Rae Michael J
Calorie Restriction Society, Society Cohort Study Team, 1827 W. 145th St, Suite 205, Gardena, CA 90249 USA.
Age (Dordr). 2006 Mar;28(1):93-109. doi: 10.1007/s11357-006-9002-z. Epub 2006 May 23.
Calorie restriction (CR) is the most robust available intervention into biological aging. Efforts are underway to develop pharmaceuticals that would replicate CR's anti-aging effects in humans ("CR mimetics"), on the assumption that the life- and healthspan-extending effects of CR in lower organisms will be proportionally extrapolable to humans (the "proportionality principle" (PP)). A recent argument from evolutionary theory (the "weather hypothesis" (WH)) suggests that CR (or its mimetics) will only provide 2-3 years of extended healthy lifespan in humans. The extension of healthy human lifespan that would be afforded by intervention into aging makes it crucial that resources for therapeutic development be optimally allocated; CR mimetics being the main direction being pursued for interventive biogerontology, this paper evaluates the challenge to the potential efficacy of CR mimetics posed by the WH, on a theoretical level and by reference to the available interspecies data on CR. Rodent data suggest that the anti-aging effects of CR continue to increase in inverse proportion to the degree of energy restriction imposed, well below the level that would be expected to be survivable under the conditions under which the mechanisms of CR evolved and are maintained in the wild. Moreover, the same increase in anti-aging effects continues well below the point at which it interferes with reproductive function. Both of these facts are in accordance with the predictions of evolutionary theory. Granted these facts, the interspecies data-including data available in humans-are consistent with the predictions of PP rather than those of the WH. This suggests that humans will respond to a high degree of CR (or its pharmaceutical simulation) with a proportional deceleration of aging, so that CR mimetics should be as effective in humans as CR itself is in the rodent model. Despite this fact, CR mimetics should not be the focus of biomedical gerontology, as strategies based on the direct targeting of the molecular lesions of aging are likely to lead to more rapidly developable and far more effective anti-aging biomedicines.
热量限制(CR)是目前对生物衰老最有效的干预措施。目前正在努力研发能在人体中复制CR抗衰老效果的药物(“CR模拟物”),其依据是CR在低等生物中延长寿命和健康寿命的效果将按比例外推至人类(“比例原则”(PP))。最近来自进化理论的一个观点(“气候假说”(WH))表明,CR(或其模拟物)在人类中只能延长2至3年的健康寿命。通过干预衰老来延长人类健康寿命使得优化分配治疗开发资源变得至关重要;CR模拟物是干预生物老年医学所追求的主要方向,本文从理论层面并参考现有的关于CR的种间数据,评估了WH对CR模拟物潜在疗效构成的挑战。啮齿动物的数据表明,CR的抗衰老效果继续与所施加的能量限制程度成反比增加,远低于在CR机制在野生环境中进化和维持的条件下预期可存活的水平。此外,抗衰老效果的同样增加在远低于干扰生殖功能的点时仍在继续。这两个事实都符合进化理论的预测。鉴于这些事实,种间数据——包括人类可用的数据——与PP的预测一致,而非与WH的预测一致。这表明人类将对高度的CR(或其药物模拟)做出衰老比例减速的反应,因此CR模拟物在人类中的效果应与CR本身在啮齿动物模型中的效果一样。尽管如此,CR模拟物不应成为生物医学老年学的重点,因为基于直接针对衰老分子损伤的策略可能会导致更快速开发且更有效的抗衰老生物药物。