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Molecular signatures of cellular senescence in cancer: a critical review of prognostic implications and therapeutic opportunities 癌症细胞衰老的分子特征:预后意义和治疗机会的重要回顾
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-03-20 DOI: 10.1016/j.mad.2025.112052
Débora C. Santos-Sousa , Solon da Rosa , Eduardo Filippi-Chiela
Cellular senescence is a state of permanent loss of proliferative capacity. Therefore, cells that reach a senescent state prevent tumor initiation, acting as an anti-tumor mechanism. However, despite not being proliferative, senescent cells have high secretory activity, constituting the Senescence-Associated Secretory Phenotype (SASP). SASP includes thousands of soluble molecules and extracellular vesicles, through which senescent cells can affect other cells and the extracellular matrix. In advanced tumors, the enrichment of senescent cells can have anti- or pro-tumor effects depending on features like SASP composition, tumor microenvironment (TME) composition, the anatomic site, histopathologic characteristics of malignancy, and tumor molecular background. We reviewed the studies assessing the impact of the senescence status, measured by mRNA or lncRNA molecular signatures, in the prognosis and other clinically relevant information in cancer, including anti-tumor immunity and response to therapy. We discussed the pros and cons of different strategies to define those molecular signatures and the main limitations of the studies. Finally, we also raised clinical challenges regarding the crossroad between cellular senescence and cancer prognosis, including some therapeutic opportunities in the field.
细胞衰老是一种永久丧失增殖能力的状态。因此,达到衰老状态的细胞阻止了肿瘤的发生,起到了抗肿瘤的作用。然而,尽管没有增殖能力,衰老细胞具有高分泌活性,构成衰老相关分泌表型(SASP)。SASP包括数千个可溶性分子和细胞外囊泡,衰老细胞可以通过这些分子和囊泡影响其他细胞和细胞外基质。在晚期肿瘤中,衰老细胞的富集取决于SASP组成、肿瘤微环境(tumor microenvironment, TME)组成、肿瘤的解剖部位、组织病理特征和肿瘤分子背景等特征,可能具有抗肿瘤或促肿瘤的作用。我们回顾了通过mRNA或lncRNA分子特征来评估衰老状态对癌症预后和其他临床相关信息(包括抗肿瘤免疫和治疗反应)影响的研究。我们讨论了定义这些分子特征的不同策略的优缺点以及研究的主要局限性。最后,我们还提出了关于细胞衰老和癌症预后之间交叉的临床挑战,包括该领域的一些治疗机会。
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引用次数: 0
Exosomal dynamics: Bridging the gap between cellular senescence and cancer therapy 外泌体动力学:弥合细胞衰老和癌症治疗之间的差距。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-03-10 DOI: 10.1016/j.mad.2025.112045
Babu Santha Aswani , Anjana Sajeev , Mangala Hegde , Anamika Mishra , Mohamed Abbas , Thafasalijyas Vayalpurayil , Gautam Sethi , Ajaikumar B. Kunnumakkara
Cancer remains one of the most devastating diseases, severely affecting public health and contributing to economic instability. Researchers worldwide are dedicated to developing effective therapeutics to target cancer cells. One promising strategy involves inducing cellular senescence, a complex state in which cells exit the cell cycle. Senescence has profound effects on both physiological and pathological processes, influencing cellular systems through secreted factors that affect surrounding and distant cells. Among these factors are exosomes, small extracellular vesicles that play crucial roles in cellular communication, development, and defense, and can contribute to pathological conditions. Recently, there has been increasing interest in engineering exosomes as precise drug delivery vehicles, capable of targeting specific cells or intracellular components. Studies have emphasized the significant role of exosomes from senescent cells in cancer progression and therapy. Notably, chemotherapeutic agents can alter the tumor microenvironment, induce senescence, and trigger immune responses through exosome-mediated cargo transfer. This review explores the intricate relationship between cellular senescence, exosomes, and cancer, examining how different therapeutics can eliminate cancer cells or promote drug resistance. It also investigates the molecular mechanisms and signaling pathways driving these processes, highlighting current challenges and proposing future perspectives to uncover new therapeutic strategies for cancer treatment.
癌症仍然是最具破坏性的疾病之一,严重影响公众健康并造成经济不稳定。全世界的研究人员都致力于开发针对癌细胞的有效治疗方法。一个有希望的策略包括诱导细胞衰老,这是细胞退出细胞周期的一种复杂状态。衰老对生理和病理过程都有深远的影响,通过影响周围和远处细胞的分泌因子影响细胞系统。在这些因子中,外泌体是细胞外的小囊泡,在细胞通讯、发育和防御中起着至关重要的作用,并可能导致病理状况。最近,人们对工程外泌体作为精确的药物递送载体越来越感兴趣,能够靶向特定细胞或细胞内成分。研究强调了衰老细胞外泌体在癌症进展和治疗中的重要作用。例如,化疗药物可以改变肿瘤微环境,诱导衰老,并通过外泌体介导的货物转移触发免疫反应。这篇综述探讨了细胞衰老、外泌体和癌症之间的复杂关系,研究了不同的治疗方法如何消除癌细胞或促进耐药性。它还研究了驱动这些过程的分子机制和信号通路,强调了当前的挑战,并提出了未来的观点,以发现新的癌症治疗策略。
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引用次数: 0
Association of cytomegalovirus serostatus with ELOVL2 methylation: Implications for lipid metabolism, inflammation, DNA damage, and repair capacity in the MARK-AGE study population 巨细胞病毒血清状态与 ELOVL2 甲基化的关系:MARK-AGE 研究人群中脂质代谢、炎症、DNA 损伤和修复能力的影响。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-28 DOI: 10.1016/j.mad.2025.112043
Robertina Giacconi , Chiara Pirazzini , Maria Giulia Bacalini , Paolo Garagnani , Miriam Capri , Claudio Franceschi , Carlo Fortunato , Gretta Veronica Badillo Pazmay , Alexander Bürkle , María Moreno Villanueva , Maurizio Cardelli , Francesco Piacenza , Monia Cecati , Laura Cianfruglia , Martijn E.T. Dollé , Eugène Jansen , Tilman Grune , Efstathios S. Gonos , Birgit Weinberger , Ewa Sikora , Marco Malavolta
Cytomegalovirus (CMV) infection has been linked to accelerated biological aging, potentially increasing the risk of cardiovascular disease. DNA methylation of the gene Elongation Of Very Long Chain Fatty Acids-Like 2 (ELOVL2) is a molecular biomarker for aging, and its gene product is involved in polyunsaturated fatty acid synthesis, which impacts immune and inflammatory responses. This study, conducted in the MARK-AGE population, aimed to investigate the relationship between CMV infection and ELOVL2 methylation in adults aged 35–75, as well as the influence of CMV IgG levels on lipid metabolism, inflammation, DNA damage, and DNA repair. Our data revealed a higher prevalence of ischemic heart disease, atrial fibrillation, hypertension, and diabetes in CMV-positive individuals. CMV IgG levels were positively associated with ELOVL2 methylation at specific CpG sites and with increased expression of DNA methyltransferase-1 (DNMT1). CMV IgG was linked to lipid imbalances, such as increased BMI, VLDL-cholesterol, triglycerides, and HDL1-cholesterol. Additionally, ELOVL2 methylation was associated with systemic inflammation markers, lipid parameters and altered T-cell subsets. A negative correlation was observed between CMV IgG levels and both baseline DNA integrity and repair capacity. These results suggest that CMV infection might promote cardiovascular disease through ELOVL2 hypermethylation, lipid dysregulation, inflammation, and DNA damage.
巨细胞病毒(CMV)感染与加速生物衰老有关,可能增加心血管疾病的风险。超长链脂肪酸样2 (ELOVL2)基因的DNA甲基化是衰老的分子生物标志物,其基因产物参与多不饱和脂肪酸的合成,影响免疫和炎症反应。本研究在MARK-AGE人群中进行,旨在研究35-75岁成年人巨细胞病毒感染与ELOVL2甲基化之间的关系,以及巨细胞病毒IgG水平对脂质代谢、炎症、DNA损伤和DNA修复的影响。我们的数据显示cmv阳性个体中缺血性心脏病、房颤、高血压和糖尿病的患病率较高。CMV IgG水平与特定CpG位点ELOVL2甲基化和DNA甲基转移酶-1 (DNMT1)表达增加呈正相关。巨细胞病毒IgG与脂质失衡有关,如BMI、vldl -胆固醇、甘油三酯和hdl1 -胆固醇升高。此外,ELOVL2甲基化与全身炎症标志物、脂质参数和改变的t细胞亚群有关。CMV IgG水平与基线DNA完整性和修复能力呈负相关。这些结果表明CMV感染可能通过ELOVL2高甲基化、脂质失调、炎症和DNA损伤促进心血管疾病。
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引用次数: 0
Heart of the matter: Mitochondrial dynamics and genome alterations in cardiac aging 问题的核心:线粒体动力学和基因组改变在心脏老化
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-27 DOI: 10.1016/j.mad.2025.112044
Claudie Gabillard-Lefort , Théophile Thibault , Guy Lenaers , Rudolf J. Wiesner , Jeanne Mialet-Perez , Olivier R. Baris
Cardiac pathological aging is a serious health issue, with cardiovascular diseases still being a leading cause of deaths worldwide. Therefore, there is an urgent need to identify culprit factors involved in this process. In the last decades, mitochondria, which are crucial for cardiac function, have emerged as major contributors. Mitochondria are organelles involved in a plethora of metabolic pathways and cell processes ranging from ATP production to calcium homeostasis or regulation of apoptotic pathways. This review provides a general overview of the pathomechanisms involving mitochondria during cardiac aging, with a focus on the role of mitochondrial dynamics and mitochondrial DNA (mtDNA). These mechanisms involve imbalanced mitochondrial fusion and fission, loss of mtDNA integrity leading to tissue mosaic of mitochondrial deficiency, as well as mtDNA release in the cytoplasm, promoting inflammation via the NLRP3, cGAS/STING and TLR9 pathways. Potential links between mtDNA, mitochondrial damage and the accumulation of senescent cells in the heart are also discussed. A better understanding of how these factors impact on heart function and accelerate its pathological aging should lead to the development of new therapies to promote healthy aging and restore age-induced cardiac dysfunction.
心脏病理性衰老是一个严重的健康问题,心血管疾病仍然是全球死亡的主要原因。因此,迫切需要确定这一过程中涉及的罪魁祸首因素。在过去的几十年里,对心脏功能至关重要的线粒体已经成为主要的贡献者。线粒体是参与多种代谢途径和细胞过程的细胞器,从ATP产生到钙稳态或凋亡途径的调节。本文综述了心脏衰老过程中涉及线粒体的病理机制,重点介绍了线粒体动力学和线粒体DNA (mtDNA)的作用。这些机制包括不平衡的线粒体融合和裂变,mtDNA完整性的丧失导致线粒体缺陷的组织镶嵌,以及mtDNA在细胞质中的释放,通过NLRP3、cGAS/STING和TLR9途径促进炎症。还讨论了线粒体dna、线粒体损伤和心脏中衰老细胞积累之间的潜在联系。更好地了解这些因素如何影响心脏功能并加速其病理性衰老,将导致新疗法的发展,以促进健康衰老和恢复年龄诱导的心功能障碍。
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引用次数: 0
The relationship between physical activity and telomere length in women: A systematic review 女性身体活动与端粒长度的关系:一项系统综述。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-19 DOI: 10.1016/j.mad.2025.112042
Jeni Page , Catherine Stephens , Melissa Richard , Elizabeth Lyons , Elizabeth Baumler , M. Terese Verklan , Elizabeth Lorenzo
Telomere length (TL) is a biomarker of cellular aging with variations observed by sex, age, race, and ethnicity. Prior studies have suggested that physical activity (PA) may positively impact TL by potentially elongating telomeres and slowing cellular aging. However, research examining the optimal type and intensity of PA needed to elicit these changes specific to women remains limited. This systematic review aimed to investigate variations in TL in response to PA among women, exploring how these effects differ by age, race, or ethnicity. Following PRISMA guidelines, searches across five databases identified 17 relevant studies published from 2008 to 2022. A narrative synthesis of study findings indicated PA did not have a significant relationship with TL in women. However, a possible positive relationship was noted between specific types of PA and TL, specific to combined aerobic and strength-training PA and high intensity interval training interventions. The impact of PA on TL appeared to be age-dependent as well, showing significant positive relationships between PA and TL in early and later adulthood but not in middle adulthood. Findings related to race or ethnicity were inconclusive due to limited analyses from the included studies. The studies varied greatly by PA type, intensity, duration, and frequency, which, along with the reliance on self-reported PA measures in the observational studies, impacted the ability to draw firm conclusions. This review underscores the necessity for future research in large cohort studies using objectively measured PA interventions to further clarify the complex associations between PA and TL in women.
端粒长度(TL)是细胞衰老的生物标志物,随性别、年龄、种族和民族的变化而变化。先前的研究表明,体育活动(PA)可能通过延长端粒和减缓细胞衰老对TL产生积极影响。然而,研究的最佳类型和强度的PA需要引起这些变化,具体到妇女仍然有限。本系统综述旨在调查女性对PA的反应中TL的变化,探讨这些影响如何因年龄、种族或民族而不同。按照PRISMA的指导方针,在五个数据库中进行搜索,确定了从2008年到2022年发表的17项相关研究。对研究结果的叙述综合表明,PA与女性TL没有显著关系。然而,特定类型的PA和TL之间可能存在正相关关系,特别是有氧和力量训练相结合的PA和高强度间歇训练干预。PA对TL的影响也表现出年龄依赖性,在成年早期和后期表现出显著的正相关关系,而在成年中期则没有。由于纳入研究的分析有限,与种族或民族相关的研究结果尚无定论。这些研究因PA类型、强度、持续时间和频率的不同而有很大差异,再加上观察性研究中对自我报告的PA测量的依赖,影响了得出确定结论的能力。这篇综述强调了未来在大型队列研究中使用客观测量的PA干预措施的必要性,以进一步阐明女性PA和TL之间的复杂关系。
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引用次数: 0
Vascular participation in bone healing: Implications related to advancing age and morbidity 血管参与骨愈合:与年龄增长和发病率相关的含义
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-14 DOI: 10.1016/j.mad.2025.112041
Rhonda D. Prisby
Fracture non-union and the related morbidities represent a global health concern. While many factors are necessary for proper bone healing following fracture, the vascular system is requisite. Important considerations include vascular morphology in bone and marrow and the regulation of tissue blood flow. This review discusses the types of fracture management and associated bone repair (i.e., intramembranous vs. endochondral), the phases of bone healing, and the role of the bone vascular network. Finally, fracture healing is considered in the context of advanced age and morbidity.
骨折不愈合及其相关的发病率是一个全球性的健康问题。虽然骨折后的骨愈合需要许多因素,但血管系统是必不可少的。重要的考虑因素包括骨和骨髓中的血管形态和组织血流的调节。这篇综述讨论了骨折治疗的类型和相关的骨修复(即膜内和软骨内),骨愈合的阶段,以及骨血管网络的作用。最后,骨折愈合是在高龄和发病率的背景下考虑的。
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引用次数: 0
Aging: A struggle for beneficial to overcome negative factors made by muscle and bone 衰老:克服肌肉和骨骼造成的负面因素的有益斗争
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-12 DOI: 10.1016/j.mad.2025.112039
Steven S. Welc , Marco Brotto , Kenneth E. White , Lynda F. Bonewald
Musculoskeletal health is strongly influenced by regulatory interactions of bone and muscle. Recent discoveries have identified a number of key mechanisms through which soluble factors released during exercise by bone exert positive effects on muscle and by muscle on bone. Although exercise can delay the negative effects of aging, these beneficial effects are diminished with aging. The limited response of aged muscle and bone tissue to exercise are accompanied by a failure in bone and muscle communication. Here, we propose that exercise induced beneficial factors must battle changes in circulating endocrine and inflammatory factors that occur with aging. Furthermore, sedentary behavior results in the release of negative factors impacting the ability of bone and muscle to respond to physical activity especially with aging. In this review we report on exercise responsive factors and evidence of modification occurring with aging.
肌肉骨骼健康受骨骼和肌肉的调节相互作用的强烈影响。最近的发现已经确定了一些关键机制,通过这些机制,骨骼在运动过程中释放的可溶性因子对肌肉和肌肉对骨骼产生积极影响。虽然运动可以延缓衰老带来的负面影响,但这些有益的影响会随着年龄的增长而减弱。老化的肌肉和骨组织对运动的有限反应伴随着骨骼和肌肉沟通的失败。在这里,我们提出运动诱导的有益因子必须对抗循环内分泌和炎症因子随年龄增长而发生的变化。此外,久坐行为会导致负面因素的释放,影响骨骼和肌肉对身体活动的反应能力,尤其是随着年龄的增长。在这篇综述中,我们报告了运动反应因子和随着年龄增长而发生的改变的证据。
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引用次数: 0
The EZH2/MCM Complex/hTERT axis facilitates hepatocellular carcinoma progression by inhibiting cellular senescence EZH2/MCM复合物/hTERT轴通过抑制细胞衰老促进肝细胞癌的进展
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-09 DOI: 10.1016/j.mad.2025.112040
Ziyi Shen , Yuanhui Wang , Jie Gao , Wei Gu , Ziyi Ren , Luanqi Xu , Rui Qian , Qinyi Miao , Xiaomeng Hu , Yan Wu , Wei Liu , Yi Cai , Chunpeng (Craig) Wan , Yansong Zhu , Lei Sun , Tingdong Yan
The complex pathogenesis of hepatocellular carcinoma (HCC) limits the effectiveness of current therapies. Through RNA sequencing of cancerous and adjacent non-cancerous tissues from six HCC patients, we identified a significant upregulation of MCM2–7 genes, which encode proteins that form the MCM complex, a DNA helicase involved in DNA replication and cell cycle progression. We focused on MCM2, MCM3, and MCM7, and observed that knockdown of these proteins inhibited HCC cell proliferation. Further analysis revealed a critical regulatory axis involving EZH2, the MCM complex, and hTERT. EZH2 was found to be highly correlated with MCM complex gene expression and directly bound to the MCM gene promoters, regulating their expression. This EZH2/MCM complex/hTERT axis may play a key role in suppressing cellular senescence, thereby promoting HCC progression. Knocking down MCM complex genes reduced hTERT expression, inducing HCC cell senescence and enhancing the therapeutic efficacy of sorafenib. These findings suggest that the EZH2/MCM complex/hTERT axis could serve as a novel therapeutic target for HCC.
肝细胞癌(HCC)复杂的发病机制限制了当前治疗的有效性。通过对6例HCC患者癌变组织和邻近非癌变组织的RNA测序,我们发现MCM2-7基因显著上调,该基因编码形成MCM复合物的蛋白质,MCM复合物是一种参与DNA复制和细胞周期进程的DNA解旋酶。我们将重点放在MCM2、MCM3和MCM7上,观察到敲低这些蛋白可抑制HCC细胞增殖。进一步分析发现了一个涉及EZH2、MCM复合体和hTERT的关键调控轴。EZH2与MCM复合体基因表达高度相关,并直接结合MCM基因启动子,调控其表达。EZH2/MCM复合物/hTERT轴可能在抑制细胞衰老中发挥关键作用,从而促进HCC的进展。敲低MCM复合物基因可降低hTERT表达,诱导HCC细胞衰老,提高索拉非尼的治疗效果。这些发现提示EZH2/MCM复合物/hTERT轴可以作为HCC的一种新的治疗靶点。
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引用次数: 0
Oral frailty indicators and cardio- and cerebrovascular diseases in older age: A systematic review 老年人口腔虚弱指标与心脑血管疾病:系统综述。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.mad.2024.112010
Vittorio Dibello , Frank Lobbezoo , Francesco Panza , Madia Lozupone , Alberto Pilotto , Vitalba Vitale , Carlo Custodero , Antonio Dibello , Vincenzo Vertucci , Antonio Daniele , Daniele Manfredini , Vincenzo Solfrizzi
Oral health indicators may contribute to the oral frailty phenotype, an age-related gradual loss of oral function together with a decline in cognitive and physical functions. The present systematic review synthetized current knowledge on the associations of oral frailty indicators and major cardio- and cerebrovascular diseases in older age, including coronary heart disease (CHD), arteriosclerosis, arrhythmias, hypertension, cardiovascular diseases not otherwise specified (NOS), and stroke. The study is registered on PROSPERO-(CRD42023397932). From database inception to March 31, 2024, six different electronic databases were consulted assessing the eligibility of 50,005 records against the inclusion criteria and 20 studies on 226,025 older adults were included. Five different indicators of oral frailty (number of teeth, periodontal disease, general oral health, dry mouth, and bite force) were related to cardio- and cerebrovascular diseases. The number of teeth was associated with all the outcomes except hypertension, followed by periodontal disease associated with CHD, arteriosclerosis, hypertension, and stroke. General oral health and dry mouth were associated with CHD/arrhythmias and CHD/stroke, respectively. Finally, bite force was associated only with cardiovascular diseases NOS. The present findings could help to assess the contribution of each oral frailty indicator to the development of cardio- and cerebrovascular diseases in older age.
口腔健康指标可能导致口腔脆弱表型,这是一种与年龄相关的口腔功能逐渐丧失以及认知和身体功能下降。本系统综述综合了目前关于口腔脆弱指标与老年人主要心脑血管疾病(包括冠心病、动脉硬化、心律失常、高血压、非特指心血管疾病(NOS)和脑卒中)相关的知识。该研究已在PROSPERO-(CRD42023397932)注册。从数据库建立到2024年3月31日,我们参考了6个不同的电子数据库,评估了50,005条记录是否符合纳入标准,并纳入了20项研究,涉及226,025名老年人。口腔虚弱的五项不同指标(牙齿数量、牙周病、口腔总体健康、口干和咬合力)与心脑血管疾病有关。除高血压外,牙齿数量与所有结果相关,其次是伴有冠心病的牙周病、动脉硬化、高血压和中风。一般口腔健康和口干分别与冠心病/心律失常和冠心病/中风相关。最后,咬合力仅与心血管疾病NOS相关。本研究结果有助于评估各口腔脆弱指标对老年心脑血管疾病发展的贡献。
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引用次数: 0
The impact of sleep and exercise on brain atrophy in mild cognitive impairment 睡眠和运动对轻度认知障碍患者脑萎缩的影响。
IF 5.3 3区 医学 Q2 CELL BIOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.mad.2024.112023
Maamoon Mian , Jihane Tahiri , Saadeddine Habbal , Fatima Aftan , P. Hemachandra Reddy
Chronic sleep deprivation and lack of physical exercise may have detrimental effects on overall health, particularly in terms of brain health, with significant implications for cognitive function and well-being. This review explores the impact of chronic sleep deprivation and physical exercise on brain atrophy in mild cognitive impairment (MCI) and Alzheimer’s disease (AD). Drawing insights from 40 selected studies, the review synthesizes evidence on these lifestyle factors' correlations with neurodegenerative changes. Chronic sleep deprivation disrupts circadian rhythms and neurochemical pathways, potentially accelerating brain atrophy, while physical exercise preserves brain structure by enhancing vascular health, reducing inflammation, and supporting synaptic plasticity, particularly in regions like the hippocampus. Results highlight distinct patterns of brain atrophy in AD and MCI, underscoring the potential for targeted interventions to mitigate cognitive decline. Understanding the relationship between sleep disruption and brain health provides insights into strategies for possibly delaying neurodegenerative diseases like MCI, which represents a milder form of Alzheimer's, and AD. The findings underscore the potential utility of integrating sleep therapy and physical exercise interventions in clinical practice for early detection of mild cognitive impairment and potentially delaying disease progression. This integrated approach has been found to promote healthy aging, reduce atrophy rates, and enhance cognitive resilience across aging populations.
长期睡眠不足和缺乏体育锻炼可能对整体健康产生不利影响,特别是在大脑健康方面,对认知功能和福祉产生重大影响。本文综述了慢性睡眠剥夺和体育锻炼对轻度认知障碍(MCI)和阿尔茨海默病(AD)脑萎缩的影响。从40项选定的研究中得出见解,该综述综合了这些生活方式因素与神经退行性变化相关的证据。长期睡眠不足会扰乱昼夜节律和神经化学途径,可能会加速脑萎缩,而体育锻炼可以通过增强血管健康、减少炎症和支持突触可塑性(尤其是海马体等区域)来保护大脑结构。结果强调了AD和MCI中不同的脑萎缩模式,强调了有针对性的干预措施减轻认知能力下降的潜力。了解睡眠中断和大脑健康之间的关系,可以为可能延缓神经退行性疾病(如轻度认知损伤)和阿尔茨海默病(AD)的策略提供见解。轻度认知损伤是阿尔茨海默病的一种轻微形式。研究结果强调了睡眠疗法和体育锻炼干预在临床实践中的潜在效用,可以早期发现轻度认知障碍,并可能延缓疾病进展。这种综合方法已被发现可以促进健康老龄化,减少萎缩率,并增强老年人的认知弹性。
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引用次数: 0
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Mechanisms of Ageing and Development
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