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Epigenetic insights of Olympic champions: nuclear and mitochondrial DNA methylation and regulators of aging. 奥运冠军的表观遗传学见解:核和线粒体DNA甲基化和衰老调节因子。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-17 DOI: 10.1007/s11357-025-02092-9
Timea Teglas,Ferenc Torma,Zoltan Bori,Dora Aczel,Gergely Babszky,Takuji Kawamura,Mitsuru Higuchi,Gu Yaodong,Muhammad Lee,Steve Horvath,Zsolt Radak
The interaction between nuclear (nDNA) and mitochondrial DNA (mtDNA) methylation is not well known in the healthy population. The D-loop methylation level of the Olympic champions (N = 58) was significantly lower than that of non-champions (N = 32) (~ 36% unadjusted mean difference p = 0.016, sex and age adjusted p = 0.017). Interestingly, the robust linear analysis revealed that biological sex is a significant factor in mtDNA D-loop methylation (estimate = 1.521, p = 0.033). On the other hand, we cannot find relationships between the methylation levels of mtDNA and nuclear DNA, suggesting distinct regulation of the methylation/demethylation process of mtDNA and nuclear DNA. DNA methylation-based aging clocks showed a significant relationship with the levels of Klotho, irisin, and its receptor (irisin receptor integrin alpha-V), as well as with epigenetic regulators such as ten-eleven translocation enzyme 2, which were measured using enzyme-linked immunosorbent assay. Therefore, the data suggest a complex regulatory process of epigenetic aging and raise the possibility that D-loop methylation may have functional relevance in health, which remains to be explored.
在健康人群中,核(nDNA)和线粒体DNA (mtDNA)甲基化之间的相互作用尚不清楚。奥运冠军(N = 58)的D-loop甲基化水平显著低于非奥运冠军(N = 32)(~ 36%未经调整的平均差异p = 0.016,性别和年龄调整p = 0.017)。有趣的是,强有力的线性分析显示,生物性别是mtDNA d -环甲基化的重要因素(估计值= 1.521,p = 0.033)。另一方面,我们没有发现mtDNA和核DNA的甲基化水平之间的关系,这表明mtDNA和核DNA的甲基化/去甲基化过程有不同的调控。基于DNA甲基化的衰老时钟显示与Klotho、鸢尾素及其受体(鸢尾素受体整合素α - v)的水平以及表观遗传调节因子(如10 - 11易位酶2)的水平有显著关系,这些调节因子是用酶联免疫吸附法测量的。因此,这些数据表明表观遗传衰老是一个复杂的调控过程,并提出了d -环甲基化可能在健康中具有功能相关性的可能性,这仍有待探索。
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引用次数: 0
Epigenetic age deceleration reflects exercise-induced cardiorespiratory fitness improvements. 表观遗传年龄减速反映了运动诱导的心肺健康改善。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-17 DOI: 10.1007/s11357-025-02076-9
Menno Van Damme,Sanne Stegen,Bram Steenwinckel,Helene Schroé,Gustavo A Reyes Del Paso,Matias M Pulopulos,Rudi De Raedt,Marie-Anne Vanderhasselt,Wim Derave,Femke Ongenae,Jan Boone,Wim Van Criekinge,Ernst R Rietzschel,Tim De Meyer
Epigenetic clocks are emerging as promising biomarkers of biological aging, yet their sensitivity to short-term interventions remains unclear. This pilot study investigates whether the GrimAge clock can capture the effects of a 6-month cycling-based endurance exercise training intervention, with cardiorespiratory fitness (VO2 max) and body composition as primary outcomes. We enrolled 42 adults aged 35-65, of whom 38 completed the study and 33 adhered to the protocol (> 66% adherence). Participants demonstrated significant improvements in VO2 max (+ 20%, P < 0.001) and body composition (P < 0.001). High-quality epigenetic data preprocessing yielded highly reproducible GrimAge estimates (< 2 months measurement error), which strongly correlated with chronological age (R2 = 0.86, P < 0.001). On average, GrimAge decreased by 7.44 months relative to the expected trajectory (P = 0.012), reflecting improvements in VO2 max (R2 = 0.27, P = 0.002) but not body composition changes. Notably, GrimAge changes strongly correlated with fluctuations in leukocyte composition, particularly neutrophil fraction (R2 = 0.74, P < 0.001). Adjusting for leukocyte composition improved consistency in GrimAge changes, aligning them with additional intervention outcomes and explaining up to 81% of variance. These findings demonstrate that GrimAge is responsive to short-term endurance training, serving as a meaningful biomarker of improved cardiorespiratory fitness, while also capturing immune system variability. This study supports the use of GrimAge in evaluating longevity interventions and highlights the importance of accounting for leukocyte composition in epigenetic aging research.
表观遗传时钟正在成为生物衰老的有前途的生物标志物,但它们对短期干预的敏感性尚不清楚。本初步研究以心肺功能(最大摄氧量)和身体成分为主要指标,调查GrimAge时钟是否能捕捉6个月周期耐力运动训练干预的效果。我们招募了42名年龄在35-65岁之间的成年人,其中38人完成了研究,33人遵守了方案(bbb66%的依从性)。参与者的最大摄氧量(+ 20%,P < 0.001)和身体成分(P < 0.001)均有显著改善。高质量的表观遗传数据预处理产生了高度可重复的GrimAge估计(< 2个月测量误差),其与实足年龄密切相关(R2 = 0.86, P < 0.001)。平均而言,GrimAge相对于预期轨迹减少了7.44个月(P = 0.012),反映了最大摄氧量的改善(R2 = 0.27, P = 0.002),但没有反映身体成分的变化。值得注意的是,GrimAge变化与白细胞组成,特别是中性粒细胞部分的波动密切相关(R2 = 0.74, P < 0.001)。调整白细胞组成提高了GrimAge变化的一致性,使其与其他干预结果一致,并解释了高达81%的差异。这些发现表明GrimAge对短期耐力训练有反应,作为改善心肺健康的有意义的生物标志物,同时也捕获免疫系统变异性。这项研究支持使用GrimAge来评估长寿干预措施,并强调了在表观遗传衰老研究中考虑白细胞组成的重要性。
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引用次数: 0
Microbiota-derived indole-3-propionic acid extends lifespan in Drosophila and improves muscle and bone health in mice. 微生物衍生的吲哚-3-丙酸延长果蝇的寿命,改善小鼠的肌肉和骨骼健康。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-16 DOI: 10.1007/s11357-025-02078-7
Sagar Vyavahare,Ford Berger,Shelton G Swint,Bharati Mendhe,Mansi Shukla,Ian Duchesne,Roger Zhong,Marion A Cooley,Meghan E McGee-Lawrence,Carlos M Isales,Jessica M Hoffman,Sadanand Fulzele
Aging is associated with alterations in endogenous tryptophan (TRP) metabolism that contributes to musculoskeletal decline. In this study, we investigated the effects of the microbiota-derived TRP metabolite, indole-3-propionic acid (IPA), on musculoskeletal health in aged mice and lifespan in Drosophila melanogaster. Aged C57BL/6 mice received IPA (20 mg/kg, subcutaneous, three times per week for 12 weeks), while Drosophila were maintained on food supplemented with IPA (100 µM) throughout their lifespan. Our findings revealed that IPA-treated aged mice exhibited enhanced muscle function (grip strength and hang time). Histological and bone microCT analyses revealed no changes in muscle fiber size but enhanced bone microarchitecture. Furthermore, molecular studies have elucidated that IPA treatment prevents oxidative stress and reduces senescence, indicating improved cellular survival. Our Drosophila melanogaster longevity analysis revealed a significant extension of lifespan, but lifespan effects were genotype- and sex-specific. Collectively, our findings identify IPA as a promising microbiota-derived metabolite that improves musculoskeletal health and promotes longevity, highlighting its potential as a therapeutic intervention for age-related decline in function.
衰老与内源性色氨酸(TRP)代谢的改变有关,从而导致肌肉骨骼衰退。在这项研究中,我们研究了微生物来源的TRP代谢物吲哚-3-丙酸(IPA)对老年小鼠肌肉骨骼健康和黑腹果蝇寿命的影响。老年C57BL/6小鼠给予IPA (20 mg/kg,皮下注射,每周3次,持续12周),果蝇终生喂食添加IPA(100µM)的食物。我们的研究结果显示,ipa处理的老年小鼠表现出增强的肌肉功能(握力和悬挂时间)。组织学和骨微ct分析显示肌纤维大小没有变化,但骨微结构增强。此外,分子研究表明,IPA治疗可以防止氧化应激,减少衰老,表明细胞存活率提高。我们对黑腹果蝇的寿命分析揭示了寿命的显著延长,但寿命效应是基因型和性别特异性的。总的来说,我们的研究结果确定了IPA是一种有前途的微生物衍生代谢物,可以改善肌肉骨骼健康并促进寿命,突出了其作为治疗与年龄相关的功能衰退的干预措施的潜力。
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引用次数: 0
Metacontrol-related aperiodic and periodic neural activity in cognitive aging: enhancing the neural signal-to-noise ratio through anodal transcranial direct current stimulation. 认知老化中与元控制相关的非周期性和周期性神经活动:通过阳极经颅直流电刺激增强神经信噪比。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-16 DOI: 10.1007/s11357-025-02077-8
Yu Pi,Qinfei Zhang,Shuhui Lyu,Christian Beste,Lorenza Colzato,Bernhard Hommel
Metacontrol, the ability to adapt cognitive control to task demands, declines with age and is thought to be reflected in aperiodic and periodic neural dynamics. Given that anodal transcranial direct current stimulation (atDCS) can modulate cortical excitability via membrane potential shifts, we tested whether atDCS alters the neurophysiological signatures of metacontrol in younger and older adults. In a mixed design, younger and older participants performed a Go/Nogo task under both atDCS and sham stimulation conditions; resting-state EEG data were also acquired. Aperiodic activity was analyzed using the FOOOF algorithm, and periodic activity was examined through time-frequency analysis. Behaviorally, younger adults showed higher accuracy and faster responses than older adults, but no significant stimulation effects emerged in either group. Results showed that, compared to sham, aperiodic activity (FOOOF exponent) increased after atDCS, particularly in older adults, indicating a steepening of the EEG spectrum and thus increased inhibitory tone in the aging process. However, resting-state aperiodic activity did not predict stimulation-induced effects within either group. In the periodic domain, we found no evidence that atDCS modulated task-related theta or alpha power. Moreover, exploratory analyses revealed no significant associations between atDCS-induced changes in the aperiodic exponent and oscillatory power. This dissociation indicates that, under the present conditions, the periodic and aperiodic components of the EEG signal reflect distinct and likely independent neurophysiological responses to neuromodulation. Targeting metacontrol mechanisms through neuromodulation may, with further validation, open new avenues for supporting cognitive health in older adults.
元控制,即适应任务需求的认知控制能力,随着年龄的增长而下降,被认为反映在非周期性和周期性的神经动力学中。考虑到阳极经颅直流电刺激(atDCS)可以通过膜电位转移调节皮质兴奋性,我们测试了atDCS是否会改变年轻人和老年人元控制的神经生理特征。在混合设计中,年轻和年长的参与者在atDCS和假刺激条件下都执行Go/Nogo任务;静息状态脑电数据采集。利用FOOOF算法分析非周期活度,通过时频分析分析周期活度。在行为上,年轻人比老年人表现出更高的准确性和更快的反应,但两组都没有明显的刺激效应。结果显示,与假手术相比,atDCS后非周期活动(FOOOF指数)增加,特别是在老年人中,表明脑电图谱变陡,从而增加了衰老过程中的抑制性张力。然而,静息状态的非周期活动并不能预测两组的刺激诱导效应。在周期域中,我们没有发现atDCS调制与任务相关的θ或α功率的证据。此外,探索性分析显示,atdcs诱导的非周期指数变化与振荡功率之间没有显着关联。这种分离表明,在目前的条件下,脑电图信号的周期性和非周期性成分反映了不同的和可能独立的神经生理反应。通过神经调节靶向元控制机制,进一步验证,为支持老年人的认知健康开辟了新的途径。
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引用次数: 0
Lipid-laden endothelial cells exhibit a transcriptomic signature linked to blood-brain barrier dysfunction, metabolic reprogramming, and increased inflammation in the aging brain. 脂质内皮细胞表现出与血脑屏障功能障碍、代谢重编程和老化大脑中炎症增加有关的转录组特征。
IF 5.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-16 DOI: 10.1007/s11357-025-01986-y
Sarah Otu-Boakye, Duraipandy Natarajan, Bhuvana Plakkot, Ilakiya Raghavendiran, Paulina Hoppa, Tamas Kiss, Madhan Subramanian, Priya Balasubramanian

Dysregulation in lipid metabolism is increasingly recognized as a key contributor to age-related diseases, including neurodegeneration and cerebrovascular dysfunction. While prior studies have largely focused on glial cells, the impact of lipid dysregulation on brain endothelial aging remains poorly understood. In this study, we conducted a secondary analysis of single-cell transcriptomic data from young and aged mouse brains, with a specific focus on endothelial cells (ECs). Our analyses revealed that aging promotes lipid droplet accumulation in brain ECs. These lipid-laden brain ECs exhibit a transcriptomic signature indicative of impaired blood-brain barrier function, increased cellular senescence, and inflammation in aging. Furthermore, lipid accumulation is associated with an altered metabolic phenotype characterized by increased fatty acid oxidation and decreased glycolysis and impaired mitochondrial electron transport chain activity in the ECs of the aging brain. We have also validated lipid accumulation in aged ECs in vivo. Collectively, our findings indicate that lipid accumulation may drive structural, functional, and metabolic impairments in the brain ECs, likely contributing to cerebrovascular aging. Understanding the mechanisms underlying lipid accumulation-induced endothelial dysfunction may offer novel therapeutic strategies for mitigating microvascular dysfunction and cognitive decline in aging.

脂质代谢失调越来越被认为是与年龄有关的疾病的关键因素,包括神经变性和脑血管功能障碍。虽然先前的研究主要集中在神经胶质细胞上,但脂质失调对脑内皮细胞衰老的影响仍然知之甚少。在这项研究中,我们对来自年轻和老年小鼠大脑的单细胞转录组数据进行了二次分析,特别关注内皮细胞(ECs)。我们的分析表明,衰老促进了脑内皮细胞中脂滴的积累。这些富含脂质的脑ECs表现出一种转录组学特征,表明血脑屏障功能受损、细胞衰老加剧和衰老过程中的炎症。此外,脂质积累与代谢表型的改变有关,其特征是脂肪酸氧化增加,糖酵解减少,衰老大脑ec中线粒体电子传递链活性受损。我们还在体内验证了老年内皮细胞的脂质积累。总的来说,我们的研究结果表明,脂质积累可能会导致脑ECs的结构、功能和代谢损伤,可能导致脑血管老化。了解脂质积累诱导的内皮功能障碍的机制可能为减轻微血管功能障碍和衰老的认知能力下降提供新的治疗策略。
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引用次数: 0
Group dance interventions for community dwelling older adults to prevent and treat sarcopenia: a mixed methods systematic review. 社区老年人群体舞蹈干预预防和治疗肌肉减少症:一项混合方法的系统综述。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-13 DOI: 10.1007/s11357-025-02072-z
Nan Hua,Ruth Harris,Shalini Ahuja,Xiangmin Tan,Kia-Chong Chua,Yihan Mo,Joanne M Fitzpatrick
Group dance is an engaging physical activity that may benefit the prevention and management of sarcopenia among older adults. However, current evidence on this topic is limited. We aimed to evaluate published evidence on group dance for sarcopenia in community dwelling older adults. Studies published in English and Chinese between 2014 and 2024 were identified through searches in MEDLINE, Embase, and PsycINFO via Ovid, CINAHL via EBSCO, Chinese National Knowledge Infrastructure, Wan Fang, Google Scholar, and Web of Science Core Collection. Two reviewers independently performed screening, data extraction, and risk of bias assessment. Quantitative data were meta-analysed, and qualitative findings were analysed using thematic analysis. The protocol was registered with PROSPERO (CRD42024554152). 24 studies were included, comprising 1840 participants across 12 countries and involving nine types of group dance interventions. Meta-analysis showed significant improvements in the Short Physical Performance Battery (MD = 1.32, 95%CI: 0.56, 2.08, I2 = 37%), Sit and Reach Test (MD = 1.91, 95%CI: 0.29, 2.91, I2 = 0), Montreal Cognitive Assessment (MD = 0.94, 95%CI: 0.01, 1.87, I2 = 0) and Trail Making Test (SMD = 0.12, 95%CI: 0.03, 0.21, I2 = 34%). No significant differences were observed in muscle strength, 5 times Sit-To-Stand, Time Up and Go, Single Leg Test, 30s Chair Stand, and gait speed. Qualitative analysis identified three overarching themes: psychosocial, physical, and cognitive wellbeing. Group dance is a safe, acceptable, and promising community intervention that improves physical performance in older adults. Enjoyment-driven and socially engaging group dance interventions are encouraged to support the prevention and management of sarcopenia. Future investigation should use sarcopenia-specific assessments, and consider cultural context, baseline physical status, and individual preferences when designing and evaluating group dance interventions.
集体舞蹈是一种有吸引力的身体活动,可能有利于预防和管理老年人的肌肉减少症。然而,目前关于这一主题的证据有限。我们的目的是评估已发表的关于团体舞蹈治疗社区居住老年人肌肉减少症的证据。通过检索MEDLINE、Embase和PsycINFO (Ovid)、CINAHL (EBSCO)、Chinese National Knowledge Infrastructure、万方、b谷歌Scholar和Web of Science Core Collection检索2014 - 2024年间发表的中英文研究。两名审稿人独立进行筛选、数据提取和偏倚风险评估。定量数据采用元分析,定性结果采用专题分析。该协议已在PROSPERO注册(CRD42024554152)。包括24项研究,包括来自12个国家的1840名参与者,涉及9种类型的集体舞蹈干预。meta分析显示,短时间体能测试(MD = 1.32, 95%CI: 0.56, 2.08, I2 = 37%)、坐伸测试(MD = 1.91, 95%CI: 0.29, 2.91, I2 = 0)、蒙特利尔认知评估(MD = 0.94, 95%CI: 0.01, 1.87, I2 = 0)和轨迹测试(SMD = 0.12, 95%CI: 0.03, 0.21, I2 = 34%)均有显著改善。肌肉力量、5次坐立、起跑时间、单腿测试、30秒椅子站立和步态速度无显著差异。定性分析确定了三个主要主题:心理社会、身体和认知健康。集体舞蹈是一种安全、可接受、有前途的社区干预,可以改善老年人的身体表现。鼓励以享受为导向和社会参与的集体舞蹈干预,以支持肌肉减少症的预防和管理。未来的调查应采用肌肉减少症特异性评估,并在设计和评估集体舞蹈干预措施时考虑文化背景、基线身体状况和个人偏好。
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引用次数: 0
SOD1 deficiency drives ferroptosis-linked oxidative and reproductive aging, mitigated by ginseng root extract. SOD1缺乏驱动铁中毒相关的氧化和生殖衰老,人参根提取物减轻。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-12 DOI: 10.1007/s11357-025-02093-8
Juewon Kim,Shuichi Shibuya,Yusuke Ozawa,Yorino Sato,Kazuhiro Kawamura,Takahiko Shimizu
Aging is accompanied by cumulative oxidative stress that promotes tissue degeneration and reproductive decline. Here, we show that deficiency of superoxide dismutase 1 (SOD1) accelerates oxidative injury and reproductive aging through a ferroptosis-linked redox imbalance, and that ginseng root extract (GR) confers protection across species. Aged hairless Sod1⁻/⁻ mice exhibited markedly elevated skin and plasma oxidative stress markers-including 8-isoprostane, malondialdehyde (MDA), and pentosidine-together with dermal cyst formation and atrophic pathology. Complementary studies in C. elegans revealed that SOD1-deficient strains displayed increased reactive oxygen species, depleted glutathione, and elevated iron and lipid peroxidation-canonical features of ferroptosis-associated oxidative stress. These redox alterations coincided with shortened reproductive span and reduced progeny output, both rescued by ferroptosis inhibition or GR supplementation. In female Sod1⁻/⁻ mice, GR restored folliculogenesis, normalized estrous cyclicity, and improved ovarian morphology. Collectively, these findings identify SOD1 loss as a driver of ferroptosis-associated oxidative and reproductive aging and highlight GR as a promising redox-targeted intervention.
衰老伴随着累积的氧化应激,促进组织退化和生殖能力下降。在这里,我们证明了超氧化物歧化酶1 (SOD1)的缺乏通过与铁中毒相关的氧化还原失衡加速氧化损伤和生殖衰老,人参根提取物(GR)在物种间具有保护作用。衰老的无毛的Sod1(毒血症)表现出明显升高的皮肤和血浆氧化应激标志物——包括8-异前列腺素、丙二醛(MDA)和戊二醛——以及皮肤囊肿形成和萎缩病理。对秀丽隐杆线虫的补充研究显示,缺乏sod1的菌株表现出活性氧增加、谷胱甘肽减少、铁和脂质过氧化升高——这是与铁中毒相关的氧化应激的典型特征。这些氧化还原改变与生殖跨度缩短和后代产量减少相一致,这两种情况都是通过抑制铁下垂或补充GR来挽救的。在雌性Sod1 /⁻(毒枭)中,GR恢复了卵泡发生,正常化了发情周期,改善了卵巢形态。总的来说,这些发现确定了SOD1缺失是死铁相关氧化和生殖衰老的驱动因素,并强调GR是一种有希望的氧化还原靶向干预措施。
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引用次数: 0
The aging gut-glia-immune axis in alzheimer's disease: microbiome-derived mediators of neuroinflammation and therapeutic innovation. 阿尔茨海默病中衰老的肠胶质免疫轴:微生物衍生的神经炎症介质和治疗创新。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-12 DOI: 10.1007/s11357-025-02062-1
Prince Ahad Mir,Nishant Kumar,Gyamcho Tshering Bhutia,Preeti Chaudhary,Gurkiran Kaur,Sukesh Kumar Gupta
Alzheimer's disease (AD), the most common cause of dementia in the aging population, is marked by amyloid-beta (Aβ) plaques, tau tangles, and progressive neuronal degeneration, placing heavy clinical and socioeconomic burdens on healthcare worldwide. Aging remains the strongest risk factor, with chronic low-grade inflammation, oxidative stress, mitochondrial dysfunction, and impaired proteostasis creating a vulnerable brain environment that accelerates AD onset and progression. Recent evidence highlights the gut-glia-immune axis as a critical pathway linking age-related microbiome changes to glial dysfunction. Microbial metabolites, such as short-chain fatty acids and tryptophan derivatives, regulate microglial maturation, astrocytic activity, and neuroimmune signaling. However, age-associated dysbiosis disrupts glial homeostasis, amplifies neuroinflammation, and impairs amyloid clearance, thereby worsening neurodegeneration. Preclinical models including germ-free mice and fecal microbiota transplantation along with clinical studies of elderly AD patients, provide compelling evidence of microbiome-driven modulation of disease. From a therapeutic perspective, microbiome-targeted interventions including probiotics, prebiotics, synbiotics, and microbiota-directed small molecules offer promising strategies to restore glial balance, reduce inflammation, and protect cognitive function. This review highlights the therapeutic potential of probiotics, synbiotics, and fecal microbiota transplantation for mitigating neuroinflammation and cognitive decline in Alzheimer's disease. However, given the multifactorial nature of neurodegenerative disorders, these strategies are unlikely to be universally effective and must be tailored to individual patient profiles.
阿尔茨海默病(AD)是老年人群中最常见的痴呆原因,其特征是淀粉样β (Aβ)斑块、tau缠结和进行性神经元变性,给全球医疗保健带来了沉重的临床和社会经济负担。衰老仍然是最强的危险因素,慢性低度炎症、氧化应激、线粒体功能障碍和蛋白质平衡受损创造了一个脆弱的大脑环境,加速了AD的发病和进展。最近的证据表明,肠道-神经胶质-免疫轴是连接年龄相关微生物组变化与神经胶质功能障碍的关键途径。微生物代谢物,如短链脂肪酸和色氨酸衍生物,调节小胶质细胞成熟、星形胶质细胞活性和神经免疫信号。然而,年龄相关的生态失调会破坏神经胶质稳态,放大神经炎症,损害淀粉样蛋白清除,从而加重神经退行性变。临床前模型包括无菌小鼠和粪便微生物群移植以及老年AD患者的临床研究,提供了微生物组驱动疾病调节的令人信服的证据。从治疗的角度来看,以微生物群为目标的干预措施,包括益生菌、益生元、合成菌和微生物群导向的小分子,为恢复神经胶质平衡、减少炎症和保护认知功能提供了有希望的策略。这篇综述强调了益生菌、合成菌和粪便微生物群移植在减轻阿尔茨海默病的神经炎症和认知能力下降方面的治疗潜力。然而,鉴于神经退行性疾病的多因素性质,这些策略不太可能普遍有效,必须针对个别患者的情况进行调整。
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引用次数: 0
Circulating microRNAs in pulmonary arterial hypertension: biomarkers for diagnosis, prognostic stratification, and treatment. 肺动脉高压中的循环microrna:诊断、预后分层和治疗的生物标志物。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-12 DOI: 10.1007/s11357-026-02095-0
Beatrice Polini,Sandra Ghelardoni,Gerarda Capone,Emilia Monti,Grazia Chiellini,Vincenzo Lionetti,Raffaele De Caterina,Rosalinda Madonna
Pulmonary arterial hypertension (PAH) is a rare and progressive and life-threatening clinical condition characterized by elevated mean pulmonary arterial pressure (mPAP ≥ 20 mmHg at rest), increased pulmonary vascular resistance (PVR ≥ 2 Wood units), and normal pulmonary arterial wedge pressure. PAH group 1 comprises idiopathic, heritable, and drug- or toxin-induced forms, as well as cases associated with connective tissue diseases, HIV infection, portal hypertension, congenital heart disease, schistosomiasis, persistent pulmonary hypertension of the newborn, and pulmonary veno-occlusive disease (PVOD)/pulmonary capillary hemangiomatosis. The diagnosis of PAH is frequently delayed, and clinical outcomes remain poor in a significant proportion of patients, although several targeted therapies, acting on the endothelin (ET-1), nitric oxide (NO), and prostacyclin pathways, have been developed, and novel agents (i.e., sotatercept) are showing promising results in clinical trials. Circulating microRNAs (miRNAs) have emerged as promising biomarker candidates for risk stratification and prediction of therapeutic response in PAH group 1. These small non-coding RNAs that regulate gene expression at the post-transcriptional level are released into the circulation either actively, via extracellular vesicles such as exosomes and microvesicles, or passively as a result of cell damage. These features confer remarkable stability in biological fluids, making circulating miRNAs particularly attractive not only as innocent bystanders but also as factors actively involved in the pathogenesis of the disease. The aim of this review is to provide an overview of the role of circulating miRNAs in PAH group 1, with a focus on their diagnostic, prognostic, and therapeutic potential.
肺动脉高压(PAH)是一种罕见的进行性且危及生命的临床疾病,其特征是平均肺动脉压升高(静止时mPAP≥20 mmHg),肺血管阻力增加(PVR≥2 Wood单位),肺动脉楔压正常。PAH 1组包括特发性、遗传性和药物或毒素诱导的形式,以及与结缔组织疾病、HIV感染、门静脉高压、先天性心脏病、血吸虫病、新生儿持续性肺动脉高压和肺静脉闭塞病(PVOD)/肺毛细血管瘤病相关的病例。尽管已经开发了几种靶向治疗方法,作用于内皮素(ET-1)、一氧化氮(NO)和前列环素途径,并且新型药物(如索特西普)在临床试验中显示出有希望的结果,但PAH的诊断经常被推迟,而且相当一部分患者的临床结果仍然很差。循环microRNAs (miRNAs)已成为PAH 1组风险分层和预测治疗反应的有希望的生物标志物候选物。这些在转录后水平调节基因表达的小非编码rna通过外泌体和微囊泡等细胞外囊泡主动释放到循环中,或者作为细胞损伤的结果被动释放到循环中。这些特征赋予了生物体液中显著的稳定性,使得循环中的mirna不仅作为无辜的旁观者,而且作为积极参与疾病发病机制的因素特别有吸引力。本综述的目的是概述循环mirna在PAH 1组中的作用,重点是它们的诊断、预后和治疗潜力。
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Higher burden of neuropsychiatric symptom-like behaviors associated with canine cognitive dysfunction compared to normal aging in the Dog Aging Project. 与正常衰老相比,与犬认知功能障碍相关的神经精神症状样行为负担更高。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-01-12 DOI: 10.1007/s11357-025-02083-w
Daniel W Fisher,Jillian R Fisher,Silvan R Urfer,NhiVan A Tran,Kathleen F Kerr, ,Martin Darvas
Non-cognitive, neuropsychiatric symptoms (NPS) are nearly universal in Alzheimer's disease (AD), but investigation of their underlying biology is complicated by comparative medicine approaches that incompletely capture spontaneous disease, primarily using transgenic rodent models. The aged companion dog, which spontaneously develops an AD-like disease called canine cognitive dysfunction (CCD), may help fill this translational gap. Using data from the Dog Aging Project with > 10,000 aged dogs (> 8 years old), we identify numerous behaviors in dogs "at-risk" for and with CCD that mirror NPS in humans. Compared to dogs without CCD, our analysis shows that dogs with CCD are less physically active, exhibit fewer previously trained behaviors, demonstrate fewer motivated behaviors, have more daytime sleep, demonstrate more separation anxiety, have altered anxious responses to novelty, have changes in aggressive behaviors, and exhibit lower appetite. Using k-means clustering, we did not find evidence for behavioral sub-phenotypes. Overall, our analysis of a large number of aged dogs suggests clinically significant NPS are associated with CCD and that the companion dog may serve as an important comparative medicine approach to understand these debilitating symptoms across species.
非认知、神经精神症状(NPS)在阿尔茨海默病(AD)中几乎是普遍存在的,但对其潜在生物学的研究因比较医学方法而变得复杂,这些方法主要使用转基因啮齿动物模型,不能完全捕获自发性疾病。老年伴侣犬会自发患上一种类似ad的疾病,称为犬类认知功能障碍(CCD),这可能有助于填补这一翻译空白。利用狗衰老项目的数据,我们发现了100万只老年狗(100万到8岁)的许多行为,这些行为反映了人类的NPS。与没有CCD的狗相比,我们的分析表明,患有CCD的狗身体活动较少,表现出较少的先前训练行为,表现出较少的动机行为,白天睡眠更多,表现出更多的分离焦虑,改变了对新鲜事物的焦虑反应,改变了攻击行为,表现出更低的食欲。使用k-means聚类,我们没有发现行为亚表型的证据。总的来说,我们对大量老年犬的分析表明,临床上显著的NPS与CCD有关,伴侣犬可以作为一种重要的比较医学方法来理解跨物种的这些衰弱症状。
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