Shetty Ashok K, Kodali Maheedhar, Upadhya Raghavendra, Madhu Leelavathi N
1Institute for Regenerative Medicine, Department of Molecular and Cellular Medicine, Texas A&M University Health Science Center College of Medicine, College Station, Texas 77843, USA.
2Olin E. Teague Veterans' Medical Center, Central Texas Veterans Health Care System, Temple, Texas 76504, USA.
Aging Dis. 2018 Dec 4;9(6):1165-1184. doi: 10.14336/AD.2018.1026. eCollection 2018 Dec.
The prevalence of age-related diseases is in an upward trend due to increased life expectancy in humans. Age-related conditions are among the leading causes of morbidity and death worldwide currently. Therefore, there is an urgent need to find apt interventions that slow down aging and reduce or postpone the incidence of debilitating age-related diseases. This review discusses the efficacy of emerging anti-aging approaches for maintaining better health in old age. There are many anti-aging strategies in development, which include procedures such as augmentation of autophagy, elimination of senescent cells, transfusion of plasma from young blood, intermittent fasting, enhancement of adult neurogenesis, physical exercise, antioxidant intake, and stem cell therapy. Multiple pre-clinical studies suggest that administration of autophagy enhancers, senolytic drugs, plasma from young blood, drugs that enhance neurogenesis and BDNF are promising approaches to sustain normal health during aging and also to postpone age-related neurodegenerative diseases such as Alzheimer's disease. Stem cell therapy has also shown promise for improving regeneration and function of the aged or Alzheimer's disease brain. Several of these approaches are awaiting critical appraisal in clinical trials to determine their long-term efficacy and possible adverse effects. On the other hand, procedures such as intermittent fasting, physical exercise, intake of antioxidants such as resveratrol and curcumin have shown considerable promise for improving function in aging, some of which are ready for large-scale clinical trials, as they are non-invasive, and seem to have minimal side effects. In summary, several approaches are at the forefront of becoming mainstream therapies for combating aging and postponing age-related diseases in the coming years.
由于人类预期寿命的增加,与年龄相关疾病的患病率呈上升趋势。目前,与年龄相关的疾病是全球发病和死亡的主要原因之一。因此,迫切需要找到合适的干预措施来延缓衰老,减少或推迟使人衰弱的与年龄相关疾病的发病率。这篇综述讨论了新兴抗衰老方法在维持老年人健康方面的功效。目前有许多正在研发的抗衰老策略,包括增强自噬、清除衰老细胞、输注年轻血液的血浆、间歇性禁食、增强成体神经发生、体育锻炼、摄入抗氧化剂以及干细胞治疗等方法。多项临床前研究表明,给予自噬增强剂、衰老细胞溶解药物、年轻血液的血浆、增强神经发生的药物和脑源性神经营养因子(BDNF)是在衰老过程中维持正常健康以及推迟诸如阿尔茨海默病等与年龄相关神经退行性疾病的有前景的方法。干细胞治疗在改善衰老大脑或阿尔茨海默病大脑的再生和功能方面也显示出前景。其中一些方法正在等待临床试验的严格评估,以确定它们的长期疗效和可能的不良反应。另一方面,间歇性禁食、体育锻炼、摄入白藜芦醇和姜黄素等抗氧化剂等方法在改善衰老功能方面已显示出相当大的前景,其中一些已准备好进行大规模临床试验,因为它们是非侵入性的,且似乎副作用最小。总之,未来几年,有几种方法正处于成为对抗衰老和推迟与年龄相关疾病的主流疗法的前沿。