Zain Ebrahim

Zain Ebrahim

March 28, 2025

13 Medications and Supplements That May Help Slow Brain Aging

In recent research, particularly a study published in Science Advances, has identified seven genes responsible for brain aging and 13 drugs that target those genes and potentially could aid in slowing brain aging processes. Slowing brain aging has come out as a powerful strategy to help in the defense against neurodegenerative diseases, cognitive decline and increase longevity. Scientists suggest that even a 2% delay in aging could help save $7.1 trillion in health care. This research employs advanced deep learning models and genetic analyses, helping scientists to make significant progress in understanding how to slow brain aging. 

The Importance of Slowing Brain Aging

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It has become apparent that faster biological brain aging comes with an increased risk of neurodegenerative disorders such as Alzheimer’s disease, as well as declines in physical and cognitive abilities. A key parameter in brain health research is the brain age gap (BAG) – which is the difference between an individuals’ actual age vs their estimated biological brains’ age. This estimation is found by how old a person’s brains appear on MRI scans. A larger BAG often correlates with poorer cognitive performance and higher susceptibility to disorders like schizophrenia and Alzheimer’s.

Genetic Factors Driving Brain Aging

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The recent study analyzed MRI data from nearly 39,000 participants in the UK Biobank, using deep learning models to estimate biological brain age. These models were trained on MRI scans, genetic information, lifestyle data and health records of these participants, who averaged ages of 64 years, and equal gender distribution.  Using the information generated by the models, the researchers managed to identify seven key genes that significantly influence the BAG.

These genes participate in various biological processes, including MAPT, which stabilizes axonal microtubules and contributes to Alzheimer’s disease; TNFSF12, GZMB, both involved in immune responses and potentially linked to neuroinflammation; SIRPB1, responsible for immune signal networks and capable of impacting neuron health; GNLY, NMB, and C1RL.  These findings highlight the specific genes who seem to be the promising targets attributed to the causing of rapid brain aging. 

Advanced Tools for Brain Age Estimation

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To understand how genetic factors influence brain aging, researchers have developed a powerful deep-learning model called the 3D Vision Transformer (3D-ViT). This tool analyzes MRI scans to predict biological age with impressive accuracy – outperforming other existing methods. Testing showed it was off by an average of just 2.64 years, demonstrating its reliability.

The team also used analysis techniques to pinpoint which brain areas are most important for this age prediction process. Two key regions stood out: the lentiform nucleus, vital for functions like attention and working memory, and the posterior limb of the internal capsule, an imperative link between different parts of the brain. This work enhances researchers’ understanding of brain aging processes and may also yield valuable indicators or biomarkers. These tools could then inform future research aimed at better comprehending and addressing age-related changes.

Drug Repurposing: A Promising Avenue

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One of the most exciting outcomes of this research is the identification of 13 existing drugs that show potential for mitigating brain aging by targeting seven key genes. These include Metformin commonly used in diabetes management and known for its anti-aging effects; Hydrocortisone, which regulates inflammation and known for treating eczema; Testosterone, potentially impacting cognitive health; and Diclofenac, a non-steroidal anti-inflammatory drug. 

Other drugs include dasatinib, a drug known for treating leukaemia patients; docnexent, an omega-3 fatty acid; cholecalciferol, which is a supplement for treating those with vitamin D deficiencies; estradiol, commonly used in hormone replacement therapy and mecamylamine which regulates and lowers blood pressure.  The list of potential brain anti-aging compounds also extends to nicotine; prasterone, which is used to alleviate menopausal vaginal discomfort during sex, the supplements quercetin and resveratrol, and furthermore sirolimus; a common immunosuppressant following kidney transplants.

However, researchers caution against a rush toward these interventions. Individuals should carefully weigh potential risks alongside any perceived benefits, acknowledging that such treatments could carry unforeseen negative consequences. Repurposing these medications presents a cost-effective and accelerated direction to addressing accelerated brain aging, as Dr. Yi-Cheng Zhu, a study author, observed: “Our findings establish a framework for translating genetic insights into practical therapeutic strategies.”

Broader Implications for Health

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Targeting genetic factors related to BAG-related genes has significant potential benefits extending beyond simply slowing brain aging. Specifically, we might look forward to a reduced risk of neurodegenerative diseases, such as Alzheimer’s and Parkinson’s. Other benefits would be improved cognitive function that would improve the quality of life for older adults; and an extended health span, allowing individuals to maintain activity and independence for longer periods. It’s important to acknowledge the limitations in the current data. These findings are largely made up of a study population concentrated within the UK Biobank. Further research across more diverse populations is therefore important not only to validate these results but also to ensure their applicability and relevance on a global scale.

Challenges and Future Directions

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Despite representing significant progress, this research still faces challenges. The genetic basis of brain aging is complex, involving interactions between genes, lifestyle choices, and environmental factors. Future work should integrate genomic, proteomic, and metabolomic data with advanced machine learning to reveal the underlying molecular mechanisms and identify potential therapeutic targets.

Conclusion

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The quest to slow brain aging has taken a significant step forward with this innovative research combining genetics, machine deep-learning, and drug repurposing. By identifying seven key genes linked to accelerated brain aging and proposing actionable drug targets, scientists have opened new avenues for improving cognitive health and extending human longevity.

As Dr. Fei Wu aptly summarized: “Understanding the genetic basis of brain aging not only helps us tackle neurodegenerative diseases but also holds promise for enhancing overall health spans.” With continued advancements in this field, slowing brain aging may soon become a tangible reality, benefiting individuals and society alike.