Interplay Between Aging and Glial Cell Dysfunction: Implications for CNS Health

Abstract

Aging is accompanied by complex cellular and molecular changes that compromise CNS function. Among these, glial cells (astrocytes, microglia, and oligodendrocytes) play a central role in maintaining neural homeostasis, modulating synaptic activity, and supporting metabolic demands. Emerging evidence indicates that aging disrupts glial cell physiology through processes including mitochondrial dysfunction, impaired proteostasis, chronic low-grade inflammation, and altered intercellular signaling. These alterations contribute to synaptic decline, myelin degeneration, and persistent, low-grade inflammation of the CNS. This review synthesizes current knowledge on the bidirectional relationship between aging and glial cell dysfunction, highlighting how age-related systemic and CNS-specific factors exacerbate glial impairments and, in turn, accelerate neural deterioration. Finally, this study discusses some potential therapeutic strategies aimed at preserving or restoring glial function to promote CNS resilience in aging populations. Understanding this interplay offers critical opportunities for mitigating cognitive decline and improving quality of life in older adults.