Evidence map›Paper›PMID 41591084›Full record

ReviewNeurology international2026

Neuromarkers of Adaptive Neuroplasticity and Cognitive Resilience Across Aging: A Multimodal Integrative Review.

Jordana Mariane Neyra Chauca, Manuel de Jesús Ornelas Sánchez, Nancy García Quintana, Karen Lizeth Martín Del Campo Márquez, Brenda Areli Carvajal Juarez, Nancy Rojas Mendoza, Martha Ayline Aguilar Díaz

Abstract readReview
In one paragraph

Review in Neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jordana Mariane Neyra ChaucaFacultad de Medicina, Universidad Autónoma de Guadalajara, Guadalajara 45129, Mexico.ORCID 0009-0002-8442-0442
Manuel de Jesús Ornelas SánchezFacultad de Medicina, Universidad Autónoma de Guadalajara, Guadalajara 45129, Mexico.
Nancy García QuintanaFacultad de Medicina, Universidad Autónoma del Estado de México, Toluca 50180, Mexico.
Karen Lizeth Martín Del Campo MárquezFacultad de Medicina, Universidad Lamar, Guadalajara 44110, Mexico.
Brenda Areli Carvajal JuarezFacultad de Medicina, Universidad Autónoma de Tamaulipas, Victoria 87149, Mexico.
Nancy Rojas MendozaFacultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla 72570, Mexico.
Martha Ayline Aguilar DíazFacultad de Medicina, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78210, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAging is traditionally characterized by progressive structural and cognitive decline; however, increasing evidence shows that the aging brain retains a remarkable capacity for reorganization. This adaptive neuroplasticity supports cognitive resilience-defined as the ability to maintain efficient cognitive performance despite age-related neural vulnerability.

objectiveTo synthesize current molecular, cellular, neuroimaging, and electrophysiological neuromarkers that characterize adaptive neuroplasticity and to examine how these mechanisms contribute to cognitive resilience across aging.

methodsThis narrative review integrates findings from molecular neuroscience, multimodal neuroimaging (fMRI, DTI, PET), electrophysiology (EEG, MEG, TMS), and behavioral research to outline multiscale biomarkers associated with compensatory and efficient neural reorganization in older adults.

resultsAdaptive neuroplasticity emerges from the coordinated interaction of neurotrophic signaling (BDNF, CREB, IGF-1), glial modulation (astrocytic lactate metabolism, regulated microglial activity), synaptic remodeling, and neurovascular support (VEGF, nitric oxide). Multimodal neuromarkers-including preserved frontoparietal connectivity, DMN-FPCN coupling, synaptic density (SV2A-PET), theta-gamma coherence, and LTP-like excitability-consistently correlate with resilience in executive functions, memory, and processing speed. Behavioral enrichment, physical activity, and cognitive training further enhance these biomarkers, creating a bidirectional loop between experience and neural adaptability.

conclusionsAdaptive neuroplasticity represents a fundamental mechanism through which older adults maintain cognitive function despite biological aging. Integrating molecular, imaging, electrophysiological, and behavioral neuromarkers provides a comprehensive framework to identify resilience trajectories and to guide personalized interventions aimed at preserving cognition. Understanding these multilevel adaptive mechanisms reframes aging not as passive decline but as a dynamic continuum of biological compensation and cognitive preservation.

Indexed as

agingaging brainBDNFcognitive resiliencecompensationelectrophysiologyfMRIneuroimagingneuromarkersneuroplasticity

Identifiers

PMID41591084
PMCPMC12844308

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.