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Association between Telomere Length and Geriatric Status in Centenarians 百岁老人端粒长度与老年状态之间的关系
Pub Date : 2023-12-18 DOI: 10.37586/2949-4745-2-2023-102-107
K. Eruslanova, S. O. Zhikrivetskaya, Yulia V. Kotovskaya, O. N. Tkacheva
   Aim. To evaluate the association between telomere length and frailty and individual geriatric syndromes in older adults.   Materials and methods. The database of a hundred-year-old citizen of the city of Moscow was analyzed. The analysis was carried out using the data driven from the Comprehensive Geriatric Assessment (CGA), in particular, Age is not a Hindrance Scale, the Barthel index, Instrumental Activities of Daily Living (IADL), Mini Nutritional Assessment (MNA), Mini-Mental State Examination (MMSE), and Geriatric Depression Scale (GDS-15). DNA was isolated from frozen blood and a study of telomere length was performed. The comparison of telomere length in groups of patients with frailty and individual geriatric syndromes was carried out.   Results. The study involved 60 people (98±1.8 years, 86.7% women). The analysis found no differences in telomere length in study participants with and without frailty, as well as in the analysis of individual geriatric syndromes. No correlation was found between telomere length and the results of comprehensive geriatric assessment scales. There was no difference in telomere length in patients who died within 3 years of follow-up and no.   Conclusion. No relationship was found between telomere length and frailty. Thus, telomere length cannot be considered as a reliable biomarker of functional aging.
目的评估端粒长度与老年人虚弱和个别老年综合症之间的关系。 材料和方法对莫斯科市一位百岁老人的数据库进行了分析。分析使用的数据来自老年综合评估(CGA),特别是年龄不是障碍量表、巴特尔指数、日常生活活动能力(IADL)、迷你营养评估(MNA)、迷你精神状态检查(MMSE)和老年抑郁量表(GDS-15)。从冷冻血液中分离出 DNA,并对端粒长度进行了研究。对虚弱患者群体和个别老年综合症患者的端粒长度进行了比较。 研究结果研究涉及 60 人(98±1.8 岁,86.7% 为女性)。分析发现,患有和不患有虚弱症的研究参与者的端粒长度没有差异,个别老年综合症患者的端粒长度也没有差异。端粒长度与老年病综合评估量表的结果之间没有相关性。在随访 3 年内死亡的患者和在随访 3 年内死亡的患者中,端粒长度没有差异。 结论端粒长度与虚弱之间没有关系。因此,端粒长度不能被视为功能性衰老的可靠生物标志。
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引用次数: 0
Senolytic drugs: implications for clinical practice 抗衰老药物:对临床实践的启示
Pub Date : 2023-09-11 DOI: 10.37586/2949-4745-1-2023-7-14
A. K. Ilyushchenko, L. V. Matchekhina, O. N. Tkacheva, A. V. Balashova, A. A. Melnitskaia, A. V. Churov, I. D. Strazhesko
The aging mechanisms study is one of the most important aims in the field of geroscience and clinical medicine. There has been a wide range of fundamental research data accumulated on this matter. The processes associated with regeneration capability decrease, age-related decline of cell proliferation and resilience are highlighted in vitro studies, as well as on animal models, but their translation into clinical practice has not been carried out yet. Our aim was to study the most important mechanisms of aging and the ways of influencing on them with geroprotective technologies, such as senolytic medications. The relevance of this topic is confirmed by increasing number of launched clinical trials, but their results are often ambiguous and require further analysis and elimination of the identified difficulties and shortcomings. We have searched and analysed the literature over the past 10 years using Pubmed and Scopus, in order to find information about the main mechanisms of aging, and possible use of geroprotective medicatios in clinical practice.
衰老机制的研究是老年科学和临床医学领域的重要目标之一。在这个问题上已经积累了广泛的基础研究数据。体外研究和动物模型都强调了与再生能力下降、年龄相关的细胞增殖和恢复能力下降相关的过程,但尚未将其转化为临床实践。我们的目的是研究衰老的最重要的机制,以及用抗衰老药物等衰老保护技术影响衰老的方法。越来越多的临床试验证实了这一主题的相关性,但它们的结果往往是模糊的,需要进一步分析和消除已发现的困难和缺点。我们使用Pubmed和Scopus检索和分析了过去10年的文献,以找到有关衰老的主要机制的信息,以及在临床实践中可能使用的老年保护药物。
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引用次数: 0
The rate of aging and its association with risk factors of cardiovascular diseases 衰老速度及其与心血管疾病危险因素的关系
Pub Date : 2023-09-11 DOI: 10.37586/2949-4745-1-2023-31-38
A. A. Akopyan, I. D. Strazhesko, A. A. Moskalev, I. A. Orlova
Background. Biological age is a better predictor of morbidity and mortality associated with chronic age-related diseases than chronological age. The estimated difference between biological and chronological age can reveal an individual’s rate of aging.Aim. The aim of this study was to assess the association of cardiovascular risk factors with the rate of aging in people without cardiovascular diseases. Materials and methods. We calculated biological artery age and found associations of “old” arteries and rate of aging with risk factors of cardiovascular diseases in 143 adults without cardiovascular diseases. The data were analyzed by their categorization into 3 tertiles using regression methods.Results. “Old” arteries were associated with chronological age (p < 0,001; ОR = 0,55; 95% CI: 0,43 — 0,71) and hypertension (p = 0,002; ОR = 6,04; 95% CI: 1,98 — 18,42) in general group, age (p < 0,001; ОR = 0,45; 95% CI: 0,30 — 0,68), hypertension (p = 0,004; ОR = 12,79; 95% CI: 2,25 — 72,55) and family history of oncology (p = 0,036; ОR = 0,14; 95% CI: 0,02 — 0,88) in women subgroup and age (p = 0,001; ОR = 0,45; 95% CI: 0,28 — 0,76) and 3rd tertile of glycated hemoglobin (p = 0,041; ОR = 65,05; 95% CI: 1,19 — 3548,29) in men subgroup. Difference between biological and chronological age in a group of “old” arteries was associated with chronological age (p = 0,001; β = -1,24; 95% CI: -1,95 — -0,53) and with chronological age (p < 0,001; β = 1,71; 95% CI: 1,06 — 2,36) and 3rd tertile of glycated hemoglobin (p = 0,009; β = -4,78; 95% CI: -8,32 — -1,24) in group of “young” arteries.Conclusion. This study demonstrates that accelerated arterial aging is associated with hypertension and high levels of glycated haemoglobin.
背景。生物年龄比实足年龄更能预测慢性年龄相关疾病的发病率和死亡率。生理年龄和实足年龄之间的估计差异可以揭示一个人的衰老速度。本研究的目的是评估心血管危险因素与无心血管疾病人群衰老速度的关系。材料和方法。我们计算了143名无心血管疾病的成年人的生物动脉年龄,发现了“老”动脉和衰老速度与心血管疾病危险因素的关联。采用回归方法将数据分成3个三分位数进行分析。“老”动脉与实足年龄有关(p <0001;Оr = 0,55;95% CI: 0.43 - 0.71)和高血压(p = 0.002;Оr = 6,04;95% CI: 1,98 - 18,42),普通组,年龄组(p <0001;Оr = 0,45;95% CI: 0,30 - 0,68),高血压(p = 0,004;Оr = 12,79;95% CI: 2,25 - 72,55)和肿瘤家族史(p = 0.036;Оr = 0,14;女性亚组和年龄的95% CI: 0.02 - 0.88) (p = 0.001;Оr = 0,45;95% CI: 0.28 - 0.76)和三分之一糖化血红蛋白(p = 0.041;Оr = 65,05;男性亚组95% CI: 1,19 - 3548,29)。一组“老”动脉的生理年龄和实足年龄的差异与实足年龄有关(p = 0.001;β = -1,24;95% CI: -1,95 - -0,53)和实足年龄(p <0001;β = 1,71;95% CI: 1,06 - 2,36)和三分之一糖化血红蛋白(p = 0,009;β = -4,78;95% CI: -8,32 - -1,24)。本研究表明,动脉加速老化与高血压和高糖化血红蛋白水平有关。
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引用次数: 0
The Relationship between Long COVID Symptoms and Clinical and Laboratory Characteristics 长冠状病毒症状与临床和实验室特征的关系
Pub Date : 2023-09-11 DOI: 10.37586/2949-4745-1-2023-39-50
L. V. Maytesyan, I. R. Tsoy, O. N. Tkacheva, I. D. Strazhesko
Currently, an increasing number of patients continue to experience long COVID-19 symptoms after initially contracting the SARS-CoV-2 virus. In this regard, it is important to identify the factors associated with the development of post-COVID syndrome and possible ways to influence them.We examined 100 patients aged 26–80 years. The mean age of all participants was 56 ± 12 years. Patients who had severe coronavirus pneumonia 3 months prior to enrollment experienced mainly fatigue, shortness of breath, sleep disorder, hair loss, joint pain, and headache.In this article, we described the most possible causes and risk factors for the development of post-COVID syndrome.
目前,越来越多的患者在最初感染SARS-CoV-2病毒后持续出现长时间的COVID-19症状。在这方面,重要的是确定与新冠肺炎后综合征发展相关的因素以及可能影响这些因素的方法。我们检查了100例年龄在26-80岁之间的患者。所有参与者的平均年龄为56±12岁。在入组前3个月患有严重冠状病毒肺炎的患者主要表现为疲劳、呼吸短促、睡眠障碍、脱发、关节痛和头痛。在这篇文章中,我们描述了最可能的原因和风险因素的发展后covid综合征。
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引用次数: 0
Geroprotective effect of the mitochondrial-targeted antioxidant SkQBerb in a model of chronological aging of human MB135 myoblasts 线粒体靶向抗氧化剂SkQBerb在人MB135成肌细胞时间衰老模型中的衰老保护作用
Pub Date : 2023-09-11 DOI: 10.37586/2949-4745-1-2023-25-30
M. A. Chelombitko, G. V. Morgunova, N. Y. Strochkova, K. G. Lyamzaev
Background. The field of gerontology is actively seeking senolytics and senomorphs that can influence the quantity and activity of senescent cells in the body. Previous studies have demonstrated the geroprotective properties of mitochondrial- directed compounds based on plastoquinone and berberine in various in vitro and in vivo models. Thus, it is plausible that SkQBerb, a mitochondrialtargeted compound combining berberine and plastoquinone, may exhibit higher geroprotective potential compared to previously studied compounds.Objective. The aim of this study is to investigate the geroprotective activity of SkQBerb in a chronological aging model using MB135 myoblasts.Materials and Methods. The effect of SkQBerb on various aging characteristics of human MB135 myoblasts was assessed. Histochemical staining for β-galactosidase was performed using a commercially available kit. The levels of proinflammatory cytokines IL-6 and IL-8 were determined using pre-made immunoassay kits. Additionally, Western blotting was employed to evaluate the levels of p21, pRb (Ser807/811), and LC3B proteins.Results. Analysis of the results revealed that SkQBerb, at concentrations ranging from 20–100 nM, effectively suppressed the accumulation of senescent cells in MB135 cells subjected to chronological aging. Furthermore, it significantly reduced the levels of IL-6 and IL-8, key factors associated with the secretory phenotype.Conclusion. The findings of this study suggest a potential geroprotective and senomorphic effect of SkQBerb. These results open up possibilities for utilizing this mitochondrial-targeted compound as a geroprotector in future applications.
背景。老年学领域正在积极寻找能够影响体内衰老细胞数量和活性的衰老因子和衰老形态。先前的研究已经在各种体外和体内模型中证明了基于质体醌和小檗碱的线粒体定向化合物的衰老保护作用。因此,与先前研究的化合物相比,SkQBerb是一种结合小檗碱和质体醌的线粒体靶向化合物,可能具有更高的老年保护潜力。本研究的目的是研究SkQBerb在使用MB135成肌细胞的时间衰老模型中的衰老保护活性。材料与方法。评估SkQBerb对人MB135成肌细胞各种衰老特征的影响。使用市售试剂盒进行β-半乳糖苷酶的组织化学染色。使用预先制作的免疫分析试剂盒检测促炎细胞因子IL-6和IL-8的水平。此外,Western blotting检测p21、pRb (Ser807/811)和LC3B蛋白水平。结果表明,SkQBerb在20 ~ 100 nM浓度范围内,可有效抑制MB135细胞衰老细胞的积累。此外,它还显著降低了与分泌表型相关的关键因子IL-6和IL-8的水平。本研究结果提示SkQBerb具有潜在的老年保护和同源性作用。这些结果为在未来的应用中利用线粒体靶向化合物作为老年保护剂开辟了可能性。
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引用次数: 0
Economic burden of some age-related diseases 一些与年龄有关的疾病的经济负担
Pub Date : 2023-09-11 DOI: 10.37586/2949-4745-1-2023-51-57
M. S. Arbatskiy
Background. One of the main concerns posed by implementing new biomedical technologies is the lack of a pharmacoeconomic justification for the economic effect or the burden of certain nosologies on the state budget. To date, the medical literature on age-related diseases focuses on diagnosis, pathogenesis, new methods of treatment and the results of prescribed treatment. However, assessing the economic burden of these diseases is equally important. Only for selected diseases, regular publications on the calculation of the economic effect and economic burden of diseases can be found. For less common diseases, there are single publications, the information from which is no longer relevant and requires regular updating and maintenance.Aim. To conduct an indicative assessment of the economic burden for the most common age-related diseases.Materials and methods. When preparing the publication, foreign and domestic sources containing economic information about the most common age-associated diseases were used.Annual reports of biopharmaceutical companies producing drugs for the treatment of age-related diseases were used to obtain an understanding of current developments in the treatment of these diseases. Additionally, data from Rosreestr (Russian Federal Service for State Registration, Cadastre and Cartography) were used for certain diseases.Results. According to the analyzed information, it has been found that age-related diseases are a significant economic burden for the healthcare system of the state. However, not all specialized medical organizations assess the economic burden associated with such diseases.Conclusion. As a result of analyzing the economic burden of the most common age-related diseases, the conclusion can be drawn that regular assessment of the economic burden for Alzheimer's disease, diabetes, chronic obstructive pulmonary disease, depression, atherosclerosis and osteoporosis is necessary
背景。实施新的生物医学技术所引起的主要关切之一是缺乏对经济效果或某些疾病对国家预算造成负担的药物经济学理由。迄今为止,关于年龄相关疾病的医学文献主要集中在诊断、发病机制、新的治疗方法和处方治疗的结果。然而,评估这些疾病的经济负担同样重要。只有对选定的疾病,才能找到关于计算疾病的经济影响和经济负担的定期出版物。对于不太常见的疾病,只有单一的出版物,其中的信息不再相关,需要定期更新和维护。对最常见的与年龄有关的疾病的经济负担进行指示性评估。材料和方法。在编写该出版物时,使用了包含有关最常见的与年龄有关的疾病的经济信息的国内外来源。利用生产治疗与年龄有关疾病药物的生物制药公司的年度报告,了解这些疾病治疗的当前发展情况。此外,来自Rosreestr(俄罗斯联邦国家登记、地籍和制图局)的数据被用于某些疾病。根据分析的信息,已经发现与年龄有关的疾病是国家医疗保健系统的重大经济负担。然而,并不是所有的专业医疗机构都评估与此类疾病相关的经济负担。通过对最常见的年龄相关疾病的经济负担进行分析,可以得出结论:定期评估老年痴呆症、糖尿病、慢性阻塞性肺疾病、抑郁症、动脉粥样硬化和骨质疏松症的经济负担是必要的
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引用次数: 0
The role of kynurenine pathway metabolites in the development of frailty in older adults 犬尿氨酸途径代谢物在老年人虚弱发展中的作用
Pub Date : 2023-09-11 DOI: 10.37586/2949-4745-1-2023-15-24
V. S. Pykhtina
Frailty is the main geriatric syndrome, which is closely associated with agerelated diseases and aging in general. Being considered the main pathogenetic mechanism of aging, low-grade chronic inflammation potentially contributes to increased degradation of the essential amino acid tryptophan through the kynurenine pathway. Active metabolites of the kynurenine pathway, when accumulated, realize their immunomodulatory, pro-inflammatory and cytotoxic properties, thereby supporting and enhancing the aging process. Over the past decade, data have been collected on the role of an unbalanced kynurenine pathway in the pathogenesis of frailty and age-related diseases. This review summarizes clinical and experimental data on the importance of kynurenine pathway analysis as a valuable tool for risk stratification and prognosis of frailty and age-related diseases.
虚弱是主要的老年综合征,它与衰老相关疾病和一般的衰老密切相关。低级别慢性炎症被认为是衰老的主要致病机制,它可能通过犬尿氨酸途径促进必需氨基酸色氨酸的降解。犬尿氨酸途径的活性代谢物积累后,实现其免疫调节、促炎和细胞毒性,从而支持和促进衰老过程。在过去的十年中,已经收集了关于不平衡的犬尿氨酸途径在虚弱和年龄相关疾病发病机制中的作用的数据。本文综述了犬尿氨酸通路分析作为一种有价值的工具对虚弱和年龄相关疾病的风险分层和预后的重要性的临床和实验数据。
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引用次数: 0
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Problems of Geroscience
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