Abstract

Along with increased life span comes an increased risk for neurodegenerative and neuropsychiatric disorders suggesting a mechanistic link between chronological age and brain-related disorders, including depression. Recent characterizations of age-dependent gene expression changes now show that aging of the human brain engages a specific set of biological pathways along a continuous lifelong trajectory, and that the same genes that are associated with normal brain aging are also frequently and similarly implicated in depression and other brain-related disorders. These correlative observations suggest a model of age-by-disease molecular interactions, which posits that brain aging promotes biological changes associated with diseases, and that additional environmental factors and genetic variability contribute to defining disease risk or resiliency trajectories. Here we review the characteristic features of brain aging in terms of changes in gene function over time, and then focus on evidence supporting accelerated molecular aging in depression. This proposed age-by-disease biological interaction model addresses the current gap in research between “normal” brain aging and its connection to late-life diseases. The implications of this model are profound, as it brings research on normal aging closer to investigation of neuropsychiatric and neurodegenerative disorders.

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