For decades, medical textbooks declared that adults cannot grow new brain cells. Once your neurons died, that was it. But a landmark study from Karolinska Institutet has overturned this long-held belief, showing that adults—even into their late seventies—can generate new neurons in the hippocampus, the brain’s center for memory and learning. This finding not only challenges our understanding of the human brain but also offers a hopeful path forward for treating memory loss, mood disorders, and neurodegenerative diseases like Alzheimer’s.
What Is Neurogenesis?
Neurogenesis is the process by which the brain produces brand-new neurons from resident stem cells. In adult humans, the strongest evidence points to the dentate gyrus of the hippocampus as the main site. Another region near the lateral ventricles produces new cells in many mammals; in humans, activity there appears limited and remains debated. The key point is that the hippocampus retains a dedicated “neurogenic niche” where fresh neurons can still arise in later life.
This niche contains a small pool of radial glia–like stem cells that usually rest in a quiet state. When activated, they divide and give rise to intermediate progenitor cells, which then become neuroblasts. These immature neurons express markers such as doublecortin, grow dendrites, and begin to extend an axon. Over weeks to months they mature into granule cells that wire into hippocampal circuits.
Integration follows a consistent path. New granule cells receive input from the entorhinal cortex and send their axons to CA3 via the mossy fiber pathway. During a several-week “critical period,” these cells show heightened plasticity and a lower threshold to fire, which makes them well suited for pattern separation—distinguishing similar experiences without confusing them. As they settle, they adopt firing properties that resemble long-standing neighbors and contribute to circuit stability.
Cellular signals in the niche steer each step. Notch signaling helps keep stem cells in reserve, while Wnt/β‑catenin encourages differentiation. Early GABA input, which is initially depolarizing for immature neurons, promotes maturation and synapse formation. Astrocytes and the local vasculature supply growth factors and metabolic support; microglia prune excess connections, maintaining healthy wiring. Neurotrophic molecules, including BDNF and related factors, guide survival and integration so that only appropriately connected neurons persist.
Researchers verify neurogenesis in humans using converging methods. Post‑mortem tissue shows proliferating cells and immature neuronal markers (for example, Ki‑67 and doublecortin) within the dentate gyrus. Radiocarbon dating of neuronal DNA—leveraging atmospheric changes from mid‑20th‑century nuclear testing—has also been used to estimate the birth dates of cells, supporting the idea of ongoing turnover. While techniques and findings vary across studies, the overall picture indicates that neuron birth and incorporation continue into adulthood.
Why This Discovery Matters
Discovering that neurogenesis continues into adulthood reshapes how we think about the brain’s long-term health. It goes beyond the idea of sharper memory or mood balance and points to a broader biological capacity for adaptation. Adult-born neurons provide the hippocampus with a fresh supply of cells that can take on new roles, supporting flexibility in how we process and store information. This adaptability may help the brain reorganize itself after injury, trauma, or the onset of disease.
The finding also changes how we view mental health treatments. Many therapies, including certain antidepressants, appear to work in part by stimulating the growth of new neurons. Understanding this connection could refine treatment approaches for depression, anxiety, and post-traumatic stress, where strengthening hippocampal function may restore healthier emotional regulation.
For aging research, adult neurogenesis highlights that decline is not inevitable. The very presence of neurogenic capacity means that lifestyle strategies, medications, or future regenerative therapies could be developed to extend cognitive vitality. This creates a scientific foundation for new interventions—ranging from targeted drugs to brain stimulation—that intentionally promote neuron birth and integration.
Finally, the discovery reinforces the idea that brain health is dynamic, not static. Recognizing that the hippocampus maintains a lifelong ability to generate neurons invites a rethinking of prevention. Instead of focusing only on slowing damage, researchers and clinicians can begin to design strategies that actively build new brain capacity over time.
Factors That Influence Neurogenesis
Multiple inputs from daily life and health status tune how many new neurons are born and how many survive to join hippocampal circuits. Aerobic movement is one of the most reliable levers: regular, moderate‑to‑vigorous activity increases cerebral blood flow, delivers oxygen and glucose efficiently, and raises trophic signals that favor neuron survival. Interval‑style walking, steady‑state cycling, and swimming show consistent benefits in human and animal data. Resistance training supports vascular health and insulin sensitivity, which indirectly preserves the niche where new cells mature.
Food quality and timing also matter. Diets rich in marine omega‑3 fatty acids, flavonoid‑dense plants (berries, cocoa, colorful vegetables), nuts, legumes, and olive oil are linked with healthier hippocampal structure. Stable glucose patterns support neuron survival, while frequent spikes from refined sugars and ultra‑processed foods are associated with inflammation that can suppress neurogenesis. Periods of overnight fasting that allow true metabolic rest, adequate protein for synapse formation, and micronutrients such as folate, vitamin D, and magnesium support the cellular housekeeping required for new neurons to mature.
Sleep sets the consolidation schedule. Deep non‑REM sleep enables hippocampal replay, a process that helps integrate newborn neurons into memory networks. Short sleep, irregular timing, heavy evening light exposure, and shift work disrupt circadian signals and elevate stress hormones, which reduce neuron birth and shorten survival. Consistent sleep and waking times, light in the morning, and a dark, quiet bedroom protect this integration window.
Stress biology has a strong influence. Brief, manageable challenges can be neutral or even helpful, but chronic psychological stress keeps the hypothalamic‑pituitary‑adrenal axis activated and elevates glucocorticoids. That state reduces proliferation in the neurogenic niche and increases the likelihood that immature neurons will be lost. Social isolation has similar effects, while supportive relationships and purpose‑driven activities are associated with better hippocampal health.
Systemic inflammation and cardiometabolic illness dampen neurogenesis. Obesity, insulin resistance, hypertension, and sleep‑disordered breathing impair microvascular function and bathe the niche in pro‑inflammatory cytokines. Treating these conditions and improving cardiorespiratory fitness lowers inflammatory tone and restores a friendlier environment for newborn neurons.
Substances and environmental exposures can help or harm. Excess alcohol reliably suppresses neurogenesis and disrupts sleep. Nicotine and certain pollutants, including fine particulate air pollution and some pesticides, are associated with vascular and inflammatory changes that limit neuron birth and survival. Conversely, intellectually rich environments that introduce novelty, skill learning, music, or a new language increase the chances that immature neurons receive the patterned activity they need to survive.
Emerging work connects the intestinal microbiome to hippocampal health. Diet‑derived metabolites such as short‑chain fatty acids, especially butyrate, influence gene expression and neurotrophic signaling in the dentate gyrus. Diets that support microbial diversity, along with stable digestion, are correlated with better cognitive performance and may provide another pathway to sustain neurogenesis across adulthood.
What This Means for Aging
The recognition that new neurons arise even in later life reframes how we understand aging. Instead of viewing cognitive decline as an unavoidable consequence of getting older, it suggests that the brain retains a reservoir of plasticity that can be influenced by how we live and how medicine advances. While natural changes in blood flow, hormone levels, and immune function can slow the pace of neurogenesis, the fact that the machinery is still active means aging brains are not fixed in decline.
This opens new lines of research into why some individuals maintain sharper memory and emotional balance well into their eighties while others struggle earlier. Genetic predispositions, lifelong habits, and social environments may interact with neurogenesis to shape aging trajectories. Identifying these differences could inform targeted strategies for prevention and care.
Clinically, it also changes expectations in the doctor’s office. If neuron birth persists, then interventions for older adults may aim not only at preserving what is already there but also at coaxing the brain to build new capacity. That perspective could reshape therapies for Alzheimer’s, Parkinson’s, and depression in late life.
Equally important, this discovery reaffirms the value of proactive choices across the lifespan. Decisions around exercise, diet, sleep, and mental activity are not just protective—they may be actively generative, sustaining the brain’s adaptability in later decades. For patients and caregivers, this means aging does not have to be viewed purely as a period of loss, but also as a phase where growth, adaptation, and renewal remain possible.
My Personal RX on Keeping Your Brain Young
The exciting news about lifelong neurogenesis reminds us that how we live directly impacts our brain’s ability to stay sharp and resilient. Here are my personal recommendations for nurturing your brain at any age:
- Stay Physically Active: Aim for at least 150 minutes of moderate exercise per week. Even brisk walking can support neurogenesis.
- Feed Your Brain with Mindful Meals: Choose nutrient-rich foods with brain-supporting compounds. My Mindful Meals program is designed to simplify meal planning while ensuring you get the essential nutrients that fuel cognitive health.
- Challenge Yourself Mentally: Read, learn a new skill, or engage in strategy games. Keep your brain learning and adapting.
- Prioritize Restful Sleep: Aim for 7–9 hours of quality sleep nightly. Your brain uses this time to repair and integrate new neurons.
- Manage Stress Wisely: Try meditation, yoga, or deep breathing to keep cortisol levels in check.
- Support Gut-Brain Health with MindBiotic: A healthy gut microbiome enhances mental clarity and mood stability. MindBiotic is formulated to strengthen this connection, supporting both digestion and brain function.
- Nurture Social Bonds: Spend time with family and friends. Strong connections are protective for your brain and emotional well-being.
- Get Outdoors: Exposure to nature reduces stress and supports brain function. Even 20 minutes in green space can make a difference.
- Limit Alcohol and Processed Foods: Both can impair brain function and reduce the birth of new neurons.
- Stay Curious: Curiosity keeps the hippocampus engaged. Ask questions, seek new experiences, and never stop learning.
Sources
- Boldrini, M., et al. (2018). Human hippocampal neurogenesis persists throughout aging. Cell Stem Cell, 22(4), 589-599. https://doi.org/10.1016/j.stem.2018.03.015
- Kempermann, G., Song, H., & Gage, F. H. (2015). Neurogenesis in the adult hippocampus. Cold Spring Harbor Perspectives in Biology, 7(9), a018812. https://doi.org/10.1101/cshperspect.a018812van
- Praag, H., Fleshner, M., Schwartz, M. W., & Mattson, M. P. (2014). Exercise, energy intake, glucose homeostasis, and the brain. Journal of Neuroscience, 34(46), 15139-15149. https://doi.org/10.1523/JNEUROSCI.2814-14.2014