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Proc Natl Acad Sci U S A ; 121(22): e2322617121, 2024 May 28.
Article in English | MEDLINE | ID: mdl-38771873

ABSTRACT

Optimal decision-making balances exploration for new information against exploitation of known rewards, a process mediated by the locus coeruleus and its norepinephrine projections. We predicted that an exploitation-bias that emerges in older adulthood would be associated with lower microstructural integrity of the locus coeruleus. Leveraging in vivo histological methods from quantitative MRI-magnetic transfer saturation-we provide evidence that older age is associated with lower locus coeruleus integrity. Critically, we demonstrate that an exploitation bias in older adulthood, assessed with a foraging task, is sensitive and specific to lower locus coeruleus integrity. Because the locus coeruleus is uniquely vulnerable to Alzheimer's disease pathology, our findings suggest that aging, and a presymptomatic trajectory of Alzheimer's related decline, may fundamentally alter decision-making abilities in later life.


Subject(s)
Aging , Decision Making , Locus Coeruleus , Magnetic Resonance Imaging , Locus Coeruleus/diagnostic imaging , Locus Coeruleus/physiology , Humans , Decision Making/physiology , Aged , Male , Female , Aging/physiology , Alzheimer Disease/diagnostic imaging , Alzheimer Disease/pathology , Middle Aged , Aged, 80 and over , Reward
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