Aoki Yuji, Aoki Masato, Yamada Kazuya
Matsumoto Hospital, Matsumoto, Japan.
Matsumoto University, Matsumoto, Japan.
Gerontol Geriatr Med. 2017 Mar 8;3:2333721417696672. doi: 10.1177/2333721417696672. eCollection 2017 Jan-Dec.
Leukocyte telomere length and serum levels of high-molecular-weight adiponectin and dehydroepiandrosterone-sulfate (DHEA-S) were assessed in association with nutrition and performance status (PS) in Japanese centenarians. Twenty-three centenarians (five men, 18 women) were classified according to their PS 1 (nearly fully ambulatory, = 2), 2 (in bed less than 50% of daytime, = 10), 3 (in bed greater than 50%, = 6), and 4 (completely bedridden, = 5). Leukocyte telomere length was determined by the hybridization protection assay, and the adiponectin and DHEA-S levels were measured by chemiluminescent enzyme immunoassay. Among variables of PS, body mass index (BMI), albumin, adiponectin, DHEA-S, and telomere length, there were significant correlations between PS and albumin ( = -.694, < .01), between telomere length and BMI ( = .522, < .05), between adiponectin and BMI ( = -.574, < .01), and between DHEA-S and albumin ( = .530, < .01). When excluding two cancer-bearing centenarians with short telomere, telomere length significantly correlated with PS ( = -.632, < .01). It was indicated that the short leukocyte telomere was associated with poor PS and cancer development and that the adiponectin or DHEA-S was associated with adiposity or nutritional status. Despite a small number of subjects, these biomarkers seemed to reflect distinct aspects of longevity in Japanese centenarians.
在日本百岁老人中,对白细胞端粒长度、高分子量脂联素血清水平和硫酸脱氢表雄酮(DHEA-S)与营养状况和体能状态(PS)进行了评估。23名百岁老人(5名男性,18名女性)根据其PS分为1级(几乎完全能行走,n = 2)、2级(白天卧床时间少于50%,n = 10)、3级(卧床时间超过50%,n = 6)和4级(完全卧床,n = 5)。通过杂交保护试验测定白细胞端粒长度,采用化学发光酶免疫测定法测量脂联素和DHEA-S水平。在PS、体重指数(BMI)、白蛋白、脂联素、DHEA-S和端粒长度等变量中,PS与白蛋白之间存在显著相关性(r = -0.694,P < 0.01),端粒长度与BMI之间存在显著相关性(r = 0.522,P < 0.05),脂联素与BMI之间存在显著相关性(r = -0.574,P < 0.01),DHEA-S与白蛋白之间存在显著相关性(r = 0.530,P < 0.01)。排除两名端粒较短的患癌百岁老人后,端粒长度与PS显著相关(r = -0.632,P < 0.01)。结果表明,白细胞端粒短与PS差和癌症发生有关,脂联素或DHEA-S与肥胖或营养状况有关。尽管研究对象数量较少,但这些生物标志物似乎反映了日本百岁老人长寿的不同方面。