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Common and distinct metabolomic markers related to immune aging in Western European and East African populations 西欧和东非人群中与免疫衰老有关的共同和独特代谢组标记物
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-14 DOI: 10.1016/j.mad.2024.111916
Ozlem Bulut , Godfrey S. Temba , Valerie A.C.M. Koeken , Simone J.C.F.M. Moorlag , L. Charlotte J. de Bree , Vera P. Mourits , Vesla I. Kullaya , Martin Jaeger , Cancan Qi , Niels P. Riksen , Jorge Domínguez-Andrés , Cheng-Jian Xu , Leo A.B. Joosten , Yang Li , Quirijn de Mast , Mihai G. Netea

In old age, impaired immunity causes high susceptibility to infections and cancer, higher morbidity and mortality, and poorer vaccination efficiency. Many factors, such as genetics, diet, and lifestyle, impact aging. This study aimed to investigate how immune responses change with age in healthy Dutch and Tanzanian individuals and identify common metabolites associated with an aged immune profile. We performed untargeted metabolomics from plasma to identify age-associated metabolites, and we correlated their concentrations with ex-vivo cytokine production by immune cells, DNA methylation-based epigenetic aging, and telomere length. Innate immune responses were impacted differently by age in Dutch and Tanzanian cohorts. Age-related decline in steroid hormone precursors common in both populations was associated with higher systemic inflammation and lower cytokine responses. Hippurate and 2-phenylacetamide, commonly more abundant in older individuals, were negatively correlated with cytokine responses and telomere length and positively correlated with epigenetic aging. Lastly, we identified several metabolites that might contribute to the stronger decline in innate immunity with age in Tanzanians. The shared metabolomic signatures of the two cohorts suggest common mechanisms of immune aging, revealing metabolites with potential contributions. These findings also reflect genetic or environmental effects on circulating metabolites that modulate immune responses.

老年人免疫力下降,容易感染疾病和癌症,发病率和死亡率较高,疫苗接种效率较低。遗传、饮食和生活方式等许多因素都会影响衰老。本研究旨在调查健康的荷兰人和坦桑尼亚人的免疫反应是如何随着年龄的增长而变化的,并找出与老化免疫特征相关的常见代谢物。我们对血浆进行了非靶向代谢组学研究,以确定与年龄相关的代谢物,并将这些代谢物的浓度与免疫细胞体内细胞因子的产生、基于DNA甲基化的表观遗传衰老和端粒长度相关联。荷兰和坦桑尼亚队列中的先天性免疫反应受年龄的影响不同。两种人群中常见的类固醇激素前体随年龄增长而减少,这与较高的全身炎症反应和较低的细胞因子反应有关。通常在老年人中含量较高的马尿酸盐和 2-苯基乙酰胺与细胞因子反应和端粒长度呈负相关,而与表观遗传老化呈正相关。最后,我们发现了几种代谢物,它们可能是坦桑尼亚人先天免疫力随年龄增长而下降的原因。两组人群共同的代谢组特征表明了免疫衰老的共同机制,揭示了可能起作用的代谢物。这些发现也反映了遗传或环境对调节免疫反应的循环代谢物的影响。
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引用次数: 0
Long-COVID-19 autonomic dysfunction: An integrated view in the framework of inflammaging Long-COVID-19 自主神经功能障碍:炎症框架下的综合观点。
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-13 DOI: 10.1016/j.mad.2024.111915
Sergio Giunta , Chiara Giordani , Maria De Luca , Fabiola Olivieri

The recently identified syndrome known as Long COVID (LC) is characterized by a constellation of debilitating conditions that impair both physical and cognitive functions, thus reducing the quality of life and increasing the risk of developing the most common age-related diseases. These conditions are linked to the presence of symptoms of autonomic dysfunction, in association with low cortisol levels, suggestive of reduced hypothalamic-pituitary-adrenal (HPA) axis activity, and with increased pro-inflammatory condition. Alterations of dopamine and serotonin neurotransmitter levels were also recently observed in LC. Interestingly, at least some of the proposed mechanisms of LC development overlap with mechanisms of Autonomic Nervous System (ANS) imbalance, previously detailed in the framework of the aging process. ANS imbalance is characterized by a proinflammatory sympathetic overdrive, and a concomitant decreased anti-inflammatory vagal parasympathetic activity, associated with reduced anti-inflammatory effects of the HPA axis and cholinergic anti-inflammatory pathway (CAP). These neuro-immune-endocrine system imbalanced activities fuel the vicious circle of chronic inflammation, i.e. inflammaging. Here, we refine our original hypothesis that ANS dysfunction fuels inflammaging and propose that biomarkers of ANS imbalance could also be considered biomarkers of inflammaging, recognized as the main risk factor for developing age-related diseases and the sequelae of viral infections, i.e. LC.

最近发现的 "Long COVID(LC)"综合征的特点是一系列衰弱的症状,这些症状损害了身体和认知功能,从而降低了生活质量,增加了罹患最常见的老年相关疾病的风险。这些病症与自律神经功能失调症状、皮质醇水平低(提示下丘脑-垂体-肾上腺(HPA)轴活动减弱)和促炎症增加有关。最近还在低密度脂蛋白血症患者中观察到多巴胺和血清素神经递质水平的变化。有趣的是,至少一些关于 LC 发展的拟议机制与自律神经系统(ANS)失衡的机制重叠,这在之前的衰老过程框架中已有详细阐述。自律神经系统失衡的特点是交感神经过度兴奋,同时迷走神经副交感神经的抗炎活性降低,这与 HPA 轴和胆碱能抗炎途径(CAP)的抗炎作用降低有关。这些神经-免疫-内分泌系统失衡的活动助长了慢性炎症的恶性循环,即炎症老化。在此,我们对自律神经系统功能失调助长炎症反应的最初假设进行了完善,并提出自律神经系统失衡的生物标志物也可被视为炎症反应的生物标志物,而炎症反应被认为是罹患老年相关疾病和病毒感染后遗症(即 LC)的主要风险因素。
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引用次数: 0
WDR23 mediates NRF2 proteostasis and cytoprotective capacity in the hippocampus WDR23 在海马中介导 NRF2 蛋白稳态和细胞保护能力
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-01 DOI: 10.1016/j.mad.2024.111914
Jiahui Liu, Chatrawee Duangjan , Ronald W. Irwin , Sean P. Curran

Pathogenic brain aging and neurodegenerative diseases such as Alzheimer's disease and Parkinson’s disease are characterized by chronic neuroinflammation and the accumulation of dysfunctional or misfolded proteins that lead to progressive neuronal cell death. Here we demonstrate that a murine model with global loss of the CUL4-DDB1 substrate receptor WDR23 (Wdr23KO) results in changes in multiple age-related hippocampal-dependent behaviors. The behavioral differences observed in Wdr23KO animals accompany the stabilization of the NRF2/NFE2L2 protein, an increase in RNA transcripts regulated by this cytoprotective transcription factor, and an increase in the steady state level of antioxidant defense proteins. Taken together, these findings reveal a role for WDR23-proteostasis in mediating cytoprotective capacity in the hippocampus and reveal the potential for targeting WDR23-NRF2 signaling interactions for development of therapies for neurodegenerative disorders.

致病性脑衰老和神经退行性疾病(如阿尔茨海默病和帕金森病)的特征是慢性神经炎症和功能失调或折叠错误蛋白质的积累,从而导致神经细胞进行性死亡。在这里,我们证明了一种全面缺失 CUL4-DDB1 底物受体 WDR23(Wdr23KO)的小鼠模型会导致多种与年龄相关的海马依赖行为发生变化。在 Wdr23KO 动物身上观察到的行为差异伴随着 NRF2/NFE2L2 蛋白的稳定、受该细胞保护转录因子调控的 RNA 转录本的增加以及抗氧化防御蛋白稳态水平的提高。综上所述,这些发现揭示了 WDR23 蛋白稳态在介导海马细胞保护能力中的作用,并揭示了针对 WDR23-NRF2 信号相互作用开发神经退行性疾病疗法的潜力。
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引用次数: 0
The close relationship between oocyte aging and telomere shortening, and possible interventions for telomere protection 卵母细胞老化与端粒缩短的密切关系,以及保护端粒的可能干预措施
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-01 DOI: 10.1016/j.mad.2024.111913
Saffet Ozturk

As women delay childbearing due to socioeconomic reasons, understanding molecular mechanisms decreasing oocyte quantity and quality during ovarian aging becomes increasingly important. The ovary undergoes biological aging at a higher pace when compared to other organs. As is known, telomeres play crucial roles in maintaining genomic integrity, and their shortening owing to increased reactive oxygen species, consecutive cellular divisions, genetic and epigenetic alterations is associated with loss of developmental competence of oocytes. Novel interventions such as antioxidant treatments and regulation of gene expression are being investigated to prevent or rescue telomere attrition and thereby oocyte aging. Herein, potential factors and molecular mechanisms causing telomere shortening in aging oocytes were comprehensively reviewed. For the purpose of extending reproductive lifespan, possible therapeutic interventions to protect telomere length were also discussed.

随着妇女因社会经济原因推迟生育,了解卵巢衰老过程中卵母细胞数量和质量下降的分子机制变得越来越重要。与其他器官相比,卵巢的衰老速度更快。众所周知,端粒在维持基因组完整性方面起着至关重要的作用,而活性氧增加、细胞连续分裂、遗传和表观遗传学改变导致的端粒缩短与卵母细胞发育能力的丧失有关。目前正在研究新的干预措施,如抗氧化治疗和基因表达调控,以预防或挽救端粒损耗,从而防止卵母细胞衰老。本文全面综述了导致老化卵母细胞端粒缩短的潜在因素和分子机制。为了延长生殖寿命,还讨论了保护端粒长度的可能治疗干预措施。
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引用次数: 0
Age-dependent energy metabolism and transcriptome changes in urine-derived stem cells 尿液衍生干细胞随年龄变化的能量代谢和转录组变化
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-22 DOI: 10.1016/j.mad.2024.111912
Elisabete Ferreiro , Mariana Monteiro , Francisco Pereira , Cristina Barroso , Conceição Egas , Paula Macedo , Jorge Valero , Vilma A. Sardão , Paulo J. Oliveira

The global population over 60 years old is projected to reach 1.5 billion by 2050. Understanding age-related disorders and gender-specificities is crucial for a healthy aging. Reliable age-related biomarkers are needed, preferentially obtained through non-invasive methods. Urine-derived stem cells (UDSCs) can be easily obtained, although a detailed bioenergetic characterization, according to the donor aging, remain unexplored. UDSCs were isolated from young and elderly adult women (22–35 and 70–94 years old, respectively). Surprisingly, UDSCs from elderly subjects exhibited significantly higher maximal oxygen consumption and bioenergetic health index than those from younger individuals, evaluated through oxygen consumption rate. Exploratory data analysis methods were applied to engineer a minimal subset of features for the classification and stratification of UDSCs. Additionally, RNAseq of UDSCs was performed to identify age-related transcriptional changes. Transcriptional analysis revealed downregulation of genes related to glucuronidation and estrogen metabolism, and upregulation of inflammation-related genes in UDSCs from elderly individuals. This study demonstrates unexpected differences in the UDSCs’ OCR between young and elderly individuals, revealing improved bioenergetics in concurrent with an aged-like transcriptome signature. UDSCs offer a non-invasive model for studying age-related changes, holding promise for aging research and therapeutic studies.

预计到 2050 年,全球 60 岁以上人口将达到 15 亿。了解与年龄相关的疾病和性别特异性对于健康老龄化至关重要。我们需要可靠的与年龄相关的生物标志物,这些标志物最好通过非侵入性方法获得。尿源干细胞(UDSCs)很容易获得,但根据供体的衰老程度进行详细的生物能表征仍有待探索。我们从年轻和年长的成年女性(分别为 22-35 岁和 70-94 岁)身上分离出尿源性干细胞。令人惊讶的是,通过耗氧率评估,来自老年受试者的 UDSCs 的最大耗氧量和生物能健康指数明显高于来自年轻人的 UDSCs。探索性数据分析方法被用于设计用于 UDSCs 分类和分层的最小特征子集。此外,还对 UDSCs 进行了 RNAseq 分析,以确定与年龄相关的转录变化。转录分析表明,在老年人的 UDSCs 中,与葡萄糖醛酸化和雌激素代谢相关的基因下调,而与炎症相关的基因上调。这项研究表明,UDSCs的OCR在年轻人和老年人之间存在意想不到的差异,揭示了生物能的改善与类似老年人的转录组特征。UDSCs 为研究与年龄有关的变化提供了一种非侵入性模型,为老龄化研究和治疗研究带来了希望。
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引用次数: 0
Calcium transferring from ER to mitochondria via miR-129/ITPR2 axis controls cellular senescence in vitro and in vivo 钙通过 miR-129/ITPR2 轴从 ER 转移到线粒体,控制体外和体内的细胞衰老
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-11 DOI: 10.1016/j.mad.2024.111902
Yue Gao , Lei Xu , Yaru Li , Dandan Qi , Chaofan Wang , Changjiao Luan , Shihui Zheng , Qiu Du , Weili Liu , Guotao Lu , Weijuan Gong , Xingjie Ma

Senescent cells are known to be accumulated in aged organisms. Although the two main characteristics, cell cycle arrest (for dividing cells) and secretion of senescence-associated secretory phenotype (SASP) factors, have been well described, the lack of sufficient senescent markers and incomplete understanding of mechanisms have limited the progress of the anti-senescence field. Calcium transferred from the endoplasmic reticulum (ER) via inositol 1, 4, 5-trisphosphate receptor type 2 (ITPR2) to mitochondria has emerged as a key player during cellular senescence and aging. However, the internal regulatory mechanisms, particularly those of endogenous molecules, remain only partially understood. Here we identified miRNA-129 (miR-129) as a direct repressor of ITPR2. Interestingly, miR-129 controlled a cascade of intracellular calcium signaling, mitochondrial membrane potential (MMP), reactive oxygen species (ROS), DNA damage, and consequently cellular senescence through ITPR2 and mitochondrial calcium uniporter (MCU). In addition, miR-129 was repressed in different senescence models and delayed bleomycin-induced cellular senescence. Importantly, intraperitoneal injection of miR-129 partly postponed bleomycin-accelerated lung aging and natural aging markers as well as reduced immunosenescence markers in mice. Altogether, these findings demonstrated that miR-129 regulated cellular senescence and aging markers via intracellular calcium signaling by directly targeting ITPR2.

众所周知,衰老生物体内会积累衰老细胞。虽然衰老细胞的两个主要特征,即细胞周期停滞(分裂细胞)和分泌衰老相关分泌表型(SASP)因子,已经得到了很好的描述,但由于缺乏足够的衰老标志物和对机制的不完全了解,限制了抗衰老领域的进展。钙从内质网(ER)通过肌醇 1、4、5-三磷酸受体 2 型(ITPR2)转移到线粒体已成为细胞衰老和老化过程中的关键因素。然而,内部调控机制,尤其是内源性分子的调控机制,仍然只有部分了解。在这里,我们发现 miRNA-129 (miR-129)是 ITPR2 的直接抑制因子。有趣的是,miR-129 通过 ITPR2 和线粒体钙离子单运体(MCU)控制了细胞内钙信号转导、线粒体膜电位(MMP)、活性氧(ROS)、DNA 损伤以及细胞衰老的一连串过程。此外,miR-129 在不同的衰老模型中被抑制,并延缓了博莱霉素诱导的细胞衰老。重要的是,腹腔注射 miR-129 部分延缓了博莱霉素加速的小鼠肺衰老和自然衰老标记物,并减少了免疫衰老标记物。总之,这些研究结果表明,miR-129 通过直接靶向 ITPR2,通过细胞内钙信号调控细胞衰老和衰老标志物。
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引用次数: 0
Novel 18-norspirostane steroidal saponins: Extending lifespan and mitigating neurodegeneration through promotion of mitophagy and mitochondrial biogenesis in Caenorhabditis elegans 新型 18-Norspirostane 类固醇皂甙:通过促进线粒体吞噬和线粒体生物生成延长秀丽隐杆线虫的寿命并缓解神经退行性变
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-01-10 DOI: 10.1016/j.mad.2024.111901
An-Guo Wu , Yuan-Yuan Yong , Chang-Long He , Ya-Ping Li , Xing-Yue Zhou , Lu Yu , Qi Chen , Cai Lan , Jian Liu , Chong-Lin Yu , Da-Lian Qin , Jian-Ming Wu , Xiao-Gang Zhou

Pharmacological strategies to delay aging and combat age-related diseases are increasingly promising. This study explores the anti-aging and therapeutic effects of two novel 18-norspirostane steroidal saponins from Trillium tschonoskii Maxim, namely deoxytrillenoside CA (DTCA) and epitrillenoside CA (ETCA), using Caenorhabditis elegans (C. elegans). Both DTCA and ETCA significantly extended the lifespan of wild-type N2 worms and improved various age-related phenotypes, including muscle health, motility, pumping rate, and lipofuscin accumulation. Furthermore, these compounds exhibited notable alleviation of pathology associated with Parkinson's disease (PD) and Huntington's disease (HD), such as the reduction of α-synuclein and poly40 aggregates, improvement in motor deficits, and mitigation of neuronal damage. Meanwhile, DTCA and ETCA improved the lifespan and healthspan of PD- and HD-like C. elegans models. Additionally, DTCA and ETCA enhanced the resilience of C. elegans against heat and oxidative stress challenges. Mechanistic studies elucidated that DTCA and ETCA induced mitophagy and promoted mitochondrial biogenesis in C. elegans, while genetic mutations or RNAi knockdown affecting mitophagy and mitochondrial biogenesis effectively eliminated their capacity to extend lifespan and reduce pathological protein aggregates. Together, these compelling findings highlight the potential of DTCA and ETCA as promising therapeutic interventions for delaying aging and preventing age-related diseases.

延缓衰老和防治老年相关疾病的药理策略越来越有前景。本研究以 elegans(秀丽隐杆线虫)为研究对象,探讨了来自 Trillium tschonoskii Maxim 的两种新型 18-norspirostane 固醇皂甙(即脱氧三尖杉甙 CA (DTCA) 和表三尖杉甙 CA (ETCA))的抗衰老和治疗作用。DTCA和ETCA都显著延长了野生型N2蠕虫的寿命,并改善了各种与年龄相关的表型,包括肌肉健康、运动能力、泵送速率和脂褐素积累。此外,这些化合物还明显减轻了帕金森病(PD)和亨廷顿病(HD)的病理变化,如减少α-突触核蛋白和poly40的聚集、改善运动障碍和减轻神经元损伤。同时,DTCA 和 ETCA 还能改善类帕金森病和类 HD 中优雅小鼠模型的寿命和健康寿命。此外,DTCA 和 ETCA 还能增强 elegans 对热和氧化应激挑战的适应能力。机制研究阐明,DTCA 和 ETCA 能诱导有丝分裂并促进 elegans 中线粒体的生物生成,而影响有丝分裂和线粒体生物生成的基因突变或 RNAi 敲除能有效消除它们延长寿命和减少病理蛋白聚集的能力。这些令人信服的发现共同凸显了 DTCA 和 ETCA 作为延缓衰老和预防老年相关疾病的治疗干预措施的潜力。
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引用次数: 0
Moderate dietary restriction delays the onset of age-associated sarcopenia in Caenorhabditis elegans due to reduced myosin UNC-54 degradation 由于肌球蛋白 UNC-54 降解减少,适度限制饮食可延缓草履虫年龄相关性肌肉疏松症的发生。
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-12-30 DOI: 10.1016/j.mad.2023.111900
Sobha Tumbapo , Adam Strudwick , Jana J. Stastna , Simon C. Harvey , Marieke J. Bloemink

Sarcopenia, a gradual decrease in skeletal muscle mass and strength, is a major component of frailty in the elderly, with age, (lack of) exercise and diet found to be the major risk factors. The nematode Caenorhabditis elegans is an important model of sarcopenia. Although many studies describe loss of muscle function in ageing C. elegans, surprisingly few report on the loss of muscle mass. Here, in order to quantify loss of muscle mass under various dietary restriction (DR) conditions, we used an internal GFP standard to determine levels of the major body wall muscle myosin (UNC-54) in transgenic unc-54::gfp worms over their lifespan. Myosin density linearly increased during the first week of adulthood and there was no significant effect of DR. In contrast, an exponential decrease in myosin density was seen during the second week of adulthood, with reduced rates of myosin loss for mild and medium DR compared to control. UNC-54 turnover rates, previously determined using pulse-labelling methods, correspond well with the t1/2 value found here for UNC-54-GFP using fluorescence (control t1/2 = 12.0 days), independently validating our approach. These data indicate that sarcopenia is delayed in worms under mild and medium DR due to a reduced rate of myosin UNC-54 degradation, thereby maintaining protein homeostasis.

肌肉疏松症是指骨骼肌质量和力量逐渐减少,是老年人体弱的主要原因,而年龄、(缺乏)运动和饮食是主要的风险因素。线虫是肌少症的重要模型。尽管许多研究都描述了老化线虫肌肉功能的丧失,但令人惊讶的是,有关肌肉质量丧失的报告却寥寥无几。在此,为了量化各种饮食限制(DR)条件下肌肉质量的损失,我们使用内部 GFP 标准来测定转基因 unc-54::gfp蠕虫在整个生命周期中主要体壁肌肉肌球蛋白(UNC-54)的水平。肌球蛋白密度在成年后的第一周呈线性增长,DR对其没有显著影响。相反,肌球蛋白密度在成年后第二周呈指数下降,与对照组相比,轻度和中度 DR 的肌球蛋白损失率降低。之前用脉冲标记法测定的 UNC-54 转化率与这里用荧光法发现的 UNC-54-GFP t1/2 值(对照组 t1/2 = 12.0 天)非常吻合,从而独立验证了我们的方法。这些数据表明,在轻度和中度 DR 条件下,由于肌球蛋白 UNC-54 降解速度降低,蠕虫的肌肉疏松症会延迟发生,从而维持蛋白质的平衡。
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引用次数: 0
Sleep disorders and Alzheimer’s disease pathophysiology: The role of the Glymphatic System. A scoping review 睡眠障碍与阿尔茨海默病病理生理学:淋巴系统的作用。范围界定综述。
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-12-30 DOI: 10.1016/j.mad.2023.111899
Kyriaki Astara , Alexandros Tsimpolis , Konstantinos Kalafatakis , George D. Vavougios , Georgia Xiromerisiou , Efthimios Dardiotis , Nikos G. Christodoulou , Myrto T. Samara , Andreas S. Lappas

Background

Alzheimer’s disease (AD) is highly intertwined with sleep disturbances throughout its whole natural history. Sleep consists of a major compound of the functionality of the glymphatic system, as the synchronized slow-wave activity during NREM facilitates cerebrospinal and interstitial long-distance mixing. Objective: The present study undertakes a scoping review of research on the involvement of the glymphatic system in AD-related sleep disturbances. Design: we searched Medline, Embase, PsychInfo and HEAL-link databases, without limitations on date and language, along with reference lists of relevant reviews and all included studies. We included in vivo, in vitro and post-mortem studies examining glymphatic implications of sleep disturbances in human populations with AD spectrum pathology. A thematic synthesis of evidence based on the extracted content was applied and presented in a narrative way. Results: In total, 70 original research articles were included and were grouped as following: a) Protein aggregation and toxicity, after sleep deprivation, along with its effects on sleep architecture, b) Glymphatic Sequalae in SDB, yielding potential glymphatic markers c) Circadian Dysregulation, d) Possible Interventions. Conclusions: this review sought to provide insight into the role of sleep disturbances in AD pathogenesis, in the context of the glymphatic disruption

背景:阿尔茨海默病(AD)的整个自然病史都与睡眠障碍密切相关。睡眠是脑 glymphatic 系统功能的主要复合体,因为 NREM 期间的同步慢波活动有助于脑脊液和脑间质的长距离混合:设计:我们检索了 Medline、Embase、PsychInfo 和 HEAL-link 数据库,对日期和语言没有限制,同时还检索了相关综述的参考文献目录和所有纳入的研究。我们纳入了体内、体外和死后研究,这些研究探讨了AD谱系病变人群睡眠障碍对脑部的影响。根据所提取的内容对证据进行了专题综合,并以叙述的方式进行了呈现:结果:共收录了 70 篇原创研究文章,并将其分为以下几组:a) 睡眠剥夺后的蛋白质聚集和毒性,以及其对睡眠结构的影响;b) SDB 中的睡眠障碍,产生潜在的睡眠障碍标志物;c) 昼夜节律失调;d) 可能的干预措施。结论:本综述试图从睡眠障碍的角度深入探讨睡眠障碍在 AD 发病机制中的作用。
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引用次数: 0
A feasibility study of the combination of intranasal insulin with oral semaglutide for cognition in older adults with metabolic syndrome at high dementia risk- Study rationale and design 鼻内胰岛素与口服塞马鲁肽联合治疗老年痴呆症高危代谢综合征患者认知能力的可行性研究--研究原理与设计
IF 5.3 3区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-12-29 DOI: 10.1016/j.mad.2023.111898
Tal Davidy , Iscka Yore , Tali Cukierman-Yaffe , Ramit Ravona-Springer , Abigail Livny , Orit H. Lesman-Segev , Yossi Azuri , Owen Carmichael , Dimitrios Kapogiannis , Henrik Zetterberg , HungMo Lin , Mary Sano , Michal Schnaider Beeri

Introduction

We present the rationale and design of a double-blind placebo-controlled feasibility trial combining intranasal insulin (INI) with semaglutide, a GLP-1 receptor agonist, to improve cognition in older adults with metabolic syndrome (MetS) and mild cognitive impairment (MCI). Since both INI and dulaglutide have beneficial effects on the cerebrovascular disease (CVD), we anticipate that improved CVD will underlie the hypothesized cognitive benefits.

Methods

This 12-months trial will include 80 older adults aged > 60 with MetS and MCI, randomized to 4 groups: INI/oral semaglutide, intranasal placebo/oral semaglutide, INI/oral placebo, and intranasal placebo/oral placebo. Feasibility of combining INI with semaglutide will be tested by examining the ease of use of INI (20IU, twice/day) with semaglutide (14 once daily), adherence, and safety profile are the efficacy of combination therapy on global cognition and neurobiological markers: cerebral blood flow, cerebral glucose utilization, white matter hyperintensities, Alzheimer’s related blood biomarkers and expression of insulin signaling proteins measured in brain-derived exosomes. Efficacy will be assessed for the intent-to-treat sample.

Discussion

This feasibility study is anticipated to provide the basis for a multi-center large-scale randomized clinical trial (RCT) of the cognitive benefits of the combination of INI with semaglutide in individuals enriched for CVD and at high dementia risk.

引言我们介绍了一项双盲安慰剂对照可行性试验的原理和设计,该试验将鼻内胰岛素(INI)与 GLP-1 受体激动剂塞马鲁肽(semaglutide)相结合,以改善患有代谢综合征(MetS)和轻度认知障碍(MCI)的老年人的认知能力。由于INI和度拉鲁肽对脑血管疾病(CVD)都有益处,我们预计CVD的改善将是假设的认知益处的基础:INI/口服塞马鲁肽、鼻内安慰剂/口服塞马鲁肽、INI/口服安慰剂和鼻内安慰剂/口服安慰剂。将通过研究 INI(20IU,2 次/天)与塞马鲁肽(14 次/天)的易用性、依从性和安全性,测试 INI 与塞马鲁肽联合治疗的可行性,以及联合治疗对整体认知和神经生物学标志物的疗效:脑血流量、脑葡萄糖利用率、白质高密度、阿尔茨海默氏症相关血液生物标志物和脑源性外泌体中测量的胰岛素信号蛋白的表达。这项可行性研究预计将为多中心大规模随机临床试验(RCT)奠定基础,该试验将评估胰岛素诱导的心血管疾病和痴呆症高危人群联合使用semaglutide对认知的益处。
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Mechanisms of Ageing and Development
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