Pennington Biomedical Research Center, LSU System, Baton Rouge, LA 70809, USA.
Exp Gerontol. 2011 Feb-Mar;46(2-3):148-54. doi: 10.1016/j.exger.2010.12.001. Epub 2010 Dec 15.
Calorie restriction (CR) remains the most robust environmental intervention for altering aging processes and increasing healthspan and lifespan. Emerging from progress made in many nonhuman models, current research has expanded to formal, controlled human studies of CR. Since long-term CR requires a major commitment of will power and long-term negative consequences remain to be determined, the concept of a calorie restriction mimetic (CRM) has become a new area of investigation within gerontology. We have proposed that a CRM is a compound that mimics metabolic, hormonal, and physiological effects of CR, activates stress response pathways observed in CR and enhances stress protection, produces CR-like effects on longevity, reduces age-related disease, and maintains more youthful function, all without significantly reducing food intake. Over 12 years ago, we introduced the concept of glycolytic inhibition as a strategy for developing mimetics of CR. We have argued that inhibiting energy utilization as far upstream as possible might offer a broader range of CR-like effects as opposed to targeting a singular molecular target downstream. As the first candidate CRM, 2-deoxyglucose, a known anti-glycolytic, provided a remarkable phenotype of CR, but turned out to produce cardiotoxicity in rats. Since the introduction of 2DG as a candidate CRM, many different targets for development have now been proposed at more downstream sites, including insulin receptor sensitizers, sirtuin activators, and inhibitors of mTOR. This review discusses these various strategies to assess their current status and future potential for this emerging research field.
热量限制(CR)仍然是改变衰老过程、延长健康寿命和寿命的最强大的环境干预措施。从许多非人类模型中取得的进展中得出,目前的研究已经扩展到对 CR 的正式、对照人体研究。由于长期的 CR 需要大量的意志力和长期的负面后果仍有待确定,因此,热量限制模拟物(CRM)的概念已成为老年学新的研究领域。我们提出,CRM 是一种模拟 CR 的代谢、激素和生理作用的化合物,激活在 CR 中观察到的应激反应途径并增强应激保护,产生类似于 CR 的长寿效应,减少与年龄相关的疾病,并保持更年轻的功能,而不会显著减少食物摄入。早在 12 年前,我们就提出了抑制糖酵解作为开发 CR 模拟物的策略的概念。我们认为,尽可能在能量利用的上游进行抑制可能会提供更广泛的类似于 CR 的效果,而不是针对下游的单一分子靶标。作为第一个候选 CRM,2-脱氧葡萄糖,一种已知的抗糖酵解剂,提供了一个显著的 CR 表型,但结果在大鼠中产生了心脏毒性。自 2DG 被引入候选 CRM 以来,现在已经在更下游的位置提出了许多不同的开发目标,包括胰岛素受体敏化剂、sirtuin 激活剂和 mTOR 抑制剂。这篇综述讨论了这些不同的策略,以评估它们在这个新兴研究领域的当前状态和未来潜力。
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