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肌肉减少症:干预的分子途径和潜在靶点。

Sarcopenia: Molecular Pathways and Potential Targets for Intervention.

机构信息

Medical Extrahospital Emergency Service of Navarra, 31500 Pamplona, Spain.

Prevention and Health Service, University Clinic of Navarra, 31008 Pamplona, Spain.

出版信息

Int J Mol Sci. 2020 Nov 22;21(22):8844. doi: 10.3390/ijms21228844.

Abstract

Aging is associated with sarcopenia. The loss of strength results in decreased muscle mass and motor function. This process accelerates the progressive muscle deterioration observed in older adults, favoring the presence of debilitating pathologies. In addition, sarcopenia leads to a decrease in quality of life, significantly affecting self-sufficiency. Altogether, these results in an increase in economic resources from the National Health Systems devoted to mitigating this problem in the elderly, particularly in developed countries. Different etiological determinants are involved in the progression of the disease, including: neurological factors, endocrine alterations, as well as nutritional and lifestyle changes related to the adoption of more sedentary habits. Molecular and cellular mechanisms have not been clearly characterized, resulting in the absence of an effective treatment for sarcopenia. Nevertheless, physical activity seems to be the sole strategy to delay sarcopenia and its symptoms. The present review intends to bring together the data explaining how physical activity modulates at a molecular and cellular level all factors that predispose or favor the progression of this deteriorating pathology.

摘要

衰老是与肌肉减少症相关的。力量的丧失导致肌肉质量和运动功能下降。这个过程加速了老年人中观察到的进行性肌肉恶化,有利于衰弱性疾病的出现。此外,肌肉减少症导致生活质量下降,严重影响了自理能力。总之,这些结果导致国家卫生系统增加了资源,用于减轻老年人,特别是发达国家老年人的这一问题。疾病的进展涉及到不同的病因决定因素,包括:神经因素、内分泌改变,以及与更久坐的生活习惯相关的营养和生活方式的改变。分子和细胞机制尚未得到明确的描述,导致目前对于肌肉减少症还没有有效的治疗方法。然而,体育活动似乎是延缓肌肉减少症及其症状的唯一策略。本综述旨在汇集数据,解释体育活动如何在分子和细胞水平上调节所有导致或有利于这种进行性病理恶化的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/824e/7700275/b01b9f88052b/ijms-21-08844-g001.jpg

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