Research Center for Endocrine and Metabolic Diseases, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
Department of Medical Science, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
Gerontology. 2021;67(5):525-531. doi: 10.1159/000513600. Epub 2021 Mar 9.
Growth differentiation factor 15 (GDF15), induced by tissue inflammation and mitochondrial stress, has received significant attention as a biomarker of mitochondrial dysfunction and has been implicated in various age-related diseases. However, the association between circulating GDF15 and sarcopenia-associated outcomes in older adults remains to be established.
To validate previous experimental data and to investigate the possible role of GDF15 in aging and muscle physiology in humans, this study examined serum GDF15 levels in relation to sarcopenia-related parameters in a cohort of older Asian adults.
Muscle mass and muscle function-related parameters, such as grip strength, gait speed, chair stands, and short physical performance battery score were evaluated by experienced nurses in 125 geriatric participants with or without sarcopenia. Sarcopenia was diagnosed using the Asian-specific cutoff points. Serum GDF15 levels were measured using an enzyme immunoassay kit.
Serum GDF15 levels were not significantly different according to sarcopenia status, muscle mass, muscle strength, and physical performance and were not associated with the skeletal muscle index, grip strength, gait speed, time to complete 5 chair stands, and short physical performance battery score, regardless of adjustments for sex, age, and BMI.
These findings indicate that the definite role of GDF15 on muscle metabolism observed in animal models might not be evident in humans and that elevated GDF15 levels might not predict the risk for sarcopenia, at least in older Asian adults.
生长分化因子 15(GDF15)由组织炎症和线粒体应激诱导,作为线粒体功能障碍的生物标志物受到了广泛关注,并与各种与年龄相关的疾病有关。然而,循环 GDF15 与老年人肌少症相关结局之间的关联尚未确定。
为了验证以前的实验数据,并研究 GDF15 在人类衰老和肌肉生理学中的可能作用,本研究在一组亚洲老年人队列中,检查了与肌少症相关参数相关的血清 GDF15 水平。
由经验丰富的护士评估 125 名老年参与者是否存在肌少症及其相关参数,如握力、步态速度、椅子站立和简短体能测试评分。肌少症采用亚洲特有的截断点进行诊断。使用酶联免疫吸附试剂盒测量血清 GDF15 水平。
根据肌少症状态、肌肉质量、肌肉力量和身体表现,血清 GDF15 水平没有显著差异,与骨骼肌指数、握力、步态速度、完成 5 次椅子站立的时间和简短体能测试评分均无相关性,无论是否调整性别、年龄和 BMI。
这些发现表明,在动物模型中观察到的 GDF15 对肌肉代谢的明确作用在人类中可能不明显,并且升高的 GDF15 水平可能不能预测肌少症的风险,至少在亚洲老年人中是这样。