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Application potential of senolytics in clinical treatment 衰老剂在临床治疗中的应用潜力
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-18 DOI: 10.1007/s10522-023-10084-5
Tiantian Li, Shiyuan Li, Kefeng Ma, Jinming Kong

Of the factors studied in individual ageing, the accumulation of senescent cells has been considered as an essential cause of organ degeneration to eventually initiate age-related diseases. Cellular senescence is attributed to the accumulation of damage for an inducement in the activation of cell cycle inhibitory pathways, resulting the cell permanently withdraw from the cell proliferation cycle. Further, senescent cells will activate the inflammatory factor secretion pathway to promote the development of various age-related diseases. Senolytics, a small molecule compound, can delay disease development and extend mammalian lifespan. The evidence from multiple trials shows that the targeted killing of senescent cells has a significant clinical application for the treatment of age-related diseases. In addition, senolytics are also significant for the development of ageing research in solid organ transplantation, which can fully develop the potential of elderly organs and reduce the age gap between demand and supply. We conclude that the main characteristics of cellular senescence, the anti-ageing drug senolytics in the treatment of chronic diseases and organ transplantation, and the latest clinical progress of related researches in order to provide a theoretical basis for the prevention and treatment of ageing and related diseases.

在研究的个体衰老因素中,衰老细胞的积累被认为是器官退化的重要原因,最终引发与年龄有关的疾病。细胞衰老是由于损伤的积累诱发了细胞周期抑制途径的激活,导致细胞永久退出细胞增殖周期。此外,衰老细胞还会激活炎症因子分泌途径,促进各种老年相关疾病的发生。衰老素是一种小分子化合物,可以延缓疾病的发展,延长哺乳动物的寿命。来自多项试验的证据表明,有针对性地杀死衰老细胞在治疗老年相关疾病方面具有重要的临床应用价值。此外,衰老素对实体器官移植中的衰老研究发展也具有重要意义,可以充分开发老年器官的潜力,缩小供需之间的年龄差距。我们总结了细胞衰老的主要特征、抗衰老药物senolytics在慢性疾病治疗和器官移植中的应用,以及相关研究的最新临床进展,以期为老龄化及相关疾病的防治提供理论依据。
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引用次数: 0
Telomere length and cancer risk: finding Goldilocks 端粒长度与癌症风险:寻找金发姑娘
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-18 DOI: 10.1007/s10522-023-10080-9
Sharon A. Savage

Telomeres are the nucleoprotein complex at chromosome ends essential in genomic stability. Baseline telomere length (TL) is determined by rare and common germline genetic variants but shortens with age and is susceptible to certain environmental exposures. Cellular senescence or apoptosis are normally triggered when telomeres reach a critically short length, but cancer cells overcome these protective mechanisms and continue to divide despite chromosomal instability. Rare germline variants in telomere maintenance genes cause exceedingly short telomeres for age (< 1st percentile) and the telomere biology disorders, which are associated with elevated risks of bone marrow failure, myelodysplastic syndrome, acute myeloid leukemia, and squamous cell carcinoma of the head/neck and anogenital regions. Long telomeres due to rare germline variants in the same or different telomere maintenance genes are associated with elevated risks of other cancers, such as chronic lymphocytic leukemia or sarcoma. Early epidemiology studies of TL in the general population lacked reproducibility but new methods, including creation of a TL polygenic score using common variants, have found longer telomeres associated with excess risks of renal cell carcinoma, glioma, lung cancer, and others. It has become clear that when it comes to TL and cancer etiology, not too short, not too long, but “just right” telomeres are important in minimizing cancer risk.

端粒是染色体末端的核蛋白复合物,对基因组的稳定性至关重要。基线端粒长度(TL)由罕见和常见的种系遗传变异决定,但会随着年龄的增长而缩短,并且易受某些环境暴露的影响。当端粒达到极短长度时,通常会触发细胞衰老或凋亡,但癌细胞会克服这些保护机制,尽管染色体不稳定,仍会继续分裂。端粒维持基因中的罕见种系变异会导致端粒超短(与年龄相当)和端粒生物学紊乱,这与骨髓衰竭、骨髓增生异常综合症、急性髓性白血病以及头颈部和肛门生殖器鳞状细胞癌的风险升高有关。由于相同或不同端粒维持基因的罕见种系变异而导致的端粒过长与其他癌症(如慢性淋巴细胞白血病或肉瘤)的发病风险升高有关。早期对普通人群端粒的流行病学研究缺乏可重复性,但新方法(包括利用常见变异创建端粒多基因评分)发现,较长的端粒与肾细胞癌、神经胶质瘤、肺癌和其他癌症的超额风险有关。很明显,就端粒和癌症病因学而言,端粒不能太短,也不能太长,"恰到好处 "的端粒对于最大限度地降低癌症风险非常重要。
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引用次数: 0
How soon do metabolic alterations and oxidative distress precede the reduction of muscle mass and strength in Wistar rats in aging process? 在 Wistar 大鼠衰老过程中,肌肉质量和力量下降之前多久会出现新陈代谢改变和氧化损伤?
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-08 DOI: 10.1007/s10522-023-10078-3
Malu Cristina de Araújo Montoro Lima, Matheus Felipe Zazula, Luiz Fernando Martins, Stephanie Rubiane Carvalhal, Ana Tereza Bittencourt Guimarães, Luiz Claudio Fernandes, Katya Naliwaiko
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引用次数: 0
Zbp1 gene: a modulator of multiple aging hallmarks as potential therapeutic target for age-related diseases. Zbp1基因:一种具有多种衰老特征的调节剂,是年龄相关疾病的潜在治疗靶点。
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-05-18 DOI: 10.1007/s10522-023-10039-w
Mehran Radak, Hossein Fallahi

The Zbp1 gene has recently emerged as a potential therapeutic target for age-related diseases. Multiple studies have reported that Zbp1 plays a key role in regulating several aging hallmarks, including cellular senescence, chronic inflammation, DNA damage response, and mitochondrial dysfunction. Regarding cellular senescence, Zbp1 appears to regulate the onset and progression of senescence by controlling the expression of key markers such as p16INK4a and p21CIP1/WAF1. Similarly, evidence suggests that Zbp1 plays a role in regulating inflammation by promoting the production of pro-inflammatory cytokines, such as IL-6 and IL-1β, through activation of the NLRP3 inflammasome. Furthermore, Zbp1 seems to be involved in the DNA damage response, coordinating the cellular response to DNA damage by regulating the expression of genes such as p53 and ATM. Additionally, Zbp1 appears to regulate mitochondrial function, which is crucial for energy production and cellular homeostasis. Given the involvement of Zbp1 in multiple aging hallmarks, targeting this gene represents a potential strategy to prevent or treat age-related diseases. For example, inhibiting Zbp1 activity could be a promising approach to reduce cellular senescence and chronic inflammation, two critical hallmarks of aging associated with various age-related diseases. Similarly, modulating Zbp1 expression or activity could also improve DNA damage response and mitochondrial function, thus delaying or preventing the development of age-related diseases. Overall, the Zbp1 gene appears to be a promising therapeutic target for age-related diseases. In the current review, we have discussed the molecular mechanisms underlying the involvement of Zbp1 in aging hallmarks and proposed to develop effective strategies to target this gene for therapeutic purposes.

Zbp1基因最近已成为与年龄相关疾病的潜在治疗靶点。多项研究表明,Zbp1在调节几种衰老特征方面发挥着关键作用,包括细胞衰老、慢性炎症、DNA损伤反应和线粒体功能障碍。关于细胞衰老,Zbp1似乎通过控制关键标志物如p16INK4a和p21CIP1/WAF1的表达来调节衰老的开始和进展。同样,有证据表明,Zbp1通过激活NLRP3炎症小体,促进促炎细胞因子如IL-6和IL-1β的产生,从而在调节炎症中发挥作用。此外,Zbp1似乎参与了DNA损伤反应,通过调节p53和ATM等基因的表达来协调细胞对DNA损伤的反应。此外,Zbp1似乎可以调节线粒体功能,这对能量产生和细胞稳态至关重要。鉴于Zbp1参与多种衰老特征,靶向该基因代表了预防或治疗与年龄相关疾病的潜在策略。例如,抑制Zbp1活性可能是减少细胞衰老和慢性炎症的一种很有前途的方法,这是与各种年龄相关疾病相关的衰老的两个关键特征。同样,调节Zbp1的表达或活性也可以改善DNA损伤反应和线粒体功能,从而延缓或预防与年龄相关的疾病的发展。总的来说,Zbp1基因似乎是治疗年龄相关疾病的一个有前景的靶点。在目前的综述中,我们讨论了Zbp1参与衰老特征的分子机制,并建议开发有效的策略来靶向该基因进行治疗。
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引用次数: 0
Aging impairs recovery from stress-induced depression in male rats possibly by alteration of microRNA-101 expression and Rac1/RhoA pathway in the prefrontal cortex. 衰老可能通过前额叶皮层微小RNA-101表达和Rac1/RhoA通路的改变,损害雄性大鼠从压力诱导的抑郁症中恢复。
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-08-29 DOI: 10.1007/s10522-023-10056-9
Arshad Ghaffari-Nasab, Gonja Javani, Gisou Mohaddes, Mohammad Reza Alipour

Along with altering brain responses to stress, aging may also impair recovery from depression symptoms. In the present study, we investigated depressive-like behaviors in young and aged rats and assayed the levels of microRNA-101 (miR-101), Rac1/RhoA, PSD-95, and GluR1 in the prefrontal cortex (PFC) after stress cessation and after a recovery period. Young (3 months old) and aged (22 months old) male Wistar rats were divided into six groups; Young control (YNG), young rats received chronic stress for four weeks (YNG + CS), young rats received chronic stress for four weeks followed by a 6-week recovery period (YNG + CS + REC), Aged control (AGED), aged rats received chronic stress for four weeks (AGED + CS), and aged rats received chronic stress for four weeks followed by a 6-week recovery period (AGED + CS + REC). Stress-induced depression, evaluated by the sucrose preference test (SPT) and forced swimming test (FST), was yet observed after the recovery period in aged but not in young rats, which were accompanied by unchanged levels of miR-101, Rac1/RhoA, GluR1, and PSD-95 in the PFC of aged rats. These data suggested that impaired synaptic plasticity of glutamatergic synapses via the miR-101/Rac1/RhoA pathway may contribute to the delayed behavioral recovery after stress exposure observed in aging animals.

除了改变大脑对压力的反应外,衰老还可能影响抑郁症症状的恢复。在本研究中,我们研究了年轻和老年大鼠的抑郁样行为,并测定了压力停止后和恢复期后前额叶皮层(PFC)中微小RNA-101(miR-101)、Rac1/RhoA、PSD-95和GluR1的水平。幼龄(3月龄)和老龄(22月龄)雄性Wistar大鼠分为6组;年轻对照组(YNG),年轻大鼠接受慢性应激4周(YNG + CS),幼鼠接受慢性应激4周,随后6周的恢复期(YNG + CS + REC),老年对照组(Aged),老年大鼠接受慢性应激四周(Aged + CS),老年大鼠接受慢性应激4周,然后接受6周的恢复期(aged + CS + REC)。通过蔗糖偏好试验(SPT)和强迫游泳试验(FST)评估,在老年大鼠恢复期后仍观察到应激诱导的抑郁症,但在年轻大鼠中没有观察到,老年大鼠PFC中miR-101、Rac1/RhoA、GluR1和PSD-95的水平不变。这些数据表明,在衰老动物中观察到,通过miR-101/Rc1/RoA途径受损的谷氨酸能突触的突触可塑性可能导致应激暴露后行为恢复延迟。
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引用次数: 0
Aging: silencing the PKA and AkT/PKB signaling pathways alters the antioxidant capacity of resveratrol. 衰老:使PKA和AkT/PKB信号通路沉默会改变白藜芦醇的抗氧化能力。
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-17 DOI: 10.1007/s10522-023-10046-x
Filipe Nogueira Franco, Luciana de Cassia Cardoso, Bárbara Néllita Moura Silva, Glaucy Rodrigues de Araújo, Miriam Martins Chaves

One of the theories related to aging is the increase in oxidative stress. Given this, the objective of the study is to evaluate the cellular mechanisms responsible for the resveratrol antioxidant effect on leukocytes from donors aged between 20 and 80 years old. For this, leukocytes from donors of three age groups (20-39, 40-59 and 60-80) were isolated. Image-iT™LIVE Green Reactive Oxygen Species (ROS) Kit was used. Reactive Nitrogen Species (RNS) analysis was performed by measuring nitric oxide and peroxynitrite. The PKA, Akt/PKB and p38-MAPK were evaluated by chemiluminescence. The statistical analysis between age and treatments were performed by Pearson correlation (*p < 0.05). It was possible to observe the antioxidant effect of resveratrol in all age groups. The correlation results show loss of resveratrol effect in decreasing ROS in leukocytes from older donors. We observed an active antioxidant effect of p38-MAPK in all ages, with resveratrol acting on it. The PKA and Akt/PKB were active in leukocytes from donors aged 20-59. In cells from donors older than 60, these pathways are silenced, and an effect is also not observed in cells treated with resveratrol. Therefore, resveratrol showed antioxidant effect in all age, although it was more pronounced in leukocytes from younger. One of resveratrol's mechanisms is due to the activation of the PKA and Akt/PKB, which were activated in younger donor cells.

与衰老有关的理论之一是氧化应激的增加。鉴于此,本研究的目的是评估白藜芦醇对20至80岁供体白细胞抗氧化作用的细胞机制。为此,从三个年龄组(20-39、40-59和60-80)的捐献者中分离出白细胞。图像iT™使用活性氧(ROS)试剂盒。通过测量一氧化氮和过氧亚硝酸盐进行活性氮物种(RNS)分析。用化学发光法测定PKA、Akt/PKB和p38MAPK。年龄和治疗之间的统计分析采用Pearson相关(*p
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引用次数: 0
The rosetta stone of successful ageing: does oral health have a role? 成功衰老的罗塞塔石碑:口腔健康有作用吗?
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-08 DOI: 10.1007/s10522-023-10047-w
Maximilian Poser, Katie E A Sing, Thomas Ebert, Dirk Ziebolz, Gerhard Schmalz

Ageing is an inevitable aspect of life and thus successful ageing is an important focus of recent scientific efforts. The biological process of ageing is mediated through the interaction of genes with environmental factors, increasing the body's susceptibility to insults. Elucidating this process will increase our ability to prevent and treat age-related disease and consequently extend life expectancy. Notably, centenarians offer a unique perspective on the phenomenon of ageing. Current research highlights several age-associated alterations on the genetic, epigenetic and proteomic level. Consequently, nutrient sensing and mitochondrial function are altered, resulting in inflammation and exhaustion of regenerative ability.Oral health, an important contributor to overall health, remains underexplored in the context of extreme longevity. Good masticatory function ensures sufficient nutrient uptake, reducing morbidity and mortality in old age. The relationship between periodontal disease and systemic inflammatory pathologies is well established. Diabetes, rheumatoid arthritis and cardiovascular disease are among the most significant disease burdens influenced by inflammatory oral health conditions. Evidence suggests that the interaction is bi-directional, impacting progression, severity and mortality. Current models of ageing and longevity neglect an important factor in overall health and well-being, a gap that this review intends to illustrate and inspire avenues for future research.

老龄化是生活中不可避免的一个方面,因此成功的老龄化是最近科学努力的一个重要焦点。衰老的生物学过程是通过基因与环境因素的相互作用介导的,增加了身体对损伤的易感性。阐明这一过程将提高我们预防和治疗与年龄相关疾病的能力,从而延长预期寿命。值得注意的是,百岁老人对老龄化现象提供了独特的视角。目前的研究强调了遗传、表观遗传学和蛋白质组学水平上与年龄相关的几种变化。因此,营养感应和线粒体功能发生改变,导致炎症和再生能力衰竭。口腔健康是促进整体健康的重要因素,但在极端长寿的背景下,对口腔健康的探索仍然不足。良好的咀嚼功能确保了充足的营养摄入,降低了老年人的发病率和死亡率。牙周病和全身炎症病理之间的关系已得到很好的证实。糖尿病、类风湿性关节炎和心血管疾病是受炎症性口腔健康状况影响最严重的疾病负担。有证据表明,这种相互作用是双向的,影响进展、严重程度和死亡率。目前的老龄化和寿命模型忽视了整体健康和福祉的一个重要因素,这篇综述旨在说明这一差距,并为未来的研究提供启示。
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引用次数: 0
Identification of resibufogenin, a component of toad venom, as a novel senolytic compound in vitro and for potential skin rejuvenation in male mice. 蟾蜍毒液中的一种成分树脂蟾毒苷的鉴定,它是一种新型的体外解Senoly化合物,具有潜在的雄性小鼠皮肤再生作用。
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-03 DOI: 10.1007/s10522-023-10043-0
Kento Takaya, Toru Asou, Kazuo Kishi

Senescent cells that accumulate with age have been shown to contribute to age-related diseases and organ dysfunction and have attracted attention as a target for anti-aging therapy. In particular, the use of senescent cell-depleting agents, or senolytics, has been shown to improve the aging phenotype in animal models. Since senescence has been implicated in the skin, particularly in fibroblasts, this study used aged human skin fibroblasts to investigate the effects of resibufogenin. A component of the traditional Chinese medicine toad venom, resibufogenin was investigated for senolytic and/or senomorphic activity. We found that the compound selectively caused senescent cell death without affecting proliferating cells, with a marked effect on the suppression of the senescence-associated secretory phenotype. We also found that resibufogenin causes senescent cell death by inducing a caspase-3-mediated apoptotic program. Administration of resibufogenin to aging mice resulted in an increase in dermal collagen density and subcutaneous fat, improving the phenotype of aging skin. In other words, resibufogenin ameliorates skin aging through selective induction of senescent cell apoptosis without affecting non-aged cells. This traditional compound may have potential therapeutic benefits in skin aging characterized by senescent cell accumulation.

随着年龄的增长而积累的衰老细胞已被证明会导致与年龄相关的疾病和器官功能障碍,并作为抗衰老治疗的靶点而引起关注。特别是,在动物模型中,使用衰老细胞消耗剂(senolytics)已被证明可以改善衰老表型。由于衰老与皮肤有关,特别是与成纤维细胞有关,本研究使用衰老的人类皮肤成纤维细胞来研究树脂蟾毒蛋白的作用。研究了蟾蜍毒液中的一种成分树脂蟾毒苷的解senoly和/或senmorphic活性。我们发现,该化合物选择性地导致衰老细胞死亡,而不影响增殖细胞,对抑制衰老相关分泌表型具有显著作用。我们还发现树脂蟾毒蛋白通过诱导胱天蛋白酶-3介导的凋亡程序导致衰老细胞死亡。对衰老小鼠施用树脂蟾毒蛋白可增加真皮胶原密度和皮下脂肪,改善衰老皮肤的表型。换句话说,树脂蟾毒蛋白通过选择性诱导衰老细胞凋亡而不影响非衰老细胞,从而改善皮肤衰老。这种传统化合物可能对以衰老细胞积累为特征的皮肤衰老具有潜在的治疗益处。
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引用次数: 0
Retinal microvascular complexity as a putative biomarker of biological age: a pilot study. 视网膜微血管复杂性作为生物年龄的假定生物标志物:一项初步研究。
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-08-12 DOI: 10.1007/s10522-023-10057-8
Natasa Popovic, Maša Ždralević, Stela Vujosevic, Miroslav Radunović, Antoaneta Adžić Zečević, Isidora Rovčanin Dragović, Batrić Vukčević, Tomo Popovic, Ljiljana Radulović, Tijana Vuković, Jevto Eraković, Ranko Lazović, Miodrag Radunović

Physiological changes associated with aging increase the risk for the development of age-related diseases. This increase is non-specific to the type of age-related disease, although each disease develops through a unique pathophysiologic mechanism. People who age at a faster rate develop age-related diseases earlier in their life. They have an older "biological age" compared to their "chronological age". Early detection of individuals with accelerated aging would allow timely intervention to postpone the onset of age-related diseases. This would increase their life expectancy and their length of good quality life. The goal of this study was to investigate whether retinal microvascular complexity could be used as a biomarker of biological age. Retinal images of 68 participants ages ranging from 19 to 82 years were collected in an observational cross-sectional study. Twenty of the old participants had age-related diseases such as hypertension, type 2 diabetes, and/or Alzheimer's dementia. The rest of the participants were healthy. Retinal images were captured by a hand-held, non-mydriatic fundus camera and quantification of the microvascular complexity was performed by using Sholl's, box-counting fractal, and lacunarity analysis. In the healthy subjects, increasing chronological age was associated with lower retinal microvascular complexity measured by Sholl's analysis. Decreased box-counting fractal dimension was present in old patients, and this decrease was 2.1 times faster in participants who had age-related diseases (p = 0.047). Retinal microvascular complexity could be a promising new biomarker of biological age. The data from this study is the first of this kind collected in Montenegro. It is freely available for use.

与衰老相关的生理变化会增加患老年性疾病的风险。这种增加对与年龄相关的疾病类型是非特异性的,尽管每种疾病都通过独特的病理生理机制发展。衰老速度较快的人会在生命早期患上与年龄相关的疾病。与他们的“实际年龄”相比,他们的“生理年龄”更大。早期发现衰老加速的个体可以及时进行干预,推迟与年龄相关的疾病的发作。这将延长他们的预期寿命和高质量生活的时间。本研究的目的是研究视网膜微血管复杂性是否可以作为生物年龄的生物标志物。在一项观察性横断面研究中,收集了68名年龄从19岁到82岁的参与者的视网膜图像。20名老年参与者患有与年龄相关的疾病,如高血压、2型糖尿病和/或阿尔茨海默氏症。其余的参与者都很健康。用手持式非散瞳眼底相机拍摄视网膜图像,并使用Sholl’s、盒计数分形和腔隙性分析对微血管复杂性进行量化。在健康受试者中,Sholl分析显示,年龄增长与视网膜微血管复杂性降低有关。在老年患者中,盒计数分形维数降低,而在患有年龄相关疾病的参与者中,这种下降速度快2.1倍(p = 0.047)。视网膜微血管复杂性可能是一种很有前途的生物年龄新生物标志物。这项研究的数据是黑山首次收集到此类数据。它可以免费使用。
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引用次数: 0
Measuring healthy ageing: current and future tools. 衡量健康老龄化:当前和未来的工具。
IF 4.5 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI: 10.1007/s10522-023-10041-2
Nádia Silva, Ana Teresa Rajado, Filipa Esteves, David Brito, Joana Apolónio, Vânia Palma Roberto, Alexandra Binnie, Inês Araújo, Clévio Nóbrega, José Bragança, Pedro Castelo-Branco

Human ageing is a complex, multifactorial process characterised by physiological damage, increased risk of age-related diseases and inevitable functional deterioration. As the population of the world grows older, placing significant strain on social and healthcare resources, there is a growing need to identify reliable and easy-to-employ markers of healthy ageing for early detection of ageing trajectories and disease risk. Such markers would allow for the targeted implementation of strategies or treatments that can lessen suffering, disability, and dependence in old age. In this review, we summarise the healthy ageing scores reported in the literature, with a focus on the past 5 years, and compare and contrast the variables employed. The use of approaches to determine biological age, molecular biomarkers, ageing trajectories, and multi-omics ageing scores are reviewed. We conclude that the ideal healthy ageing score is multisystemic and able to encompass all of the potential alterations associated with ageing. It should also be longitudinal and able to accurately predict ageing complications at an early stage in order to maximize the chances of successful early intervention.

人类衰老是一个复杂的、多因素的过程,其特征是生理损伤、年龄相关疾病的风险增加和不可避免的功能恶化。随着世界人口的老龄化,给社会和医疗资源带来了巨大压力,人们越来越需要确定可靠且易于使用的健康老龄化标志物,以早期检测老龄化轨迹和疾病风险。这些标志物将允许有针对性地实施可以减轻老年人痛苦、残疾和依赖的策略或治疗。在这篇综述中,我们总结了文献中报道的健康衰老分数,重点是过去5年,并对所使用的变量进行了比较和对比。综述了确定生物年龄、分子生物标志物、衰老轨迹和多组分衰老评分的方法的使用。我们得出的结论是,理想的健康衰老评分是多系统的,能够涵盖与衰老相关的所有潜在变化。它还应该是纵向的,能够在早期准确预测衰老并发症,以最大限度地提高早期干预成功的机会。
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引用次数: 0
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Biogerontology
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