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一种基于临床和实验室测量的小鼠虚弱指数:虚弱与促炎细胞因子之间的关联在性别特异性方面存在差异。

A Murine Frailty Index Based on Clinical and Laboratory Measurements: Links Between Frailty and Pro-inflammatory Cytokines Differ in a Sex-Specific Manner.

机构信息

Department of Pharmacology, Dalhousie University, Halifax, NS, Canada.

School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada.

出版信息

J Gerontol A Biol Sci Med Sci. 2019 Feb 15;74(3):275-282. doi: 10.1093/gerona/gly117.

DOI:10.1093/gerona/gly117
PMID:29788087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6376103/
Abstract

A frailty index (FI) based on clinical deficit accumulation (FI-Clinical) quantifies frailty in aging mice. We aimed to develop a laboratory test-based murine FI tool (FI-Lab) and to investigate the effects of age and sex on FI-Lab scores, FI-Clinical scores, and the combination (FI-Combined), as well as to explore links between frailty and inflammation. Studies used older (17 and 23 months) C57BL/6 mice of both sexes. We developed an FI-Lab (blood pressure, blood chemistry, echocardiography) based on deviation from reference values in younger adults (12 months), which showed similar characteristics to a human FI-Lab tool. Interestingly, while FI-Clinical scores were higher in females, the opposite was true for FI-Lab scores and there was no sex difference in FI-Combined scores. All three FI tools revealed a positive correlation between pro-inflammatory cytokine levels and frailty in aging mice that differed between the sexes. Elevated levels of the pro-inflammatory cytokines interleukin (IL)-6, IL-9, and interferon-γ were associated with higher FI scores in aging females, while levels of IL-12p40 rose as FI scores increased in older males. Thus, an FI tool based on common laboratory tests can quantify frailty in mice; the positive correlation between inflammation and frailty scores in naturally aging mice differs between the sexes.

摘要

一种基于临床缺陷积累的衰弱指数(FI-Clinical)可用于量化衰老小鼠的衰弱程度。我们旨在开发一种基于实验室检测的小鼠衰弱指数工具(FI-Lab),并研究年龄和性别对 FI-Lab 评分、FI-Clinical 评分以及两者组合(FI-Combined)的影响,同时探讨衰弱与炎症之间的关系。该研究使用了雄性和雌性的较老年(17 个月和 23 个月)C57BL/6 小鼠。我们基于年轻成年人(12 个月)的参考值偏差开发了一种 FI-Lab(血压、血液化学、超声心动图),其特征与人类 FI-Lab 工具相似。有趣的是,虽然 FI-Clinical 评分在雌性中较高,但 FI-Lab 评分则相反,且在 FI-Combined 评分中没有性别差异。所有三种 FI 工具都显示,在衰老小鼠中,促炎细胞因子水平与衰弱之间存在正相关,且这种相关性在性别之间存在差异。在衰老雌性小鼠中,促炎细胞因子白细胞介素(IL)-6、IL-9 和干扰素-γ水平升高与较高的 FI 评分相关,而在老年雄性小鼠中,随着 FI 评分的升高,IL-12p40 水平也随之升高。因此,基于常见实验室检测的 FI 工具可用于量化小鼠的衰弱程度;在自然衰老的小鼠中,炎症与衰弱评分之间的正相关性在性别之间存在差异。

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Cross-Sectional and Longitudinal Relationships Between Inflammatory Biomarkers and Frailty in Community-dwelling Older Men: The Concord Health and Ageing in Men Project.社区居住的老年男性中炎症生物标志物与虚弱的横断面和纵向关系:康科德健康与男性衰老研究。
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A frailty index from common clinical and laboratory tests predicts increased risk of death across the life course.基于常见临床和实验室检查得出的衰弱指数可预测一生中死亡风险的增加。
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Development of a Rat Clinical Frailty Index.大鼠临床衰弱指数的开发。
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Frailty has a stronger association with inflammation than age in older veterans.在老年退伍军人中,衰弱与炎症的关联比与年龄的关联更强。
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