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ORIGINAL RESEARCH article

Front. Aging Neurosci.

Sec. Alzheimer's Disease and Related Dementias

Volume 17 - 2025 | doi: 10.3389/fnagi.2025.1508677

This article is part of the Research Topic Advancing Early Alzheimer's Detection Through Multimodal Neuroimaging Techniques View all 6 articles

Allostatic Load, a Measure of Cumulative Physiological Stress, Impairs Brain Structure but Not Amyloid Accumulation in Older Adults: An Exploratory Study

Provisionally accepted
Cassandre Palix Cassandre Palix 1Léa Chauveau Léa Chauveau 1Francesca Felisatti Francesca Felisatti 1Anne Chocat Anne Chocat 1Laurent Coulbaut Laurent Coulbaut 2Oriane Hébert Oriane Hébert 1Florence Mézenge Florence Mézenge 1Brigitte Landeau Brigitte Landeau 1Sasha Haudry Sasha Haudry 1Séverine Fauvel Séverine Fauvel 1Fabienne Collette Fabienne Collette 3Olga Klimecki Olga Klimecki 4Natalie Marchant Natalie Marchant 5Vincent De La Sayette Vincent De La Sayette 1Denis Vivien Denis Vivien 6Gael Chetelat Gael Chetelat 1Geraldine POISNEL Geraldine POISNEL 1*
  • 1 Neuropresage Team, INSERM U1237 Physiopathologie et imagerie des troubles Neurologiques (PhIND), Caen, Lower Normandy, France
  • 2 Department of Biochemistry, CHU de Caen, Caen, France
  • 3 GIGA Neurosciences, GIGA Institute, University of Liège, Liege, Liege, Belgium
  • 4 German Center for Neurodegenerative Diseases, Helmholtz Association of German Research Centers (HZ), Bonn, North Rhine-Westphalia, Germany
  • 5 Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, United Kingdom
  • 6 INSERM U1237 Physiopathologie et imagerie des troubles Neurologiques (PhIND), Caen, Lower Normandy, France

The final, formatted version of the article will be published soon.

    Allostatic load (AL) is a composite score of progressive physiological dysregulations in response to longterm exposure to everyday stress. Despite growing interest, limited research has focused on links with cerebral and cognitive aspects of aging and with markers sensitive to Alzheimer's disease (AD) in a healthy elderly population and with a multimodal approach. At baseline, 111 older adults (without cognitive impairment) from the Age-Well trial completed blood and anthropometric markers collection, cognitive assessments and multimodal neuroimaging within 3 months. AL was negatively associated with gray matter volume and white matter (WM) integrity within frontal and temporal regions and poorer attentional performance. AL is linked to structural brain integrity in aging-and stress-sensitive regions but not with AD-related markers (β-amyloid load) and only in two AD-sensitive brain regions in older adults. These results highlight the potential interest of AL as a sensitive index of stress-induced brain aging.

    Keywords: allostatic load, Aging, Alzheimer's disease, Neuroimaging, Cognition

    Received: 09 Oct 2024; Accepted: 06 Mar 2025.

    Copyright: © 2025 Palix, Chauveau, Felisatti, Chocat, Coulbaut, Hébert, Mézenge, Landeau, Haudry, Fauvel, Collette, Klimecki, Marchant, De La Sayette, Vivien, Chetelat and POISNEL. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Geraldine POISNEL, Neuropresage Team, INSERM U1237 Physiopathologie et imagerie des troubles Neurologiques (PhIND), Caen, 14000, Lower Normandy, France

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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