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Prenatal glucocorticoid exposure and congenital abdominal wall defects: Involvement of CXCR4 – SDF-1 signaling 产前糖皮质激素暴露与先天性腹壁缺陷:CXCR4-SDF-1信号的参与。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-11-22 DOI: 10.1016/j.mad.2024.112008
Martin Bablok , Gabriela Morosan-Puopolo , Imadeldin Yahya , Morris Gellisch , Matthias Nissen , Jochen Hubertus , Beate Brand-Saberi
Developmental defects of the ventral abdominal wall, such as gastroschisis, have been associated with prenatal stress exposure. To investigate this further, dexamethasone (DEX), a synthetic glucocorticoid, was administered to fertilized chicken eggs on day 1 of incubation to simulate stress, and embryonic development was subsequently analyzed through in-situ hybridization, immunohistochemistry, and histological methods. Significant developmental abnormalities were displayed by DEX-treated embryos, including open abdomens, reduced MYOG expression in the abdominal wall, and disrupted muscle fiber formation, as indicated by altered Myosin heavy chain patterns. Additionally, early markers of muscle development, such as Pax3, and the CXCR4-SDF-1 signaling axis, crucial for the migration of myogenic precursors of the dermomyotome, were markedly affected. Significant alterations in the expression of mesenchymal markers, including Vimentin and Fibronectin in the lateral plate mesoderm, were observed, alongside alterations in Pitx2, BMP4 and TFAP2A expression. Importantly, a downregulation of Glucocorticoid Receptors was identified, emphasizing the chronic stress exposure. These results provide critical insights into how DEX interferes with key developmental pathways, particularly those involving chemokines like CXCR4 and SDF-1, and other markers of mesodermal differentiation. An advancement in the understanding of the mechanisms underlying ventral abdominal wall defects in the context of prenatal stress is provided by this research, with potential implications for preventing these congenital anomalies.
腹壁发育缺陷(如胃畸形)与产前应激暴露有关。为了进一步研究这个问题,在受精卵孵化第1天给受精卵注射合成糖皮质激素地塞米松(DEX)来模拟应激,随后通过原位杂交、免疫组化和组织学方法分析胚胎发育情况。经DEX处理的胚胎显示出明显的发育异常,包括腹部张开、腹壁MYOG表达减少、肌纤维形成中断(肌球蛋白重链模式改变)。此外,肌肉发育的早期标志物(如 Pax3)和 CXCR4-SDF-1 信号轴也受到明显影响,而 CXCR4-SDF-1 信号轴对真皮肌瘤肌原前体的迁移至关重要。除了 Pitx2、BMP4 和 TFAP2A 的表达发生变化外,还观察到包括侧板中胚层中的波形蛋白(Vimentin)和纤连蛋白(Fibronectin)在内的间质标记物的表达发生了显著变化。重要的是,发现糖皮质激素受体下调,强调了慢性应激暴露。这些结果提供了关于DEX如何干扰关键发育途径的重要见解,特别是那些涉及趋化因子(如CXCR4和SDF-1)及其他中胚层分化标志物的途径。这项研究加深了人们对产前应激背景下腹壁缺损机制的认识,对预防这些先天性畸形具有潜在的意义。
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引用次数: 0
In reviewing the emerging biomarkers of human inflammatory bowel disease (IBD): Endothelial progenitor cells (EPC) and their vesicles as potential biomarkers of cardiovascular manifestations and targets for personalized treatments 回顾人类炎症性肠病(IBD)的新兴生物标志物:内皮祖细胞(EPC)及其囊泡是心血管表现的潜在生物标志物和个性化治疗的靶点。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.mad.2024.112006
Carmela Rita Balistreri
Inflammatory bowel diseases (IBD) are chronic inflammatory and pathological conditions of the gastrointestinal tract, which include two main clinical subtypes: Crohn's disease (CD) and ulcerative colitis (UC). IBDs show an increase in their age-standardized global incidence rate worldwide, with no gender differences, although the age-standardized mortality rate has decreased over the years. Indeed, thanks to recent therapies with novel mechanisms of action, including those with biologics and small molecules, it has been possible to reduce the mortality rate of IBDs. However, a significant percentage of IBD patients remain refractory to these multiple advanced therapies. Therefore, another challenge of IBD research remains the development of novel therapies with novel agents or cells that could improve the quality of life and outcome of IBD patients. Furthermore, another aspect to be studied in IBDs is not only the high risk of progression not only to neoplastic transformation but also to the development of cardiovascular disease (CVD). Consequently, 25–40 % of IBD patients present with cardiovascular manifestations. Here, we propose that the altered number and functions of endothelial progenitor cells (EPCs) may represent one of the crucial mechanisms associated with incomplete/delayed healing of IBD and may offer the possibility of using them, as well as their vesicles and content, as novel biomarkers and potential candidates of cell therapy for IBD. The advantages and limitations are extensively described and discussed.
炎症性肠病(IBD)是胃肠道的慢性炎症和病理状态,包括两种主要的临床亚型:克罗恩病(CD)和溃疡性结肠炎(UC):克罗恩病(CD)和溃疡性结肠炎(UC)。在全球范围内,IBD 的年龄标准化发病率呈上升趋势,无性别差异,但年龄标准化死亡率逐年下降。事实上,由于最近出现了具有新作用机制的疗法,包括生物制剂和小分子疗法,IBD 的死亡率得以降低。然而,仍有相当比例的 IBD 患者对这些多种先进疗法不耐受。因此,IBD 研究面临的另一个挑战仍然是开发使用新型制剂或细胞的新型疗法,以改善 IBD 患者的生活质量和预后。此外,IBD 还有一个值得研究的方面,那就是它不仅具有向肿瘤转化的高风险,而且还具有向心血管疾病(CVD)发展的高风险。因此,25%-40% 的 IBD 患者都有心血管方面的表现。在此,我们提出,内皮祖细胞(EPCs)数量和功能的改变可能代表了与 IBD 愈合不全/延迟相关的关键机制之一,并提供了将它们及其囊泡和内容物用作新型生物标记物和 IBD 细胞疗法潜在候选者的可能性。该研究对其优势和局限性进行了广泛的描述和讨论。
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引用次数: 0
Unlocking diagnosis of sarcopenia: The role of circulating biomarkers – A clinical systematic review 解开 "肌肉疏松症 "诊断之谜:循环生物标志物的作用--临床系统综述。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-11-08 DOI: 10.1016/j.mad.2024.112005
F. Veronesi , F. Salamanna , V. Borsari , A. Ruffilli , C. Faldini , G. Giavaresi
Sarcopenia, the gradual loss of muscle mass, strength, and function with age, poses a significant risk to older adults, making early diagnosis crucial for preventing disability and enhancing quality of life. Biomarkers are vital for the early detection, monitoring progression, and assessing the efficacy of treatments for sarcopenia, offering a detailed evaluation of muscle health. This systematic review examined the clinical potential of circulating biomarkers in sarcopenia by analyzing studies up to May 2024 from PubMed, Scopus, Web of Science. A total of 45 studies involving 641,730 patients were reviewed, revealing notable biomarker differences between sarcopenic and non-sarcopenic individuals. Sarcopenic patients exhibited lower levels of certain microRNAs, hemoglobin, albumin, and anti-inflammatory factors, alongside higher levels of red and white blood cells, pro-inflammatory factors, growth factors, matrix proteins, free thyroxine, cortisol, and adiponectin. Additionally, they had lower levels of irisin, free triiodothyronine, and insulin, with reduced phosphatidylcholines and elevated spermidine. The studies were generally of fair to good quality, but due to heterogeneity, a meta-analysis was not feasible. The review underscores the need for standardized biomarkers and diagnostic criteria and suggests that improving outcomes for sarcopenic patients may involve addressing inflammation, metabolic, and hormonal issues through nutrition, medication, and exercise.
肌肉疏松症是一种随着年龄增长而逐渐丧失肌肉质量、力量和功能的疾病,对老年人构成了极大的威胁,因此早期诊断对于预防残疾和提高生活质量至关重要。生物标志物可提供肌肉健康的详细评估,对早期发现、监测进展和评估肌肉疏松症的治疗效果至关重要。本系统性综述通过分析截至 2024 年 5 月的 PubMed、Scopus 和 Web of Science 上的研究,探讨了循环生物标志物在肌肉疏松症中的临床潜力。共回顾了45项研究,涉及641730名患者,发现了肌肉疏松症患者与非肌肉疏松症患者之间存在明显的生物标志物差异。肌肉疏松症患者的某些微RNA、血红蛋白、白蛋白和抗炎因子水平较低,而红细胞和白细胞、促炎因子、生长因子、基质蛋白、游离甲状腺素、皮质醇和脂肪连素水平较高。此外,他们的鸢尾素、游离三碘甲状腺原氨酸和胰岛素水平较低,磷脂酰胆碱降低,精胺升高。这些研究的质量一般在中等到良好之间,但由于存在异质性,因此无法进行荟萃分析。综述强调了标准化生物标志物和诊断标准的必要性,并建议改善肌肉疏松患者的预后可能需要通过营养、药物和运动来解决炎症、代谢和激素问题。
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引用次数: 0
p53/HIF-1α regulates neuronal aging and autophagy in spinal cord ischemia/reperfusion injury p53/HIF-1α调节脊髓缺血再灌注损伤中神经元的衰老和自噬。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-11-07 DOI: 10.1016/j.mad.2024.112000
Xingzhen Liu , Jia Wang , Kangping Shen , Wenjie Jin

Objection

Spinal cord injury (SCI)-induced hindlimb dysfunction affects the physical and mental health of patients. There is growing evidence suggesting that the recovery capacity of elderly SCI patients is poorer than that of young individuals. However, the specific molecular mechanisms remain unclear.

Methods

RNA expression profiles of SCI samples were collected from the GEO database, and key genes involved in the progression of SCI were identified by the limma package in R software. A diagnostic model based on SCIDEG was constructed using LASSO regression analysis. Subsequently, correlation analysis was conducted to identify biological pathways influenced by the key genes. Furthermore, SCI animal models were established in different age groups to examine the expression of relevant genes and verify the molecular mechanism of p53/HIF-1α axis.

Results

We initially identified 34 ischemia-hypoxia-related genes potentially involved in the progression of SCI. Subsequently, we constructed a diagnostic model based on SCIDEGs using LASSO regression analysis. This model highlighted 9 key genes (TP53, SFTPA1, MASP2, KRT14, IL9, HIF1A, HGFAC, FUT7, and ALPP), which demonstrated high diagnostic accuracy in both the training set (AUC=1) and the validation set (AUC=0.855). Further cross-analysis with ischemia-reperfusion-related datasets confirmed the involvement of HIF1A and TP53. We also observed significant enrichment of HIF1A in organoids composed of mature neurons, which induced neuronal damage. In subsequent spinal cord injury animal models of different age groups, we found that HIF-1α expression was downregulated in the spinal cord tissues of elderly animals. Additionally, we discovered that TP53 activation induces cellular senescence in aging neurons and suppresses HIF-1α expression and autophagy levels within these cells.

Conclusion

In summary, our study suggests that the p53/HIF-1α signaling pathway plays a critical role in regulating neuronal aging and autophagy in the pathogenesis of SCI. Importantly, HIF-1α may represent a promising therapeutic target for SCI treatment.
反对:脊髓损伤(SCI)引起的后肢功能障碍影响患者的身心健康。越来越多的证据表明,老年脊髓损伤患者的恢复能力比年轻人差。然而,具体的分子机制仍不清楚:方法:从 GEO 数据库中收集 SCI 样本的 RNA 表达谱,并利用 R 软件中的 limma 软件包确定参与 SCI 进展的关键基因。利用 LASSO 回归分析构建了基于 SCIDEG 的诊断模型。随后,进行了相关性分析,以确定受关键基因影响的生物学通路。此外,我们还建立了不同年龄组的 SCI 动物模型,以检测相关基因的表达,并验证 p53/HIF-1α 轴的分子机制:结果:我们初步确定了 34 个缺血缺氧相关基因可能参与了 SCI 的进展。随后,我们利用 LASSO 回归分析构建了一个基于 SCIDEG 的诊断模型。该模型突出了9个关键基因(TP53、SFTPA1、MASP2、KRT14、IL9、HIF1A、HGFAC、FUT7和ALPP),在训练集(AUC=1)和验证集(AUC=0.855)中均表现出较高的诊断准确性。与缺血再灌注相关数据集的进一步交叉分析证实了 HIF1A 和 TP53 的参与。我们还在由成熟神经元组成的器官组织中观察到 HIF1A 的明显富集,这诱发了神经元损伤。在随后不同年龄组的脊髓损伤动物模型中,我们发现老年动物的脊髓组织中 HIF-1α 的表达下调。此外,我们还发现 TP53 激活会诱导衰老神经元的细胞衰老,并抑制这些细胞中 HIF-1α 的表达和自噬水平:总之,我们的研究表明,p53/HIF-1α信号通路在SCI发病机制中调节神经元衰老和自噬方面起着关键作用。重要的是,HIF-1α可能是治疗SCI的一个有前景的治疗靶点。
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引用次数: 0
Differential Plin5 response to high-fat diet in cardiomyocytes isolated from young and aged mice 从年轻小鼠和老龄小鼠分离的心肌细胞对高脂肪饮食的不同 Plin5 反应。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.mad.2024.112004
Patricia Baumgarten , Tobias Jung , Christiane Ott , Tilman Grune
This study investigates the differences in the heart response to an 8-week high-fat diet between young and aged mice. Isolated cardiomyocytes reveal a significant lower level in the lipid droplet-associated protein Plin5 in aged mice. High-fat diet, however, leads to an induction of Plin5 in aged mice and a low-response of lipid metabolism, whereas in cardiomyocytes from young animals the Plin5 level was largely unaffected by high-fat diet whereas several lipid metabolizing enzymes were induced. Therefore, the high-fat diet induced lipid droplet accumulation is more pronounced in cardiomyocytes isolated from aged animals.
本研究调查了年轻小鼠和老年小鼠对 8 周高脂肪饮食的心脏反应差异。分离的心肌细胞显示,老年小鼠的脂滴相关蛋白 Plin5 水平明显较低。然而,高脂饮食会导致诱导老年小鼠的 Plin5 和低反应的脂质代谢,而在年轻动物的心肌细胞中,Plin5 的水平基本不受高脂饮食的影响,而几种脂质代谢酶却被诱导。因此,高脂饮食诱导的脂滴积聚在分离自老年动物的心肌细胞中更为明显。
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引用次数: 0
The abundance change of age-regulated secreted proteins affects lifespan of C. elegans 年龄调控分泌蛋白的丰度变化影响秀丽隐杆线虫的寿命
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-11-05 DOI: 10.1016/j.mad.2024.112003
Prasun Kumar Bhunia , Vishwajeet Raj , Prasad Kasturi
Proteome integrity is vital for survival and failure to maintain it results in uncontrolled protein abundances, misfolding and aggregation which cause proteotoxicity. In multicellular organisms, proteotoxic stress is communicated among tissues to maintain proteome integrity for organismal stress resistance and survival. However, the nature of these signalling molecules and their regulation in extracellular space is largely unknown. Secreted proteins are induced in response to various stresses and aging, indicating their roles in inter-tissue communication. To study the fates of age-regulated proteins with potential localization to extracellular, we analysed publicly available age-related proteome data of C. elegans. We found that abundance of majority of the proteins with signal peptides (SP) increases with age, which might result in their supersaturation and subsequent aggregation. Intriguingly, these changes are differentially regulated in the lifespan mutants. A subset of these SP proteins is also found in the cargo of extracellular vesicles. Many of these proteins are novel and functionally uncharacterized. Reducing levels of a few extracellular proteins results in increasing lifespan. This suggests that uncontrolled levels of extracellular proteins might disturb proteostasis and limit the lifespan. Overall, our findings suggest that the age-induced secreted proteins might be the potential candidates to be considered as biomarkers or for mitigating age-related pathological conditions.
蛋白质组的完整性对生存至关重要,如果不能保持蛋白质组的完整性,就会导致蛋白质丰度失控、错误折叠和聚集,从而引起蛋白质中毒。在多细胞生物体中,蛋白质毒性压力会在组织间传递,以保持蛋白质组的完整性,从而提高生物体的抗压能力和生存能力。然而,这些信号分子的性质及其在细胞外空间的调节在很大程度上是未知的。分泌蛋白在应对各种应激和衰老时被诱导,这表明它们在组织间通信中的作用。为了研究可能定位到细胞外的年龄调控蛋白的命运,我们分析了可公开获得的秀丽隐杆线虫与年龄相关的蛋白质组数据。我们发现,大多数带有信号肽(SP)的蛋白质的丰度会随着年龄的增长而增加,这可能会导致它们的过饱和和随后的聚集。有趣的是,这些变化在寿命突变体中受到不同的调控。这些 SP 蛋白的一个子集也存在于细胞外囊泡的货物中。其中许多蛋白质都是新的,功能上尚未定性。降低少数细胞外蛋白质的水平会延长寿命。这表明,不受控制的细胞外蛋白质水平可能会扰乱蛋白稳态并限制寿命。总之,我们的研究结果表明,年龄诱导的分泌蛋白可能被认为是生物标志物或缓解与年龄有关的病理状况的潜在候选蛋白。
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引用次数: 0
Convergence between brain aging and Alzheimer’s disease: Focus on mitochondria 大脑老化与阿尔茨海默氏症之间的趋同性:关注线粒体。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-10-28 DOI: 10.1016/j.mad.2024.112001
Salvatore Vaiasicca , Marta Balietti , Lisa Bevilacqua , Belinda Giorgetti , Tiziana Casoli
Alzheimer's disease (AD) accounts for the majority of dementia cases, with aging being the primary risk factor for developing this neurodegenerative condition. Aging and AD share several characteristics, including the formation of amyloid plaques and neurofibrillary tangles, synaptic loss, and neuroinflammation. This overlap suggests that mechanisms driving the aging process might also promote AD; however, the underlying processes are not yet fully understood. In this narrative review, we will focus on the role of mitochondria, not only as the "powerhouse of the cell", but also in programmed cell death, immune response, macromolecular synthesis, and calcium regulation. We will explore both the common changes between aging and AD and the differences between them. Additionally, we will provide an overview of interventions aimed at maintaining mitochondrial function in an attempt to slow the progression of AD. This will include a discussion of antioxidant molecules, factors that trigger mitochondrial biogenesis, compounds capable of restoring the fission/fusion balance, and a particular focus on recent techniques for mitochondrial DNA gene therapy.
阿尔茨海默病(AD)占痴呆症病例的大多数,而衰老是导致这种神经退行性疾病的主要风险因素。衰老和阿尔茨海默病有几个共同的特征,包括淀粉样蛋白斑块和神经纤维缠结的形成、突触损失和神经炎症。这种重叠表明,驱动衰老过程的机制可能也会促进注意力缺失症的发生;然而,人们对其基本过程尚未完全了解。在这篇叙述性综述中,我们将重点关注线粒体的作用,它不仅是 "细胞的动力室",还在程序性细胞死亡、免疫反应、大分子合成和钙调节中发挥作用。我们将探讨衰老和注意力缺失症之间的共同变化以及它们之间的差异。此外,我们还将概述旨在维持线粒体功能的干预措施,以试图减缓注意力缺失症的进展。这将包括对抗氧化分子、触发线粒体生物生成的因素、能够恢复裂变/融合平衡的化合物的讨论,以及对线粒体 DNA 基因疗法最新技术的特别关注。
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引用次数: 0
Design of the VOILA-intervention study: A 12-week nutrition and resistance exercise intervention in metabolic or mobility compromised Dutch older adults and the response on immune-metabolic, gut and muscle health parameters VOILA 干预研究的设计:对代谢或行动不便的荷兰老年人进行为期 12 周的营养和阻力运动干预,以及对免疫代谢、肠道和肌肉健康参数的影响
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-10-28 DOI: 10.1016/j.mad.2024.112002
C.S. Kramer , A. Monsegue , J. Morwani-Mangnani , P. Grootswagers , M. Beekman , P.E. Slagboom , L.B. Verdijk , L.C.P.G.M. de Groot

Background

Exercise and nutrition interventions can slow ageing-induced decline in physiology. However, effects are heterogeneous and usually studied separately per outcome domain. In the VOILA study, we simultaneously study various health outcomes relevant for older adults and the inter-individual heterogeneity in response to a lifestyle intervention.

Methods

VOILA is a 12-week lifestyle intervention in 3 groups of older adults (≥60 years), with compromised mobility (n=50), compromised metabolic health (n=50), or recovering from total knee replacement (TKR, n=70, of which 20 randomized to standard care only). The intervention includes high-intensity resistance exercise training thrice weekly, nutritional counselling, and nutritional supplements every morning and evening (including 20–25 g whey protein and (evening only) 5.5 g Biotis™ GOS). We measure immune-metabolic, gut health, muscle mass and physical functioning at baseline and after completion of the intervention/standard care. An additional reference group of healthy older adults (n=50) will undergo baseline measurements only.

Discussion

Improvements in various physiological systems are expected, but with differences between groups/individuals. This study will provide insights into how the physiological state of older adults influences the extent of lifestyle-induced health improvements to create better tailored interventions to attenuate biological ageing and improve the health span of subgroups and individuals.
背景运动和营养干预可以减缓衰老引起的生理机能下降。然而,其效果是不均衡的,而且通常是在每个结果领域分别进行研究。在 VOILA 研究中,我们同时研究了与老年人相关的各种健康结果,以及个体间对生活方式干预反应的异质性。方法VOILA 是一项为期 12 周的生活方式干预,对象为 3 组老年人(≥60 岁),分别是行动不便(50 人)、代谢健康受损(50 人)或全膝关节置换术(TKR,70 人,其中 20 人仅随机接受标准护理)术后恢复期的老年人。干预措施包括每周三次的高强度阻力运动训练、营养咨询以及每天早晚的营养补充剂(包括 20-25 克乳清蛋白和(仅晚上)5.5 克 Biotis™ GOS)。我们在基线和完成干预/标准护理后测量免疫代谢、肠道健康、肌肉质量和身体机能。另一个由健康老年人组成的参照组(50 人)将只进行基线测量。这项研究将有助于深入了解老年人的生理状态如何影响生活方式引起的健康改善程度,从而制定出更有针对性的干预措施,以减缓生物老化,改善亚群体和个人的健康状况。
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引用次数: 0
Challenges of infectious diseases in older adults: From immunosenescence and inflammaging through antibiotic resistance to management strategies 老年人传染病的挑战:从免疫衰老和炎症到抗生素耐药性,再到管理策略。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-10-22 DOI: 10.1016/j.mad.2024.111998
Francesca Mancinetti , Anna Marinelli , Virginia Boccardi , Patrizia Mecocci
Infectious diseases in older adults present a significant challenge to the healthcare system, marked by increased morbidity, mortality, and rising costs of care. Age-related changes (ARCs) in the immune system, including immunosenescence and inflammaging, contribute to heightened susceptibility to severe infections and reduced vaccine responsiveness. Additionally, alterations in the normal microbial flora due to aging and factors such as antibiotic therapy predispose older individuals to infections and age-related diseases. Changes in body composition also affect the pharmacokinetics and pharmacodynamics of drugs, complicating the management of antibiotics and leading to potential overdoses, adverse drug reactions, or underdoses that foster antibiotic resistance. The inappropriate use of antibiotics has exacerbated the emergence of multidrug-resistant pathogens, posing a critical global concern. This narrative review provides an overview of immunosenescence and inflammaging and focuses on three major infectious diseases affecting older adults: bacterial pneumonia, urinary tract infections, and Clostridium difficile infections. Through this exploration, we aim to highlight the need for targeted approaches in managing infectious diseases in the aging population.
老年人的传染病给医疗保健系统带来了巨大的挑战,其特点是发病率、死亡率和护理成本上升。免疫系统中与年龄相关的变化(ARCs),包括免疫衰老和炎症老化,导致对严重感染的易感性增加和疫苗反应性降低。此外,由于衰老和抗生素治疗等因素导致的正常微生物菌群的改变,也容易使老年人感染和患上与年龄相关的疾病。身体成分的变化也会影响药物的药代动力学和药效学,使抗生素的管理复杂化,导致潜在的用药过量、药物不良反应或用药不足,从而产生抗生素耐药性。抗生素的不当使用加剧了耐多药病原体的出现,引发了严重的全球性问题。这篇叙述性综述概述了免疫衰老和炎症,并重点关注影响老年人的三种主要传染病:细菌性肺炎、尿路感染和艰难梭菌感染。通过这一探讨,我们旨在强调有必要采取有针对性的方法来管理老龄人口中的传染病。
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引用次数: 0
Impact of senescence cell signature in patients with non-small cell carcinoma and melanoma receiving PD-L1/PD-1 inhibitors 衰老细胞特征对接受 PD-L1/PD-1 抑制剂治疗的非小细胞癌和黑色素瘤患者的影响。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2024-10-18 DOI: 10.1016/j.mad.2024.111999
Young Wha Koh , Jae-Ho Han , Seokjin Haam , Hyun Woo Lee
Tumor cell senescence plays a crucial role in tumor immunity. We investigated whether the senescent cell signature (SCS) could predict prognosis in non-small cell carcinoma (NSCLC) and melanoma datasets treated with PD-L1/PD-1 inhibitors. Patients with high SCS expression exhibited elevated levels of interferon-gamma and T cell-inflamed signatures in three lung adenocarcinomas (LUAD), two squamous cell carcinoma (LUSC) and three melanoma datasets. The high SCS group was associated with PD-L1-related pathways such as IL6/JAK/STAT3 and TNF-alpha signaling via NF-kB in LUAD, LUSC, and melanoma datasets. A positive correlation was observed between several immune checkpoint markers and the SCS, indicating an immunosuppressive state in LUAD, LUSC and melanoma datasets. In patients treated with PD-1/PD-L1 inhibitors, a higher SCS was associated with a better prognosis, and a positive correlation between SCS and PD-L1 was observed in six independent NSCLC and three independent melanoma datasets. We used the LASSO Cox regression model to build a risk model focusing on the SCS genes that particularly predict prognosis. We confirmed that the model accurately predicts prognosis. However, the senescent immunohistochemical markers p16 and p21 could predict the response to PD-1/PD-L1 inhibitors in patients with LUSC and melanoma but not in patients with LUAD. SCS could serve as a valuable biomarker to complement PD-L1 expression in patients receiving PD-L1/PD-1 inhibitors.
肿瘤细胞衰老在肿瘤免疫中起着至关重要的作用。我们研究了衰老细胞特征(SCS)能否预测接受 PD-L1/PD-1 抑制剂治疗的非小细胞癌(NSCLC)和黑色素瘤数据集的预后。在三个肺腺癌(LUAD)、两个鳞状细胞癌(LUSC)和三个黑色素瘤数据集中,SCS高表达患者的γ干扰素和T细胞炎症特征水平升高。在LUAD、LUSC和黑色素瘤数据集中,高SCS组与PD-L1相关通路有关,如IL6/JAK/STAT3和通过NF-kB的TNF-α信号传导。在LUAD、LUSC和黑色素瘤数据集中,观察到几个免疫检查点标记物与SCS之间存在正相关,表明存在免疫抑制状态。在接受 PD-1/PD-L1 抑制剂治疗的患者中,较高的 SCS 与较好的预后相关,在六个独立的 NSCLC 数据集和三个独立的黑色素瘤数据集中观察到 SCS 与 PD-L1 呈正相关。我们使用 LASSO Cox 回归模型建立了一个风险模型,重点关注尤其能预测预后的 SCS 基因。我们证实该模型能准确预测预后。然而,衰老免疫组化标记 p16 和 p21 可以预测 LUSC 和黑色素瘤患者对 PD-1/PD-L1 抑制剂的反应,但不能预测 LUAD 患者对 PD-1/PD-L1 抑制剂的反应。在接受PD-L1/PD-1抑制剂治疗的患者中,SCS可作为补充PD-L1表达的重要生物标志物。
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Mechanisms of Ageing and Development
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