Smith Julie V, Heilbronn Leonie K, Ravussin Eric
Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
Curr Opin Clin Nutr Metab Care. 2004 Nov;7(6):615-22. doi: 10.1097/00075197-200411000-00005.
The focus of this review is on current research involving long-term calorie restriction and the resulting changes observed in possible biomarkers of aging. Special emphasis will be given to the basic and clinical science studies which are currently investigating the effects of controlled, high-quality energy-restricted diets on both biomarkers of longevity and on the development of chronic diseases related to age and obesity in humans.
Prolonged calorie restriction has been shown to extend both the median and maximal lifespan in a variety of lower species such as yeast, worms, fish, rats, and mice. Mechanisms of this lifespan extension via calorie restriction are not fully elucidated, but possibly involve significant alterations in energy metabolism, oxidative damage, insulin sensitivity, and functional changes in both the neuroendocrine and sympathetic nervous systems. Ongoing studies of prolonged energy restriction in humans are now making it possible to analyze changes in these aging biomarkers to unravel some of the mechanisms of its antiaging phenomenon.
With the incremental expansion of research endeavors in the area of energy or calorie restriction, data on the effects of calorie restriction in animal models and humans are becoming more accessible. Detailed analyses from controlled human trials involving long-term calorie restriction will allow investigators to link observed alterations in body composition down to changes in molecular pathways and gene expression, with their possible effects on the biomarkers of aging.
本综述的重点是当前关于长期热量限制以及在可能的衰老生物标志物中观察到的相关变化的研究。将特别强调基础和临床科学研究,这些研究目前正在调查受控的、高质量能量限制饮食对人类寿命生物标志物以及与年龄和肥胖相关的慢性疾病发展的影响。
长期热量限制已被证明能延长多种低等物种(如酵母、蠕虫、鱼类、大鼠和小鼠)的中位寿命和最大寿命。通过热量限制延长寿命的机制尚未完全阐明,但可能涉及能量代谢、氧化损伤、胰岛素敏感性的显著改变,以及神经内分泌和交感神经系统的功能变化。目前对人类长期能量限制的研究使得分析这些衰老生物标志物的变化以揭示其抗衰老现象的一些机制成为可能。
随着能量或热量限制领域研究工作的不断扩展,关于热量限制在动物模型和人类中的影响的数据越来越容易获取。来自涉及长期热量限制的受控人体试验的详细分析将使研究人员能够将观察到的身体成分变化与分子途径和基因表达的变化联系起来,以及它们对衰老生物标志物的可能影响。