Miller Richard A
Department of Pathology and Geriatrics Center, Ann Arbor VA Medical Center, University of Michigan, 109 Zina Pitcher Place, Ann Arbor, MI 48109-2200, USA.
J Gerontol A Biol Sci Med Sci. 2009 Feb;64(2):157-60. doi: 10.1093/gerona/gln062. Epub 2009 Feb 18.
Biogerontologists and demographers have argued that the fastest, most cost-effective strategies for prevention of the medical problems that afflict those older than 60 years are likely to emerge from a deeper understanding of what factors time the aging process and how aging leads, in rough synchrony, to the many diseases and disabilities of aging. Biologists can support and refine this discussion by studies of slow-aging mice, of mice with disease-promoting mutations, of mice in which specific cellular responses have been abrogated by genetic or pharmaceutical interventions, of slow-aging dog and horse breeds, and of the factors, genetic and physiological, that coordinate lethal and nonlethal consequences of aging in people. More work is also needed to learn how timing of antiaging interventions can be used to optimize the balance between beneficial and undesirable effects.
生物老年医学家与人口统计学家认为,预防困扰60岁以上人群的医学问题的最快且最具成本效益的策略,可能源于对哪些因素调控衰老进程以及衰老如何大致同步地导致众多衰老相关疾病和残疾的更深入理解。生物学家可以通过对以下对象的研究来支持并完善这一讨论:衰老缓慢的小鼠、带有促病突变的小鼠、特定细胞反应已通过基因或药物干预被消除的小鼠、衰老缓慢的犬种和马种,以及协调人类衰老的致命和非致命后果的遗传和生理因素。还需要开展更多工作,以了解如何利用抗衰老干预的时机来优化有益效果与不良效果之间的平衡。