Biomarkers, Cognitive Function, and Mortality in Centenarians - Report - MDSpire

Biomarkers, Cognitive Function, and Mortality in Centenarians

  • By

  • Ryo Shikimoto

  • Takashi Sasaki

  • Yukiko Abe

  • Kenji Tai

  • Nobuyoshi Hirose

  • Hideyuki Okano

  • Yasumichi Arai

  • May 7, 2026

  • 0 min

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Cognitive Performance, Biomarkers, and Longevity in Individuals Aged 100 and Over

Overview

This study investigates the relationship between blood biomarkers and cognitive function in centenarians, highlighting the role of neurofilament light chain (NfL) as a significant marker. Findings suggest that NfL levels are associated with both cognitive performance and mortality risk in this unique population.

Background

Understanding cognitive decline and its biomarkers is crucial as the population of centenarians grows. Traditional markers like amyloid-β and phosphorylated tau have limitations in predicting cognitive outcomes in the oldest individuals. This study aims to explore the associations of novel biomarkers with cognitive function and mortality in centenarians, providing insights into aging processes.

Data Highlights

The study analyzed data from 495 centenarians, focusing on the correlation between NfL levels and cognitive function alongside traditional biomarkers.

Key Findings

  • NfL levels are significantly associated with cognitive function in centenarians.
  • Traditional biomarkers like amyloid-β and phosphorylated tau181 have limited predictive power for cognitive decline in this age group.
  • Comprehensive assessments of physical and cognitive function are critical for understanding mortality risk in centenarians.
  • Centenarians can exhibit preserved cognitive function despite high levels of amyloid-β and phosphorylated tau.
  • Blood-based biomarkers may provide valuable insights into neurodegenerative processes in super-aged populations.

Clinical Implications

Clinicians should consider the use of NfL levels as a potential biomarker for assessing cognitive function and mortality risk in centenarians. A comprehensive evaluation of both cognitive and physical health is essential for effective management of this population.

Conclusion

The study underscores the importance of identifying reliable biomarkers for cognitive function and mortality in centenarians, suggesting that NfL may play a pivotal role in future assessments.

Related Resources & Content

  1. BMC Neurology, 2026 -- Blood mitochondrial heteroplasmic variants and cognitive performance in late midlife: REGARDS study
  2. American Journal of Epidemiology, 2024 -- Linking Blood Neurodegenerative Biomarkers to Cognitive Abilities and Dementia in Older Adults: Insights from India (LASI-DAD) and the United States (HRS)
  3. American Journal of Epidemiology, 2024 -- Examining the Link Between Decadal Changes in Cognitive Function and Later Mortality: Insights from the ACTIVE Trial
  4. npj Digital Medicine, 2026 -- Digital Cognitive Evaluation for Aging and Dementia via the Oxford Cognitive Testing Portal (OCTAL)
  5. Alzheimer's Association Workgroup, 2024 -- Biology-Based Criteria for Diagnosis and Staging of Alzheimer's Disease
  6. Lecanemab in Early Alzheimer's Disease - PubMed
  7. Alzheimer's Association Workgroup Publishes Biology-Based Criteria for Diagnosis and Staging of Alzheimer's Disease
  8. Lecanemab in Early Alzheimer's Disease - PubMed

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