Holzenberger Martin
INSERM UMR 938, Saint-Antoine Hospital, and University Pierre and Marie Curie, Paris, France.
Nestle Nutr Workshop Ser Pediatr Program. 2011;68:237-45; discussion 246-9. doi: 10.1159/000325914. Epub 2011 Oct 3.
Insulin and insulin-like signaling regulate survival and lifespan in a variety of animal species, from nematodes and flies to higher vertebrates and mammals. Recently, it was shown that brain IGF-I receptor and brain IRS2 control mammalian lifespan, and that this occurs through neuroendocrine mechanisms, control of energy metabolism and modified stress resistance. Furthermore, it was demonstrated that insulin receptor substrate molecules are implicated downstream of insulin and IGF receptors in the extension of lifespan. We showed recently that early postnatal diet plays a significant role in the development of the somatotropic axis, and that part of the neuroendocrine plasticity of growth hormone secretion depends on postnatal nutrition. We also showed that the prevalence of cardiovascular and metabolic pathologies varied with the development of somatotropic function. Neuroendocrine pathways are also prime targets for pharmacological treatments, and administration of rapamycin to adult mice has indeed recently been reported to prolong lifespan in mice. With respect to human aging, new studies identified several genes of the somatotropic axis as longevity determinants, and a recent study shows that variants of FOXO3A, downstream signaling molecule in the insulin/IGF pathway, are associated with extreme longevity in humans. Finally, several functional mutations of the human IGF-IR have been discovered in centenarians.
胰岛素及胰岛素样信号传导调节着从线虫、果蝇到高等脊椎动物和哺乳动物等多种动物物种的存活及寿命。最近有研究表明,大脑中的胰岛素样生长因子-I受体(IGF-I受体)和胰岛素受体底物2(IRS2)控制着哺乳动物的寿命,且这一过程通过神经内分泌机制、能量代谢控制及应激抗性的改变来实现。此外,有证据表明胰岛素受体底物分子在胰岛素和IGF受体下游对寿命延长有影响。我们最近发现,出生后早期饮食在生长激素轴的发育中起着重要作用,生长激素分泌的部分神经内分泌可塑性取决于出生后的营养状况。我们还发现,心血管和代谢疾病的患病率随生长激素功能的发展而变化。神经内分泌途径也是药物治疗的主要靶点,最近有报道称给成年小鼠注射雷帕霉素确实能延长其寿命。关于人类衰老,新的研究确定了生长激素轴的几个基因是寿命的决定因素,最近一项研究表明,胰岛素/IGF途径中的下游信号分子FOXO3A的变体与人类的极端长寿有关。最后,在百岁老人中发现了人类IGF-IR的几种功能性突变。