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Prevalence of alcohol use among U.S. older adults with pain: A scoping review 美国患有疼痛的老年人饮酒的普遍程度:范围综述
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.arr.2024.102541
Lisa R. LaRowe , Heily Chavez Granados , Lisa L. Philpotts , Ana-Maria Vranceanu , Christine S. Ritchie
The majority of older adults in the United States (U.S.) have been bothered by pain in the past month and over one-third report pain that has persisted or recurred for >3 months (i.e., chronic pain). Accumulating evidence indicates that behavioral factors, such as alcohol use, can influence the impact of pain on health and functioning in older adults. However, most studies exploring the prevalence of alcohol use among individuals with pain have not focused on older adults, specifically. Therefore, the goal of this scoping review was to examine what is known about the prevalence of alcohol use in older adults with pain. Relevant articles published prior to April 2024 were identified through a comprehensive search strategy, developed in collaboration with content experts and a medical librarian. A total of 13 studies met inclusion criteria for this paper. Results indicated that 53–64 % of older adults with pain reported alcohol consumption, 11–28 % engaged in hazardous patterns of alcohol use, and 1–10 % had a documented alcohol use diagnosis. Moreover, there is evidence that pain severity is positively associated with likelihood of alcohol consumption among older adults. These findings are worrisome given evidence that alcohol use has been shown to lead to poorer pain outcomes, and that older adults may be at risk for experiencing detrimental alcohol-related effects at comparatively low doses, given unique challenges faced by this population (e.g., high rates of multimorbidity/polypharmacy). Collectively, findings underscore the need for enhanced assessment and treatment of alcohol use in older adults with pain.
在美国,大多数老年人在过去的一个月里都受到过疼痛的困扰,超过三分之一的老年人表示疼痛已经持续或复发了 3 个月(即慢性疼痛)。越来越多的证据表明,饮酒等行为因素会影响疼痛对老年人健康和功能的影响。然而,大多数探讨疼痛患者饮酒普遍性的研究并未特别关注老年人。因此,本次范围界定综述的目的是研究患有疼痛的老年人中酒精使用的普遍性。通过与内容专家和医学图书管理员合作制定的综合搜索策略,确定了 2024 年 4 月之前发表的相关文章。共有 13 项研究符合本文的纳入标准。结果表明,53-64%的疼痛老年人报告有饮酒行为,11-28%的老年人有危险饮酒行为,1-10%的老年人有饮酒诊断记录。此外,有证据表明,疼痛的严重程度与老年人饮酒的可能性呈正相关。这些发现令人担忧,因为有证据表明,饮酒会导致较差的疼痛结果,而且鉴于老年人群面临的独特挑战(如多病/多药高发率),饮酒剂量相对较低的老年人可能会面临酒精相关有害影响的风险。总之,研究结果强调,有必要加强对患有疼痛的老年人饮酒情况的评估和治疗。
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引用次数: 0
Investigation of human aging at the single-cell level 单细胞水平的人类衰老调查
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.arr.2024.102530
Yunjin Li , Qixia Wang , Yuan Xuan , Jian Zhao , Jin Li , Yuncai Tian , Geng Chen , Fei Tan
Human aging is characterized by a gradual decline in physiological functions and an increased susceptibility to various diseases. The complex mechanisms underlying human aging are still not fully elucidated. Single-cell sequencing (SCS) technologies have revolutionized aging research by providing unprecedented resolution and detailed insights into cellular diversity and dynamics. In this review, we discuss the application of various SCS technologies in human aging research, encompassing single-cell, genomics, transcriptomics, epigenomics, and proteomics. We also discuss the combination of multiple omics layers within single cells and the integration of SCS technologies with advanced methodologies like spatial transcriptomics and mass spectrometry. These approaches have been essential in identifying aging biomarkers, elucidating signaling pathways associated with aging, discovering novel aging cell subpopulations, uncovering tissue-specific aging characteristics, and investigating aging-related diseases. Furthermore, we provide an overview of aging-related databases that offer valuable resources for enhancing our understanding of the human aging process.
人类衰老的特点是生理功能逐渐衰退,对各种疾病的易感性增加。人类衰老的复杂机制仍未完全阐明。单细胞测序(SCS)技术通过提供前所未有的分辨率和对细胞多样性和动态的详细了解,彻底改变了衰老研究。在这篇综述中,我们讨论了各种单细胞测序技术在人类衰老研究中的应用,包括单细胞、基因组学、转录组学、表观基因组学和蛋白质组学。我们还讨论了单细胞内多个 omics 层的组合,以及 SCS 技术与空间转录组学和质谱分析等先进方法的整合。这些方法对于确定衰老生物标志物、阐明与衰老相关的信号通路、发现新型衰老细胞亚群、揭示组织特异性衰老特征以及研究衰老相关疾病至关重要。此外,我们还概述了与衰老相关的数据库,这些数据库为加深我们对人类衰老过程的了解提供了宝贵的资源。
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引用次数: 0
Biotics as novel therapeutics in targeting signs of skin ageing via the gut-skin axis 通过肠道-皮肤轴,将生物制剂作为针对皮肤老化迹象的新型疗法。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-09 DOI: 10.1016/j.arr.2024.102518
Jasmine F. Millman , Alina Kondrashina , Clodagh Walsh , Kizkitza Busca , Aneesha Karawugodage , Julia Park , Sameera Sirisena , Francois-Pierre Martin , Valeria D. Felice , Jonathan A. Lane
Skin ageing is a phenomenon resulting from the aggregative changes to skin structure and function and is clinically manifested by physical features such as wrinkles, hyperpigmentation, elastosis, telangiectasia, and deterioration of skin barrier integrity. One of the main drivers of skin ageing, UV radiation, negatively influences the homeostasis of cells and tissues comprising the skin by triggering production of immune-mediated reactive oxygen species (ROS) and pro-inflammatory cytokines, as well as a various hormones and neuropeptides. Interestingly, an established link between the gut and the skin coined the ‘gut-skin axis’ has been demonstrated, with dysbiosis and gut barrier dysfunction frequently observed in certain inflammatory skin conditions and more recently, implicated in skin ageing. Therapeutic use of ‘biotics’ including prebiotics, probiotics, postbiotics, and synbiotics, which modulate the gut microbiota and production of microbially associated metabolites, influence the activity of the gut mucosal and immune systems and are showing promise as key candidates in addressing signs of skin ageing. In this review we aim to focus on the structure and function of the gut-skin axis and showcase the recent in-vitro and clinical evidence demonstrating the beneficial effects of select biotics in targeting signs of skin ageing and discuss the proposed mechanisms mediated via the gut-skin axis underpinning these effects.
皮肤老化是皮肤结构和功能发生聚集性变化的一种现象,临床表现为皱纹、色素沉着、弹性减退、毛细血管扩张和皮肤屏障完整性退化等物理特征。皮肤老化的主要驱动因素之一是紫外线辐射,它通过引发免疫介导的活性氧(ROS)和促炎细胞因子以及各种激素和神经肽的产生,对构成皮肤的细胞和组织的平衡产生负面影响。有趣的是,被称为 "肠道-皮肤轴 "的肠道与皮肤之间的联系已经得到证实,在某些炎症性皮肤病中经常观察到肠道菌群失调和肠道屏障功能障碍,最近还与皮肤老化有关。包括益生菌、益生菌、后益生菌和合成益生菌在内的 "生物制剂 "可调节肠道微生物群和微生物相关代谢物的产生,从而影响肠道粘膜和免疫系统的活动,并有望成为解决皮肤老化问题的关键候选药物。在这篇综述中,我们将重点关注肠道-皮肤轴的结构和功能,并展示最近的体外和临床证据,证明精选生物制剂在针对皮肤老化迹象方面的有益作用,并讨论通过肠道-皮肤轴介导这些作用的拟议机制。
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引用次数: 0
Serotonin in depression and Alzheimer’s disease: Focus on SSRI’s beneficial effects 抑郁症和阿尔茨海默病中的羟色胺:关注 SSRI 的益处。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-09 DOI: 10.1016/j.arr.2024.102537
Jihane Tahiri , Maamoon Mian , Fatima Aftan , Saadeddine Habbal , Farhood Salehi , P. Hemachandra Reddy , Arubala P. Reddy
Depression is a complex and pervasive mental health disorder affecting millions globally. Serotonin, a critical neurotransmitter, plays a central role in the pathophysiology of depression. This review explores serotonin's multifaceted role in depression, focusing on its synthesis, bioavailability, receptor interactions, and the impact of various factors, including diet, stress, and gender differences. This review aims to provide a comprehensive understanding of serotonin's role in depression by examining its synthesis and structure, its bioavailability and dietary influences, and its interactions with stress and immune responses. Additionally, it investigates the influence of age, socioeconomic status, and gender on depression, and integrates findings from animal research to elucidate serotonin's impact on mood disorders and cognitive decline. A literature review was conducted using PubMed, Google Scholar, and Embase databases. Key focus areas included serotonin synthesis and receptor interactions, dietary effects on serotonin bioavailability, and the relationship between serotonin, immune responses, and stress. Gender differences, age-related factors, and socioeconomic influences on depression were also examined. Studies were thematically categorized and analyzed to provide a cohesive overview. Our review highlights that serotonin synthesis involves a complex enzymatic process, with recent structural studies revealing intricate receptor interactions. Dietary factors significantly impact serotonin levels, with interventions potentially modulating mood disorders. Stress and immune responses are linked to serotonin dynamics, with chronic stress exacerbating mood disorders and influencing cognitive decline. Animal studies underscore serotonin's role in mood regulation and cognitive function, while human research reveals how age, gender, and socioeconomic factors affect depression. The findings emphasize the need for a multidimensional approach to understanding and treating depression. Various factors, including diet, stress, and immune responses, influence serotonin's role in mood disorders. The review suggests potential therapeutic pathways involving dietary interventions and stress management. Furthermore, gender-specific considerations and the impact of age and socioeconomic status on depression outcomes highlight the need for tailored treatment strategies.
抑郁症是一种复杂而普遍的精神疾病,影响着全球数百万人。血清素是一种重要的神经递质,在抑郁症的病理生理学中起着核心作用。本综述探讨了血清素在抑郁症中的多方面作用,重点关注其合成、生物利用率、受体相互作用以及饮食、压力和性别差异等各种因素的影响。本综述旨在通过研究血清素的合成和结构、生物利用度和饮食影响,以及血清素与压力和免疫反应的相互作用,全面了解血清素在抑郁症中的作用。此外,它还研究了年龄、社会经济地位和性别对抑郁症的影响,并整合了动物研究的结果,以阐明血清素对情绪障碍和认知能力下降的影响。我们使用 PubMed、Google Scholar 和 Embase 数据库进行了文献综述。重点领域包括血清素的合成和受体相互作用、饮食对血清素生物利用率的影响,以及血清素、免疫反应和压力之间的关系。此外,还研究了抑郁症的性别差异、年龄相关因素和社会经济影响。我们对这些研究进行了专题分类和分析,以提供一份具有凝聚力的综述。我们的综述强调,血清素的合成涉及一个复杂的酶解过程,最近的结构研究揭示了复杂的受体相互作用。饮食因素对血清素水平有重大影响,干预措施有可能调节情绪失调。压力和免疫反应与血清素的动态变化有关,慢性压力会加重情绪障碍并影响认知能力的下降。动物研究强调了血清素在情绪调节和认知功能中的作用,而人类研究则揭示了年龄、性别和社会经济因素对抑郁症的影响。研究结果强调,需要采用多维方法来了解和治疗抑郁症。包括饮食、压力和免疫反应在内的各种因素都会影响血清素在情绪障碍中的作用。综述提出了涉及饮食干预和压力管理的潜在治疗途径。此外,性别因素以及年龄和社会经济地位对抑郁症结果的影响也突出表明,有必要制定有针对性的治疗策略。
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引用次数: 0
Small molecule modulators of alpha-synuclein aggregation and toxicity: Pioneering an emerging arsenal against Parkinson’s disease α-突触核蛋白聚集和毒性的小分子调节剂:开创抗击帕金森病的新兴武器。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-09 DOI: 10.1016/j.arr.2024.102538
Ishfaq Ahmad Ahanger , Tanveer Ali Dar
Parkinson’s disease (PD) is primarily characterized by loss of dopaminergic neurons in the substantia nigra pars compacta region of the brain and accumulation of aggregated forms of alpha-synuclein (α-Syn), an intrinsically disordered protein, in the form of Lewy Bodies and Lewy Neurites. Substantial evidences point to the aggregated/fibrillar forms of α-Syn as a central event in PD pathogenesis, underscoring the modulation of α-Syn aggregation as a promising strategy for PD treatment. Consequently, numerous anti-aggregation agents, spanning from small molecules to polymers, have been scrutinized for their potential to mitigate α-Syn aggregation and its associated toxicity. Among these, small molecule modulators like osmoprotectants, polyphenols, cellular metabolites, metals, and peptides have emerged as promising candidates with significant potential in PD management. This article offers a comprehensive overview of the effects of these small molecule modulators on the aggregation propensity and associated toxicity of α-Syn and its PD-associated mutants. It serves as a valuable resource for identifying and developing potent, non-invasive, non-toxic, and highly specific small molecule-based therapeutic arsenal for combating PD. Additionally, it raises pertinent questions aimed at guiding future research endeavours in the field of α-Syn aggregation remodelling.
帕金森病(PD)的主要特征是大脑黑质部位多巴胺能神经元的丧失,以及α-突触核蛋白(α-Syn)(一种内在紊乱蛋白)以路易体和路易神经元的形式聚集。大量证据表明,α-Syn 的聚集/纤维化形式是帕金森病发病机制中的一个中心事件,这突出表明调节α-Syn 的聚集是治疗帕金森病的一种有前途的策略。因此,从小剂量到高分子的多种抗聚集药物已被仔细研究,以确定它们是否具有减轻α-Syn聚集及其相关毒性的潜力。其中,渗透保护剂、多酚、细胞代谢物、金属和肽等小分子调节剂已成为有希望的候选药物,在帕金森病的治疗中具有巨大潜力。本文全面概述了这些小分子调节剂对 α-Syn 及其 PD 相关突变体的聚集倾向和相关毒性的影响。它为确定和开发强效、无创伤、无毒性和高度特异性的小分子治疗药物提供了宝贵的资源,可用于抗击帕金森病。此外,它还提出了一些相关问题,旨在指导α-Syn聚集重塑领域未来的研究工作。
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引用次数: 0
Deciphering the mechanistic impact of acupuncture on the neurovascular unit in acute ischemic stroke: Insights from basic research in a narrative review 解密针灸对急性缺血性脑卒中神经血管单元的影响机制:叙述性综述中的基础研究启示。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-09 DOI: 10.1016/j.arr.2024.102536
Hailun Jiang , Chao Zhang , Mengxuan Lin , Yu Yin , Shizhe Deng , Wei Liu , Bifang Zhuo , Guang Tian , Yuzheng Du , Zhihong Meng
Ischemic stroke(IS), a severe acute cerebrovascular disease, not only imposes a heavy economic burden on society but also presents numerous challenges in treatment. During the acute phase, while thrombolysis and thrombectomy serve as primary treatments, these approaches are restricted by a narrow therapeutic window. During rehabilitation, commonly used neuroprotective agents struggle with their low drug delivery efficiency and inadequate preclinical testing, and the long-term pharmacological and toxicity effects of nanomedicines remain undefined. Meanwhile, acupuncture as a therapeutic approach is widely acknowledged for its effectiveness in treating IS and has been recommended by the World Health Organization (WHO) as an alternative and complementary therapy, even though its exact mechanisms remain unclear. This review aims to summarize the known mechanisms of acupuncture and electroacupuncture (EA) in the treatment of IS. Research shows that acupuncture treatment mainly protects the neurovascular unit through five mechanisms: 1) reducing neuronal apoptosis and promoting neuronal repair and proliferation; 2) maintaining the integrity of the blood-brain barrier (BBB); 3) inhibiting the overactivation and polarization imbalance of microglia; 4) regulating the movement of vascular smooth muscle (VSM) cells; 5) promoting the proliferation of oligodendrocyte precursors. Through an in-depth analysis, this review reveals the multi-level, multi-dimensional impact of acupuncture treatment on the neurovascular unit (NVU) following IS, providing stronger evidence and a theoretical basis for its clinical application.
缺血性脑卒中(IS)是一种严重的急性脑血管疾病,不仅给社会带来了沉重的经济负担,也给治疗带来了诸多挑战。在急性期,虽然溶栓和血栓切除术是主要治疗方法,但这些方法受到治疗窗口狭窄的限制。在康复期,常用的神经保护剂因其给药效率低和临床前测试不足而难以使用,纳米药物的长期药理和毒性作用仍未确定。与此同时,针灸作为一种治疗方法,其治疗IS的有效性已得到广泛认可,并被世界卫生组织(WHO)推荐为一种替代和补充疗法,尽管其确切机制仍不清楚。本综述旨在总结针灸和电针治疗 IS 的已知机制。研究表明,针灸治疗主要通过五种机制保护神经血管单元:1)减少神经元凋亡,促进神经元修复和增殖;2)维持血脑屏障(BBB)的完整性;3)抑制小胶质细胞的过度激活和极化失衡;4)调节血管平滑肌(VSM)细胞的运动;5)促进少突胶质细胞前体的增殖。本综述通过深入分析,揭示了针刺治疗对IS后神经血管单元(NVU)的多层次、多维度影响,为其临床应用提供了更有力的证据和理论依据。
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引用次数: 0
Decoding paradoxical links of cytokine markers in cognition: Cross talk between physiology, inflammaging, and Alzheimer’s disease- related cognitive decline 解码细胞因子标记物与认知的矛盾联系:生理学、炎症和阿尔茨海默病相关认知衰退之间的交叉对话
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-06 DOI: 10.1016/j.arr.2024.102535
Hiba Khan , Talib Naseem , Pooja Kaushik , Jagriti Narang , Rehan Khan , Siddharth Panwar , Suhel Parvez
Recent research has revolutionized our understanding of memory consolidation by emphasizing the critical role of astrocytes, microglia, and immune cells in through cytokine signaling. Cytokines, compact proteins, play pivotal roles in neuronal development, synaptic transmission, and normal aging. This review explores the cellular mechanisms contributing to cognitive decline in inflammaging and Alzheimer’s disease, highlighting the paradoxical effects of most studied cytokines (IL-1, IL-6, TNF-α) in brain function, which act as a double-edged sword in brain physiology, acting both as facilitators of healthy cognitive function and as a potential contributor to cognitive decline.
最近的研究通过强调星形胶质细胞、小胶质细胞和免疫细胞在细胞因子信号传导中的关键作用,彻底改变了我们对记忆巩固的理解。细胞因子是一种结构紧凑的蛋白质,在神经元发育、突触传递和正常衰老过程中发挥着关键作用。这篇综述探讨了导致炎症和阿尔茨海默病认知功能衰退的细胞机制,强调了大多数研究的细胞因子(IL-1、IL-6、TNF-α)在大脑功能中的矛盾作用,它们在大脑生理学中是一把双刃剑,既是健康认知功能的促进因素,也是认知功能衰退的潜在因素。
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引用次数: 0
Biological constraint, evolutionary spandrels and antagonistic pleiotropy 生物制约因素、进化褶皱和拮抗多效性。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.arr.2024.102527
David Gems, Carina C. Kern
Maximum lifespan differs greatly between species, indicating that the process of senescence is largely genetically determined. Senescence evolves in part due to antagonistic pleiotropy (AP), where selection favors gene variants that increase fitness earlier in life but promote pathology later. Identifying the biological mechanisms by which AP causes senescence is key to understanding the endogenous causes of aging and its attendant diseases. Here we argue that the frequent occurrence of AP as a property of genes reflects the presence of constraint in the biological systems that they specify. This arises particularly because the functionally interconnected nature of biological systems constrains the simultaneous optimization of coupled traits (interconnection constraints), or because individual traits cannot evolve (impossibility constraints). We present an account of aging that integrates AP and biological constraint with recent programmatic aging concepts, including costly programs, quasi-programs, hyperfunction and hypofunction. We argue that AP mechanisms of costly programs and triggered quasi-programs are consequences of constraint, in which costs resulting from hyperfunction or hypofunction cause senescent pathology. Impossibility constraint can also cause hypofunction independently of AP. We also describe how AP corresponds to Stephen Jay Gould’s constraint-based concept of evolutionary spandrels, and argue that pathologies arising from AP are bad spandrels. Biological constraint is a conceptual missing link between ultimate and proximate causes of senescence, including diseases of aging.
不同物种的最长寿命差别很大,这表明衰老过程在很大程度上是由基因决定的。衰老进化的部分原因是拮抗多效性(AP),在这种情况下,选择有利于那些在生命早期能提高适应能力,但在生命后期会促进病理变化的基因变异。确定拮抗多效性导致衰老的生物机制是了解衰老及其伴随疾病的内源性原因的关键。在这里,我们认为,AP 作为基因的一种特性频繁出现,反映了基因所指定的生物系统中存在制约因素。这主要是因为生物系统在功能上相互关联的特性限制了耦合性状的同时优化(相互关联限制),或者是因为单个性状无法进化(不可能性限制)。我们对衰老进行了阐述,将AP和生物约束与最新的程序性衰老概念相结合,包括代价高昂的程序、准程序、功能亢进和功能低下。我们认为,有代价的程序和触发的准程序的AP机制是制约的后果,其中功能亢进或功能低下导致的代价会引起衰老病理。不可能性约束也会导致功能低下,而与 AP 无关。我们还描述了AP如何与斯蒂芬-杰伊-古尔德(Stephen Jay Gould)基于约束的 "进化吝啬鬼"(evolutionary spandrels)概念相对应,并论证了由AP引起的病理现象是不好的吝啬鬼。生物约束是衰老(包括衰老疾病)的终极原因和近因之间的概念缺失环节。
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引用次数: 0
Advances of artificial intelligence in predicting frailty using real-world data: A scoping review 人工智能在利用真实世界数据预测虚弱方面的进展:范围综述。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.arr.2024.102529
Chen Bai, Mamoun T. Mardini

Background

Frailty assessment is imperative for tailoring healthcare interventions for older adults, but its implementation remains challenging due to the effort and time needed. The advances of artificial intelligence (AI) and natural language processing (NLP) present a novel opportunity to harness real-world data (RWD) including electronic health records, administrative claims, and other routinely collected medical records for frailty assessments.

Methods

We followed the PRISMA-ScR guideline and searched Embase, Web of Science, and PubMed databases for articles that predict frailty using AI through RWD from inception until October 2023. We synthesized and analyzed the selected publications according to their field of application, methodologies employed, validation processes, outcomes achieved, and their respective limitations and strengths.

Results

A total of 23 publications were selected from the initial search (N=2067) and bibliography. The approaches to frailty prediction using RWD and AI were categorized into two groups based on the type of data utilized: 1) AI models using structured data and 2) NLP techniques applied to unstructured clinical notes. We found that AI models achieved moderate to high predictive performance in predicting frailty. However, to demonstrate their clinical utility, these models require further validation using external data and a comprehensive assessment of their impact on patients’ health outcomes. Additionally, the application of NLP in frailty prediction is still in its early stages. Great potential exists to enhance frailty prediction by integrating structured data and clinical notes.

Conclusion

The combination of AI and RWD presents significant opportunities for advancing frailty assessment. To maximize the advantages of these technological advances, future research is needed to rigorously address the challenges associated with the validation of AI models and innovative data integration.
背景:虚弱程度评估是为老年人量身定制医疗干预措施的当务之急,但由于需要花费大量精力和时间,其实施仍具有挑战性。人工智能(AI)和自然语言处理(NLP)的发展为利用真实世界数据(RWD)(包括电子健康记录、行政索赔和其他常规收集的医疗记录)进行虚弱程度评估提供了新的机遇:我们遵循 PRISMA-ScR 指南,在 Embase、Web of Science 和 PubMed 数据库中搜索了从开始到 2023 年 10 月通过 RWD 使用人工智能预测虚弱程度的文章。我们根据所选出版物的应用领域、采用的方法、验证过程、取得的成果以及各自的局限性和优势对其进行了综合分析:结果:从初步检索(N=2067)和参考书目中共筛选出 23 篇出版物。根据所使用的数据类型,将使用 RWD 和人工智能进行虚弱预测的方法分为两类:1)使用结构化数据的人工智能模型;2)应用于非结构化临床笔记的 NLP 技术。我们发现,人工智能模型在预测虚弱方面取得了中等至高等的预测效果。不过,要证明这些模型的临床实用性,还需要使用外部数据对其进行进一步验证,并全面评估其对患者健康结果的影响。此外,NLP 在虚弱预测中的应用仍处于早期阶段。通过整合结构化数据和临床笔记,增强虚弱预测的潜力巨大:结论:人工智能和 RWD 的结合为推进虚弱评估带来了重大机遇。为了最大限度地发挥这些技术进步的优势,未来的研究需要严格解决与人工智能模型验证和创新数据整合相关的挑战。
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引用次数: 0
Experimental models as a tool for research on sarcopenia: A narrative review 将实验模型作为研究肌肉疏松症的工具:叙述性综述。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.arr.2024.102534
Janire Alonso-Puyo , Oihane Izagirre-Fernandez , Olatz Crende , Asier Valdivia , Patricia García-Gallastegui , Begoña Sanz
Sarcopenia is a musculoskeletal disorder related to muscle mass and function; as the worldwide population ages, its growing prevalence means a decline in quality of life and an increased burden for public health systems. As sarcopenia is a reversible condition, its early diagnosis is of utmost importance. Consensus definitions and diagnosis protocols for sarcopenia have been evolving for a long time, and the identification of molecular pathways subjacent to sarcopenia is a growing research area. The use of liquid biopsies to identify circulating molecules does not provide information about specific regulatory pathways or biomarkers in relevant tissue, and the use of skeletal muscle biopsies from older people has many limitations. Complementary tools are therefore necessary to advance the knowledge of relevant molecular aspects. The development of experimental models, such as animal, cellular, or bioengineered tissue, together with knock-in or knock-out strategies, could therefore be of great interest. This narrative review will explore experimental models of healthy muscle and aged muscle cells as a tool for research on sarcopenia. We will summarize the literature and present relevant experimental models in terms of their advantages and disadvantages. All of the presented approaches could potentially contribute to the accurate and early diagnosis, follow-up, and possible treatment of sarcopenia.
肌肉疏松症是一种与肌肉质量和功能有关的肌肉骨骼疾病;随着全球人口的老龄化,这种疾病的发病率越来越高,意味着生活质量的下降和公共卫生系统负担的增加。由于肌肉疏松症是一种可逆性疾病,因此早期诊断至关重要。肌肉疏松症的共识定义和诊断规程已经发展了很长时间,而与肌肉疏松症相关的分子通路的鉴定也是一个不断发展的研究领域。使用液体活检鉴定循环分子并不能提供相关组织中特定调节途径或生物标志物的信息,而使用老年人骨骼肌活检也有很多局限性。因此,有必要使用补充工具来促进对相关分子方面的了解。因此,开发实验模型,如动物、细胞或生物工程组织,以及基因敲入或敲出策略,可能会引起极大的兴趣。本综述将探讨健康肌肉和老化肌肉细胞的实验模型,以此作为研究肌肉疏松症的工具。我们将对文献进行总结,并介绍相关实验模型的优缺点。所有介绍的方法都可能有助于肌肉疏松症的早期准确诊断、跟踪和可能的治疗。
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Ageing Research Reviews
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