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Age-Related Changes in the Metabolomic Composition of Macaque (Macaca fascicularis) Ocular Tissues 猕猴眼组织中与年龄有关的代谢组成分变化
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-22 DOI: 10.1134/S2079057023600246
V. V. Yanshole, M. V. Fomenko, L. V. Yanshole, N. A. Osik, E. Y. Radomskaya, D. V. Bulgin, Y. P. Tsentalovich

The study is aimed at determining age-related changes in ocular tissues of crab-eating macaque (Macaca fascicularis). To this end, we measured the concentrations of a total of 71 major metabolites in aqueous humor, vitreous humor, and lens of two groups of animals, young (4-year-old, n = 6) and aged (21-year-old and 27-year-old, n = 2) macaques. Significant age-related changes were revealed for all three tissues. In the lens, the most significant changes were found for cytoprotective compounds – antioxidants, osmolytes, and molecular ultraviolet (UV) filters: the concentrations of these metabolites in the lenses of aged animals are much lower. The observed changes contribute to increased oxidative stress and predispose the lens to the development of cataracts. The majority of cytoprotective metabolites are synthetized in the lens epithelium. Findings of this work indicate that the observed age-related changes may be caused by the impairment of the lens epithelial cells leading to the increase of oxidative stress in the lens nucleus and developing of age-related cataracts.

摘要 本研究旨在确定食蟹猕猴(Macaca fascicularis)眼组织中与年龄有关的变化。为此,我们测定了两组动物(幼年猕猴(4 岁,n = 6)和老年猕猴(21 岁和 27 岁,n = 2))的房水、玻璃体和晶状体中总共 71 种主要代谢物的浓度。这三种组织都出现了与年龄相关的显著变化。在晶状体中,细胞保护化合物--抗氧化剂、渗透溶解物和分子紫外线(UV)过滤物的变化最为显著:这些代谢物在老年动物晶状体中的浓度要低得多。观察到的这些变化导致氧化应激增加,使晶状体容易发生白内障。大部分细胞保护代谢物是在晶状体上皮合成的。这项研究结果表明,观察到的与年龄有关的变化可能是由于晶状体上皮细胞受损,导致晶状体核内氧化应激增加,从而引发与年龄有关的白内障。
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引用次数: 0
Comparative Analysis of Cell Senescence Induced by the Chemotherapeutic Agents Doxorubicin, Cisplatin and Arsenic Trioxide in Human Myoblasts MB135 化疗药物多柔比星、顺铂和三氧化二砷诱导人肌细胞 MB135 细胞衰老的比较分析
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-22 DOI: 10.1134/S2079057024600010
M. A. Chelombitko, G. V. Morgunova, N. Yu. Strochkova, R. A. Zinovkin, A. N. Pavlyuchenkova, N. D. Kondratenko, K. G. Lyamzaev

Genotoxic and cytotoxic drugs, widely used in anticancer therapy, target proliferating cells and induce cell death through a variety of cell cycle-dependent mechanisms. The mechanisms of the delayed toxicity induced by chemotherapy are not fully understood. The accumulation of senescent cells may underlie some of the mechanisms for the development of late adverse effects of chemotherapy on muscle tissue. Cellular models are necessary for the development of therapeutic approaches to these side effects. In our study we used human immortalized myoblast MB135 to optimize the protocol for obtaining the senescent phenotype of muscle cells under the influence of chemotherapeutic drugs such as doxorubicin, cisplatin and arsenic trioxide (As2O3). We evaluated the dynamics of changes in senescence proteins pRb, p21 and p53 and SASP-associated proteins such as TNF, IL-1b, IL-6, IL-8, CXCL2, GDF15 using Western blot, RT-PCR and ELISA. Cell senescence was confirmed by the measurement of cell senescence index by flow cytometry after 7 days of exposure to chemotherapeutic agents. The obtained results indicate that all three investigated chemotherapeutic compounds induce the appearance of senescence markers, but the dynamics of these changes are somewhat different for them, which may reflect differences in the mechanisms of senescence phenotype induction.

摘要 广泛用于抗癌治疗的基因毒性和细胞毒性药物以增殖细胞为靶点,通过各种依赖细胞周期的机制诱导细胞死亡。化疗引起延迟毒性的机制尚未完全明了。衰老细胞的积累可能是化疗对肌肉组织产生后期不良反应的某些机制的基础。细胞模型是开发治疗这些副作用的方法所必需的。在我们的研究中,我们使用了人类永生肌母细胞 MB135,优化了在多柔比星、顺铂和三氧化二砷(As2O3)等化疗药物影响下获得肌肉细胞衰老表型的方案。我们使用 Western 印迹、RT-PCR 和 ELISA 评估了衰老蛋白 pRb、p21 和 p53 以及 SASP 相关蛋白(如 TNF、IL-1b、IL-6、IL-8、CXCL2 和 GDF15)的动态变化。暴露于化疗药物 7 天后,通过流式细胞术测量细胞衰老指数来证实细胞衰老。结果表明,所有三种研究的化疗化合物都会诱导衰老标志物的出现,但它们的变化动态有些不同,这可能反映了衰老表型诱导机制的差异。
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引用次数: 0
Reductionism and Holism in the History of Aging and Longevity Research: Does the Whole Have Parts? Part 1. The Building of Reductionism 衰老与长寿研究史上的还原论与整体论:整体有部分吗?第 1 部分:还原论的建立还原论的建立
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-22 DOI: 10.1134/S2079057024600022
Ilia Stambler

The research of aging, rejuvenation and life extension has been notoriously characterized by a multitude of often contradictory approaches, both in terms of theoretical concepts as well as possible practical interventions. This work will explore a general taxonomy of these approaches that seems to be ubiquitous in the history of aging and longevity research. The taxonomy will juxtapose between reductionist/therapeutic and holistic/hygienic approaches to potential rejuvenating and life-extending interventions. Both approaches sought to achieve biological equilibrium and constancy of internal environment, yet emphasized diverging means and diverging perceptions of what constitutes equilibrium and constancy. The reductionist approach saw the human body as a machine in need of repair and internal adjustment and equilibration, seeking to achieve material homeostasis by eliminating damaging agents and introducing biological replacements, in other words, working by subtraction and addition toward balance. The holistic approach, in contrast, focused on the equilibration of the organism as a unit within the environment, strongly emphasizing the direct sustaining and revitalizing power of the mind and hygienic regulation of behavior. In the holistic approach, internal equilibrium was sought not so much through calibrating intrusions, but through resistance to intrusions. The apparent relative weight of each approach in academic and public discourse will be shown to change with time, in several western countries, with a special focus on France, Austria and Germany, in the first half of the 20th century. This work (the first part in a sequence of two) will demonstrate the initial fascination with reductionist rejuvenation and life extension attempts, in this time and area, that were encouraging, yet eventually came short of the original promise.

摘要衰老、返老还童和延年益寿研究的显著特点是,无论是在理论概念方面,还是在可能的实际干预措施方面,都存在着多种往往相互矛盾的方法。这项工作将探讨这些方法的一般分类法,这种分类法在衰老和长寿研究史上似乎无处不在。该分类法将把还原论/治疗法和整体论/卫生法并列起来,以便采取潜在的恢复活力和延长寿命的干预措施。这两种方法都试图实现生物平衡和内部环境的恒定,但强调的手段不同,对什么是平衡和恒定的认识也不同。还原论方法将人体视为一台需要修理、内部调整和平衡的机器,通过消除破坏性物质和引入生物替代品来实现物质平衡,换句话说,就是通过减法和加法来实现平衡。相比之下,整体疗法侧重于将有机体作为环境中的一个单元进行平衡,大力强调心灵的直接维持和振兴力量以及行为的卫生调节。在整体疗法中,内部平衡不是通过校准入侵,而是通过抵抗入侵来实现的。在 20 世纪上半叶的几个西方国家,特别是法国、奥地利和德国,每种方法在学术和公共讨论中的明显相对权重将随着时间的推移而发生变化。这部著作(两部系列著作中的第一部)将展示在这个时代和地区,人们最初对还原论返老还童和延年益寿的尝试的迷恋,这些尝试令人鼓舞,但最终没有实现最初的承诺。
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引用次数: 0
New Frailty Index Approach Predicts COVID-19 Mortality Risk 新的虚弱指数方法可预测 COVID-19 的死亡率风险
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-22 DOI: 10.1134/S2079057024600046
Alexander Fedintsev, Maria Karnaushkina, Ilia Stambler, Arnold Mitnitski, Alexander Melerzanov, Maria Litvinova, Kirill Balbek, Alexey Moskalev

The relationships between blood biomarkers, frailty, and the risk of death of people diagnosed with COVID-19 is unclear. In the current investigation we decided to analyze the collective effect of multiple biomarkers (laboratory markers of inflammation, blood biochemistry deviations, comorbidity, demographics) on mortality in people diagnosed with COVID-19. We analyzed baseline data of one hundred fifty-five patients (age range from twenty-six to ninety-four) diagnosed with COVID-19. Thirty-seven parameters (including major morbidities) were used to derive the frailty index (FI) and calculate the risk of death as a function of FI and individual biomarkers. Discriminative ability was assessed by the area under the receiver-operating characteristic (ROC curves). The mean frailty index was 0.17 (SD = 0.10), FI of those who survived was 0.11 (SD = 0.078) and those who died was 0.22 (SD = 0.093). In a sex-adjusted model, the FI was a more powerful predictor for mortality than age. The ROC analysis showed that models involving FI as a feature have good discriminative ability for predicting COVID-19 mortality: AUC for age was 0.77, for the FI it was 0.82, and for the fully adjusted model (age + FI) it was 0.84. Thus, the systemic effect of multiple biological processes comprising aging are elucidated using the Frailty Index approach. Assessment of the frailty index at the time of admission of a patient with COVID-19 to the clinic can help to predict the high risks of severe disease and mortality.

摘要 血液生物标志物、虚弱程度和 COVID-19 患者死亡风险之间的关系尚不清楚。在本次调查中,我们决定分析多种生物标志物(炎症实验室标志物、血液生化偏差、合并症、人口统计学特征)对 COVID-19 患者死亡率的共同影响。我们分析了 155 名确诊为 COVID-19 的患者(年龄在 26 岁至 94 岁之间)的基线数据。我们利用 37 个参数(包括主要病症)得出了虚弱指数 (FI),并根据 FI 和单个生物标志物的函数计算了死亡风险。判别能力通过接收者工作特征曲线(ROC)下的面积进行评估。平均虚弱指数为 0.17(SD = 0.10),存活者的虚弱指数为 0.11(SD = 0.078),死亡者的虚弱指数为 0.22(SD = 0.093)。在性别调整模型中,FI比年龄更能预测死亡率。ROC 分析表明,以 FI 为特征的模型在预测 COVID-19 死亡率方面具有良好的区分能力:年龄的 AUC 为 0.77,FI 为 0.82,完全调整模型(年龄 + FI)的 AUC 为 0.84。因此,使用虚弱指数方法可以阐明衰老的多种生物过程的系统性影响。在 COVID-19 患者入院时对其进行虚弱指数评估,有助于预测严重疾病和死亡的高风险。
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引用次数: 0
Patterns of Expression of the Key Genes of the BDNF System and Serotonin Receptors in the Brain of OXYS Rats in the Development of the Signs of Alzheimer’s Disease 阿尔茨海默病症状发展过程中 BDNF 系统关键基因和羟色胺受体在 OXYS 大鼠大脑中的表达模式
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-15 DOI: 10.1134/S207905702360026X
M. Alsallum, Ya. P. Kaminskaya, A. S. Tsybko, N. G. Kolosova, V. S. Naumenko

In spite of numerous studies, pathogenesis of the sporadic (not inherited) form of Alzheimer’s disease (AD) still remains largely unclear; nevertheless, there is general consensus as regards the complex involvement of neurotrophic factors and neurotransmitters in the mechanisms of this disease. In light of recent data on the physical interaction between serotonin (5-HT) receptors and receptors of the brain-derived neurotrophic factor (BDNF), the reciprocal modulation between 5-HT and BDNF systems is of particular interest, inter alia, in the context of AD development. The OXYS lineage of prematurely aging rats is a unique model of sporadic AD. Previously, it has been reported on the changed neurotrophin balance in the brain of these animals; however, the changes in the expression of BDNF and its receptors in the dynamics of development of AD symptoms has been studied insufficiently. Even less is known about the patterns of expression of 5-HT receptors in OXYS rat brain. In the present work, we have compared the expression of BDNF and its receptors, TrkB and p75NTR, as well as serotonin 5-НТ, 5-НТ, 5-НТ4 and 5-НТ7 receptors in the brain of OXYS and Wistar rats aged 20 days, 3.5 and 18 months. The frontal cortex of 20-day-old OXYS rats demonstrated a significant increase in the mRNA level of the Bdnf, Htr2a and Htr7 genes and, at the same time, a decrease in the ratio of phosphorylated and nonphosphorylated forms of the TrkB receptor. In the hippocampus of 20-day-old OXYS rats, the mRNA levels of the Bdnf, Htr1a, Htr2a and Htr4 genes are also elevated. A substantially higher mRNA level of the above genes for 5-HT receptors was observed in the hippocampus of OXYS rats also at the age of 3.5 months, in the period of manifestation of the first AD symptoms. The nature of change in gene expression patterns indicates the potential involvement of 5-HT receptors in suppression of the TrkB receptor function in the early period of postnatal development of OXYS rats, which may be one of the mechanisms, through which 5-HT receptors are involved in the development of pathological process in the period of manifestation of AD symptoms in OXYS rats.

摘要 尽管进行了大量研究,但散发性(非遗传性)阿尔茨海默病(AD)的发病机理在很大程度上仍不清楚;不过,人们普遍认为神经营养因子和神经递质在这种疾病的发病机制中具有复杂的参与性。鉴于最近有关血清素(5-HT)受体和脑源性神经营养因子(BDNF)受体之间的物理相互作用的数据,5-HT 和 BDNF 系统之间的相互调节尤其在 AD 的发展过程中引起了人们的兴趣。早衰大鼠 OXYS 系是一种独特的散发性 AD 模型。以前曾有报道称,这些动物大脑中的神经营养素平衡发生了变化;然而,对 AD 症状动态发展过程中 BDNF 及其受体表达的变化却研究不足。关于 5-HT 受体在 OXYS 大鼠大脑中的表达模式的研究更是少之又少。在本研究中,我们比较了 BDNF 及其受体、TrkB 和 p75NTR 以及血清素 5-НТ1А、5-НТ2А、5-НТ4 和 5-НТ7 受体在 20 天、3.5 个月和 18 个月大的 OXYS 大鼠和 Wistar 大鼠大脑中的表达情况。在 20 天大的 OXYS 大鼠额叶皮层中,Bdnf、Htr2a 和 Htr7 基因的 mRNA 水平显著增加,与此同时,TrkB 受体磷酸化和非磷酸化形式的比例下降。在 20 天大的 OXYS 大鼠海马中,Bdnf、Htr1a、Htr2a 和 Htr4 基因的 mRNA 水平也升高了。在 3.5 个月大的 OXYS 大鼠海马中观察到,上述 5-HT 受体基因的 mRNA 水平也大幅升高,而这正是注意力缺失症的最初症状表现期。基因表达模式变化的性质表明,在 OXYS 大鼠出生后发育的早期阶段,5-HT 受体可能参与了抑制 TrkB 受体功能的过程,这可能是 5-HT 受体参与 OXYS 大鼠在出现 AD 症状期间病理过程发展的机制之一。
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引用次数: 0
Influence of AMPK on the Functioning of the Circadian Clock and Its Possible Role in the Development of Age-Related Metabolic Disorders AMPK 对昼夜节律钟功能的影响及其在与年龄相关的代谢紊乱发病中可能发挥的作用
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-15 DOI: 10.1134/S207905702460006X
G. V. Morgunova, G. A. Shilovsky, A. N. Khokhlov

Circadian rhythms ensure the synchronization of the physiology of cells and tissues in accordance with daily changes in the environment. These rhythms are maintained by transcriptional oscillators located in various organism cells. One of the rhythm sensors for the circadian clock is the intake of nutrients, this synchronizer is especially important in peripheral tissues. With age, the work of both the central and peripheral clock is disturbed. In old age, the amplitude of rhythms decreases and the peaks of expression of clock genes shift. Such changes affect not only the circadian, but also other rhythms. Promising ways to maintain circadian rhythms are a variety of dietary patterns, including both calorie restriction, well known for its ability to prolong the lifespan of laboratory animals, and time-restricted feeding. It is now known that intracellular metabolic sensors are also involved in regulation of the circadian clock. Among these sensors, it should be especially noted AMPK, which coordinates many catabolic and anabolic processes and participates in the implementation of the effect of calorie restriction. It is assumed that non-drug modulation of AMPK activity will not only help fight metabolic disorders, but also maintain circadian rhythms. The review considers the role of AMPK and some other metabolic sensors in the regulation of the circadian clock.

摘要昼夜节律确保细胞和组织的生理机能与环境的日常变化保持同步。这些节律由位于各种生物细胞中的转录振荡器维持。昼夜节律钟的节律传感器之一是摄入的营养物质,这种同步器在外周组织中尤为重要。随着年龄的增长,中枢时钟和外周时钟的工作都会受到干扰。到了老年,节律的幅度会减小,时钟基因的表达峰值也会发生变化。这种变化不仅会影响昼夜节律,还会影响其他节律。保持昼夜节律的有效方法是各种饮食模式,包括卡路里限制(因其能够延长实验动物的寿命而闻名)和限时喂食。现在人们已经知道,细胞内的代谢传感器也参与了昼夜节律的调节。在这些传感器中,应特别注意 AMPK,它能协调许多分解代谢和合成代谢过程,并参与实施卡路里限制的效果。据推测,非药物调节 AMPK 的活性不仅有助于对抗代谢紊乱,还能维持昼夜节律。这篇综述探讨了 AMPK 和其他一些代谢传感器在调控昼夜节律中的作用。
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引用次数: 0
Reductionism and Holism in the History of Aging and Longevity Research: Does the Whole Have Parts? Part 2. The Upwelling of Holism 衰老与长寿研究史上的还原论与整体论:整体有部分吗?第 2 部分。整体论的兴起
IF 0.6 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-02-15 DOI: 10.1134/S2079057024600034
I. Stambler

The opposition between reductionism and holism can be seen as an overarching theme in the history of aging, longevity and rejuvenation research. As a rule, the initial fascination with reductionist rejuvenation and life extension attempts, striving to tweak and rearrange parts of the human “machine,” in time, is superseded with more holistic perceptions of health maintenance in old age, emphasizing hygienic regulation of behavior and the revitalizing power of the mind. The initial high hopes for dramatic reductionist rejuvenation are often succeeded by more skeptical and cautious visions, yet the optimism may return later on. The cycle of hopefulness will be exemplified by the works of some of the prominent French and German-speaking researchers of aging, in the first half of the 20th century. The present work (the second part in a sequence of two) will focus on the recoil process from reductionist toward holistic conceptual preferences, in this time and area. Several open philosophical and practical questions will be posed with reference to the opposition between reductionism and holism in the history of aging research and anti-aging practice.

摘要还原论与整体论的对立是老龄化、长寿和返老还童研究历史上的一个重要主题。一般来说,最初人们对还原论的返老还童和延年益寿的尝试非常着迷,试图及时调整和重新安排人类 "机器 "的各个部分,但后来,人们对老年期健康维护的整体性认识取而代之,强调行为的卫生规范和心灵的振兴力量。起初,人们对减缩主义的年轻化寄予厚望,但后来往往又对其持怀疑和谨慎的态度。20 世纪上半叶,一些杰出的法语和德语老龄化研究者的研究成果就体现了这种希望的循环。本著作(两部系列著作中的第二部)将重点探讨在这一时期和领域,从还原论到整体论的概念偏好的回归过程。在老龄化研究和抗衰老实践的历史中,将就还原论和整体论之间的对立提出几个开放性的哲学和实践问题。
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引用次数: 0
Erratum to: Transport and Possible Outcome of Lipofuscin in Mouse Myocardium 脂褐素在小鼠心肌中的转运和可能的结果
IF 0.6 Q4 Nursing Pub Date : 2022-12-22 DOI: 10.1134/S2079057022310010
L. Wang, C.-Y. Xiao, J.-H. Li, G.-C. Tang, S.-S. Xiao
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引用次数: 0
Effect on Physical Functions of Older Adults When Refraining from Going out due to COVID-19 Restrictions 新冠肺炎疫情限制外出对老年人身体机能的影响
IF 0.6 Q4 Nursing Pub Date : 2022-12-22 DOI: 10.1134/S2079057022040154
S. Suzumura, K. Ito, R. Narukawa, E. Takano, K. Satoh, T. Ueda, I. Kondo

The study investigated the effect of refraining from going out during the coronavirus disease 2019 pandemic on physical function in community-dwelling older adults. The study included 49 patients who underwent home-visit rehabilitation. Four parameters of physical function—grip strength, five-times sit-to-stand test, single-leg stance test, and standing test for imbalance and disequilibrium (SIDE)—were assessed. They were evaluated before (March 2020) and after (May 2020) the state emergency was imposed, and the results were compared. The grip strength decreased significantly. A significant difference was also observed in the proportion of different SIDE levels in the study group before and after the implementation of the state emergency. The number of SIDE 2a or lower patients increased during the state emergency (p < 0.001). Comprehensive community support and rehabilitation are necessary to maintain physical function in older individuals. In particular, we believe that there is a need to utilize remote rehabilitation using digital devices (such as internet-based guidance) so that older adults can continue to exercise at home.

该研究调查了2019年冠状病毒病大流行期间不出门对社区老年人身体功能的影响。该研究包括49名接受家访康复治疗的患者。对身体机能的4个参数——握力、5次坐立测试、单腿站立测试和站立不平衡测试(SIDE)进行评估。分别在实施紧急状态之前(2020年3月)和之后(2020年5月)对其进行了评估,并对结果进行了比较。握力明显下降。在实施国家紧急状态之前和之后,研究组中不同SIDE水平的比例也存在显著差异。在国家紧急状态下,SIDE 2a或更低的患者数量增加(p <0.001)。全面的社区支持和康复对于维持老年人的身体机能是必要的。特别是,我们认为有必要利用数字设备(如基于互联网的指导)进行远程康复,这样老年人就可以在家里继续锻炼。
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引用次数: 0
Peculiarities of Venous Trophic Ulcers Course in Gerontoligical Patients according to Local Immunity and Morphological Manifestations 老年患者静脉营养性溃疡病程的局部免疫和形态表现特点
IF 0.6 Q4 Nursing Pub Date : 2022-12-22 DOI: 10.1134/S2079057022040026
H. A. Abduvosidov, S. M. Chudnikh, I. A. Chekmareva, I. G. Ostrovskaya, T. P. Vavilova, E. V. Kravchenko, Y. I. Korolova, I. L. Konorova

As organs age morpho-functional changes of organs and tissues become pathological disrupting the quality of life and providing an aggravating effect on the course of underlying disease which requires a special treatment approach. The research purpose is the study of particular features of the clinical, immunological and morphological manifestations of the venous trophic ulcers in the elderly and senile aged patients. All 375 patients are suffering from venous trophic ulcers have been examined. All the patients are divided into three age groups according to the WHO classification: 1st group (middle-aged)—94 patients; 2nd group (elderly)—146 patients; 3rd group (seniors)—135 persons. Levels of IgA, IgG, IgM, IL-1β, TNF-α were measured in wound exudate. The content of vascular endothelial growth factor in wound exudate samples had been studied as well. The morphological examination of the bottom and edge parts of trophic ulcers has been carried out. It has been revealed that elderly and senile aged patients with involutional changes and long-term chronic inflammation in the zone of trophic ulcers had more prominent morphological changes and disruption synthesis of non-specific immunity proteins that slow down processes of recovery.

随着器官的衰老,器官和组织的形态功能改变成为病理性的,破坏了生活质量,并对潜在疾病的病程提供了加重的影响,这需要特殊的治疗方法。本研究旨在探讨老年及老年患者静脉营养性溃疡的临床、免疫学及形态学特点。所有375例患有静脉营养性溃疡的患者均进行了检查。所有患者按WHO分类分为三个年龄组:第一组(中年)-94例;第二组(老年人)146例;第三组(老年人)-135人。检测创面渗出液中IgA、IgG、IgM、IL-1β、TNF-α水平。并对创面渗出液中血管内皮生长因子的含量进行了研究。对营养性溃疡的底部和边缘进行了形态学检查。有研究表明,老年和老年患者在营养溃疡区有更年期变化和长期慢性炎症,其形态改变和非特异性免疫蛋白的合成中断更为突出,从而减缓了恢复过程。
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引用次数: 0
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Advances in Gerontology
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