PMID- 30326283 OWN - NLM STAT- MEDLINE DCOM- 20190729 LR - 20190729 IS - 1872-9649 (Electronic) IS - 1568-1637 (Linking) VI - 48 DP - 2018 Dec TI - Exercise-induced brain-derived neurotrophic factor expression: Therapeutic implications for Alzheimer's dementia. PG - 109-121 LID - S1568-1637(18)30044-8 [pii] LID - 10.1016/j.arr.2018.10.002 [doi] AB - Emerging evidence indicates that moderate intensity aerobic exercise is positively correlated with cognitive function and memory. However, the exact mechanisms underlying such improvements remain unclear. Recent research in animal models allows proposition of a pathway in which brain-derived neurotrophic factor (BDNF) is a key mediator. This perspective draws upon evidence from animal and human studies to highlight such a mechanism whereby exercise drives synthesis and accumulation of neuroactive metabolites such as myokines and ketone bodies in the periphery and in the hippocampus to enhance BDNF expression. BDNF is a neurotrophin with well-established properties of promoting neuronal survival and synaptic integrity, while its influence on energy transduction may provide the crucial link between inherent vascular and metabolic benefits of exercise with enhanced brain function. Indeed, BDNF mRNA and protein is robustly elevated in rats following periods of voluntary exercise. This was also correlated with improved spatial memory, while such benefits were abolished upon inhibition of BDNF signaling. Similarly, both BDNF and cardiovascular fitness arising from aerobic exercise have been positively associated with hippocampal volume and function in humans. We postulate that exercise will attenuate cortical atrophy and synaptic loss inherent to neurodegenerative disorders - many of which also exhibit aberrant down-regulation of BDNF. Thus, the proposed link between BDNF, exercise and cognition may have critical therapeutic implications for the prevention and amelioration of memory loss and cognitive impairment in Alzheimer's disease and associated dementias. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Wang, Rosy AU - Wang R AD - Laboratory of Molecular Neuroscience and Dementia, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, 2050 Australia. FAU - Holsinger, R M Damian AU - Holsinger RMD AD - Laboratory of Molecular Neuroscience and Dementia, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, 2050 Australia; Discipline of Biomedical Science, School of Medical Sciences, Sydney Medical School, The University of Sydney, Lidcombe, NSW 1825 Australia. Electronic address: Damian.Holsinger@sydney.edu.au. LA - eng PT - Journal Article PT - Review DEP - 20181013 PL - England TA - Ageing Res Rev JT - Ageing research reviews JID - 101128963 RN - 0 (Brain-Derived Neurotrophic Factor) MH - Alzheimer Disease/genetics/*metabolism/*therapy MH - Animals MH - Brain-Derived Neurotrophic Factor/*biosynthesis/genetics MH - Exercise/*physiology MH - Gene Expression MH - Hippocampus/metabolism/pathology MH - Humans MH - Physical Conditioning, Animal/physiology OTO - NOTNLM OT - Cellular mechanisms OT - Cognition OT - Gene expression OT - Neurotrophins OT - Protein OT - mRNA EDAT- 2018/10/17 06:00 MHDA- 2019/07/30 06:00 CRDT- 2018/10/17 06:00 PHST- 2018/02/23 00:00 [received] PHST- 2018/09/26 00:00 [revised] PHST- 2018/10/08 00:00 [accepted] PHST- 2018/10/17 06:00 [pubmed] PHST- 2019/07/30 06:00 [medline] PHST- 2018/10/17 06:00 [entrez] AID - S1568-1637(18)30044-8 [pii] AID - 10.1016/j.arr.2018.10.002 [doi] PST - ppublish SO - Ageing Res Rev. 2018 Dec;48:109-121. doi: 10.1016/j.arr.2018.10.002. Epub 2018 Oct 13.