar stimulation techniques are increasingly being applied to enhance cerebellar functions related to motor, cognitive, and affective operations. They might enhance cerebellar reserve in the elderly. In conclusion, macroscopic and microscopic changes occur in the cerebellum during the lifespan, with changes in structural and functional connectivity with both the cerebral cortex and basal ganglia. With the aging of the population and the impact of aging on quality of life, the panel of experts considers that there is a huge need to clarify how the effects of aging on the cerebellar circuitry modify specific motor, cognitive, and affective operations both in normal subjects and in brain disorders such as AD or MDD, with the goal of preventing symptoms or improving the motor, cognitive, and affective symptoms.

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Affiliation(s)

Angelo Arleo Sorbonne Université, INSERM, CNRS, Institut de la Vision, 17 rue Moreau, F-75012, Paris, France
Martin Bareš First Department of Neurology, Faculty of Medicine, Masaryk University and St. Anne's Teaching Hospital, Brno, Czech Republic Department of Neurology, School of Medicine, University of Minnesota, Minneapolis, USA
Jessica A Bernard Department of Psychological and Brain Sciences, Texas A&M University, 4235 TAMU, College Station, TX, 77843, USA Texas A&M Institute for Neuroscience, Texas A&M University, College Station, TX, USA
Hannah R Bogoian Department of Psychology, Georgia State University, Atlanta, GA, USA
Muriel M K Bruchhage Department of Psychology, Stavanger University, Institute of Social Sciences, Kjell Arholms Gate 41, 4021, Stavanger, Norway King's College London, Institute of Psychiatry, Psychology and Neuroscience, Centre for Neuroimaging Sciences, Box 89, De Crespigny Park, London, PO, SE5 8AF, UK Rhode Island Hospital, Department for Diagnostic Imaging, 1 Hoppin St, Providence, RI, 02903, USA Department of Paediatrics, Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA
Patrick Bryant Freie Universität Berlin, Fachbereich Mathematik und Informatik, Arnimallee 12, 14195, Berlin, Germany
Erik S Carlson Department of Psychiatry and Behavioural Sciences, University of Washington, Seattle, WA, USA Geriatric Research, Education and Clinical Center, Veteran's Affairs Medical Center, Puget Sound, Seattle, WA, USA
Chetwyn C H Chan Department of Psychology, The Education University of Hong Kong, New Territories, Tai Po, Hong Kong, China
Liang-Kung Chen Center for Healthy Longevity and Aging Sciences, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan Center for Geriatric and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan Taipei Municipal Gan-Dau Hospital (managed by Taipei Veterans General Hospital), Taipei, Taiwan
Chih-Ping Chung Center for Healthy Longevity and Aging Sciences, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
Vonetta M Dotson Department of Psychology, Georgia State University, Atlanta, GA, USA Gerontology Institute, Georgia State University, Atlanta, GA, USA
Pavel Filip Department of Neurology, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic Center for Magnetic Resonance Research (CMRR), University of Minnesota, Minneapolis, MN, USA
Xavier Guell Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA Laboratory for Neuroanatomy and Cerebellar Neurobiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
Christophe Habas CHNO Des Quinze-Vingts, INSERM-DGOS CIC 1423, 28 rue de Charenton, 75012, Paris, France Université Versailles St Quentin en Yvelines, Paris, France
Heidi I L Jacobs School for Mental Health and Neuroscience, Alzheimer Centre Limburg, Maastricht University, PO BOX 616, 6200, MD, Maastricht, The Netherlands Faculty of Psychology and Neuroscience, Department of Cognitive Neuroscience, Maastricht University, PO BOX 616, 6200, MD, Maastricht, The Netherlands Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
Shinji Kakei Jissen Women's University, Tokyo, Japan
Tatia M C Lee State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, China Laboratory of Neuropsychology and Human Neuroscience, Department of Psychology, The University of Hong Kong, Hong Kong, China
Maria Leggio Department of Psychology, Sapienza University of Rome, Rome, Italy Ataxia Laboratory, I.R.C.C.S. Santa Lucia Foundation, Rome, Italy
Maria Misiura Department of Psychology, Georgia State University, Atlanta, GA, USA
Hiroshi Mitoma Department of Medical Education, Tokyo Medical University, Tokyo, Japan
Giusy Olivito Department of Psychology, Sapienza University of Rome, Rome, Italy Ataxia Laboratory, I.R.C.C.S. Santa Lucia Foundation, Rome, Italy
Stephen Ramanoël Sorbonne Université, INSERM, CNRS, Institut de la Vision, 17 rue Moreau, F-75012, Paris, France Université Côte d'Azur, LAMHESS, Nice, France
Zeynab Rezaee Noninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health, NIH, Bethesda, USA
Colby L Samstag Department of Psychiatry and Behavioural Sciences, University of Washington, Seattle, WA, USA Geriatric Research, Education and Clinical Center, Veteran's Affairs Medical Center, Puget Sound, Seattle, WA, USA
Jeremy D Schmahmann Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA Laboratory for Neuroanatomy and Cerebellar Neurobiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA Ataxia Center, Cognitive Behavioural neurology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
Kaoru Sekiyama Graduate School of Advanced Integrated Studies in Human Survivability, Kyoto University, Kyoto, Japan
Clive H Y Wong Department of Psychology, The Education University of Hong Kong, New Territories, Tai Po, Hong Kong, China
Masatoshi Yamashita Research Center for Child Mental Development, University of Fukui, Fukui, Japan United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan
Mario Manto Service de Neurologie, Médiathèque Jean Jacquy, CHU-Charleroi, Charleroi, Belgium. Service des Neurosciences, University of Mons, Mons, Belgium.

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Meng Y, Li H, Wang J, Xu Y, Wang B. Cognitive behavioral therapy for patients with mild to moderate depression: Treatment effects and neural mechanisms. J Psychiatr Res 2021;136:288-295. [PMID: 33631654 DOI: 10.1016/j.jpsychires.2021.02.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 01/29/2021] [Accepted: 02/08/2021] [Indexed: 11/18/2022]