Biodonostia Health Research Institute, Multiple Sclerosis Group, San Sebastian, Spain.
Biodonostia Health Research Institute, Cellular Oncology Group, San Sebastian, Spain.
Sci Rep. 2021 Feb 23;11(1):4358. doi: 10.1038/s41598-021-83991-7.
The improvement of life quality and medical advances has resulted in increased life expectancy. Despite this, health status commonly worsens in the last years of life. Frailty is an intermediate and reversible state that often precedes dependency and therefore, its identification may be essential to prevent dependency. However, there is no consensus on the best tools to identify frailty. In this sense, diverse molecules have been proposed as potential biomarkers. Some investigations pointed to an increased chronic inflammation or inflammaging with frailty, while others did not report such differences. In this work, we evaluated the circulating concentration of the inflammaging markers in adults and older adults (aged over 70 years) by ELISA and Luminex techniques. The Barthel Index was applied for the evaluation of dependency and Timed up-and-go, Gait Speed, Short Physical Performance Battery, Tilburg Frailty Indicator and Gerontopole Frailty Screening Tool were used for the identification of frailty. CRP, TNF-α, IL-6 and albumin concentrations were measured, and we found that elevated inflammation is present in older adults, while no differences with frailty and dependency were reported. Our results were consistent for all the evaluated frailty scales, highlighting the need to reconsider increased inflammation as a biomarker of frailty.
生活质量的提高和医学的进步导致了预期寿命的延长。尽管如此,人们的健康状况在生命的最后几年通常会恶化。衰弱是一种中间和可逆的状态,通常先于依赖,因此,识别衰弱可能对预防依赖至关重要。然而,目前还没有关于识别衰弱的最佳工具的共识。在这方面,已经提出了多种分子作为潜在的生物标志物。一些研究指出,随着衰弱的出现,慢性炎症或炎症老化会增加,而另一些研究则没有报告这种差异。在这项工作中,我们通过 ELISA 和 Luminex 技术评估了成年人和老年人(年龄超过 70 岁)循环中炎症标志物的浓度。Barthel 指数用于评估依赖性,Timed up-and-go、Gait Speed、Short Physical Performance Battery、Tilburg 衰弱指标和 Gerontopole 衰弱筛查工具用于识别衰弱。我们测量了 CRP、TNF-α、IL-6 和白蛋白的浓度,发现炎症在老年人中升高,而与衰弱和依赖性无关。我们的结果与所有评估的衰弱量表一致,这突出表明需要重新考虑炎症增加作为衰弱的生物标志物。