Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function

ABSTRACT Background Fibroblast growth factors(FGF)19 subclass related to endocrine metabolism, including FGF19, FGF21, and FGF23, which is associated with cognition. Age can affect its secretion and has been identified as a significant risk factor for cognitive decline. Consequently, age may moderat...

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Main Authors: Ligang Shan, Ying Tao, Jiubo Fan, Yuyu Zhou, Danyang Zhao, Yanlong Liu, Xiaoli Han, Suriyakala Perumal Chandran, Fan Wang
Format: Article
Language:English
Published: Wiley 2025-08-01
Series:Brain and Behavior
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Online Access:https://doi.org/10.1002/brb3.70784
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author Ligang Shan
Ying Tao
Jiubo Fan
Yuyu Zhou
Danyang Zhao
Yanlong Liu
Xiaoli Han
Suriyakala Perumal Chandran
Fan Wang
author_facet Ligang Shan
Ying Tao
Jiubo Fan
Yuyu Zhou
Danyang Zhao
Yanlong Liu
Xiaoli Han
Suriyakala Perumal Chandran
Fan Wang
author_sort Ligang Shan
collection DOAJ
description ABSTRACT Background Fibroblast growth factors(FGF)19 subclass related to endocrine metabolism, including FGF19, FGF21, and FGF23, which is associated with cognition. Age can affect its secretion and has been identified as a significant risk factor for cognitive decline. Consequently, age may moderate the impact of the FGF19 subclass on cognitive function. This study aimed to investigate the association among the FGF19 subclass in cerebrospinal fluid (CSF), cognition, and age and further explore the moderating effects of age on cognitive changes related to the FGF19 subclass. Methods In this cross‐sectional study, participants were stratified into two groups based on age, namely the ≤34 year old (n = 128) and >34 year old (n = 63) groups, and CSF FGF19 subclass levels were measured. Cognition was assessed using the Montreal Cognitive Assessment Scores. Results Age may play a moderating effect in the relationship between CSF FGF21 and cognition (R2 = 0.12, β = ‐0.32, p  = 0.003). In individuals aged >34 years old, a negative correlation was observed between serum TG levels and MoCA scores (r = ‐0.31, p = .041). Contrastingly, no correlation was noted between CSF FGF19 and CSF FGF23 levels with MoCA scores in both groups, respectively (all p > 0.05). Conclusions This is the first study to report that age plays a moderating effect in the relationship between CSF FGF21 and cognition. Moreover, higher CSF FGF21 levels have a protective effect on cognition in individuals aged ≤34 years old. However, individuals aged>34 years old can improve cognition via alternative strategies.
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spelling doaj-art-911ddc1cdb0442bfbee8ebee4313835d2025-08-20T04:02:28ZengWileyBrain and Behavior2162-32792025-08-01158n/an/a10.1002/brb3.70784Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive FunctionLigang Shan0Ying Tao1Jiubo Fan2Yuyu Zhou3Danyang Zhao4Yanlong Liu5Xiaoli Han6Suriyakala Perumal Chandran7Fan Wang8Department of Anesthesiology The Second Affiliated Hospital of Xiamen Medical College Xiamen ChinaMedical Neurobiology Lab Inner Mongolia Medical University Hohhot ChinaXiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science Xiangyang ChinaMedical Neurobiology Lab Inner Mongolia Medical University Hohhot ChinaMedical Neurobiology Lab Inner Mongolia Medical University Hohhot ChinaSchool of Mental Health Wenzhou Medical University Wenzhou ChinaClinical Nutrition Department Friendship Hospital of Urumqi in Xinjiang Urumqi ChinaFaculty of Medicine Lincoln University College Petaling Jaya MalaysiaBeijing Hui‐Long‐Guan Hospital Peking University Beijing ChinaABSTRACT Background Fibroblast growth factors(FGF)19 subclass related to endocrine metabolism, including FGF19, FGF21, and FGF23, which is associated with cognition. Age can affect its secretion and has been identified as a significant risk factor for cognitive decline. Consequently, age may moderate the impact of the FGF19 subclass on cognitive function. This study aimed to investigate the association among the FGF19 subclass in cerebrospinal fluid (CSF), cognition, and age and further explore the moderating effects of age on cognitive changes related to the FGF19 subclass. Methods In this cross‐sectional study, participants were stratified into two groups based on age, namely the ≤34 year old (n = 128) and >34 year old (n = 63) groups, and CSF FGF19 subclass levels were measured. Cognition was assessed using the Montreal Cognitive Assessment Scores. Results Age may play a moderating effect in the relationship between CSF FGF21 and cognition (R2 = 0.12, β = ‐0.32, p  = 0.003). In individuals aged >34 years old, a negative correlation was observed between serum TG levels and MoCA scores (r = ‐0.31, p = .041). Contrastingly, no correlation was noted between CSF FGF19 and CSF FGF23 levels with MoCA scores in both groups, respectively (all p > 0.05). Conclusions This is the first study to report that age plays a moderating effect in the relationship between CSF FGF21 and cognition. Moreover, higher CSF FGF21 levels have a protective effect on cognition in individuals aged ≤34 years old. However, individuals aged>34 years old can improve cognition via alternative strategies.https://doi.org/10.1002/brb3.70784agecerebrospinal fluidcognitionfibroblast growth factor 21moderation
spellingShingle Ligang Shan
Ying Tao
Jiubo Fan
Yuyu Zhou
Danyang Zhao
Yanlong Liu
Xiaoli Han
Suriyakala Perumal Chandran
Fan Wang
Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function
Brain and Behavior
age
cerebrospinal fluid
cognition
fibroblast growth factor 21
moderation
title Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function
title_full Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function
title_fullStr Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function
title_full_unstemmed Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function
title_short Age: A Moderating Effect on Cerebrospinal Fluid Fibroblast Growth Factor 21 and Cognitive Function
title_sort age a moderating effect on cerebrospinal fluid fibroblast growth factor 21 and cognitive function
topic age
cerebrospinal fluid
cognition
fibroblast growth factor 21
moderation
url https://doi.org/10.1002/brb3.70784
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