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雷帕霉素通过延缓器官衰老延长健康寿命的作用。

The Role of Rapamycin in Healthspan Extension via the Delay of Organ Aging.

机构信息

Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China; National Clinical Research Center for Obstetrical and Gynecological Diseases, Huazhong University of Science and Technology, Wuhan, 430030, China; Key Laboratory of Cancer Invasion and Metastasis, Ministry of Education, Huazhong University of Science and Technology, Wuhan, 430030, China.

Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China; National Clinical Research Center for Obstetrical and Gynecological Diseases, Huazhong University of Science and Technology, Wuhan, 430030, China; Key Laboratory of Cancer Invasion and Metastasis, Ministry of Education, Huazhong University of Science and Technology, Wuhan, 430030, China.

出版信息

Ageing Res Rev. 2021 Sep;70:101376. doi: 10.1016/j.arr.2021.101376. Epub 2021 Jun 2.

Abstract

Aging can not only shorten a healthy lifespan, but can also lead to multi-organ dysfunction and failure. Anti-aging is a complex and worldwide conundrum for eliminating the various pathologies of senility. The past decade has seen great progress in the understanding of the aging-associated signaling pathways and their application for developing anti-aging approaches. Currently, some drugs can improve quality of life. The activation of mammalian target of rapamycin (mTOR) signaling is one of the core and detrimental mechanisms related to aging; rapamycin can reduce the rate of aging, improve age-related diseases by inhibiting the mTOR pathway, and prolong lifespan and healthspan effectively. However, the current evidence for rapamycin in lifespan extension and organ aging is fragmented and scattered. In this review, we summarize the efficacy and safety of rapamycin in prolonging a healthy lifespan by systematically alleviating aging in multiple organ systems, i.e., the nervous, urinary, digestive, circulatory, motor, respiratory, endocrine, reproductive, integumentary and immune systems, to provide a theoretical basis for the future clinical application of rapamycin in anti-aging.

摘要

衰老是导致多器官功能障碍和衰竭的重要因素,不仅会缩短健康寿命。抗衰老是消除衰老相关各种疾病的复杂的全球性难题。过去十年,人们对衰老相关信号通路的认识取得了重大进展,并将其应用于开发抗衰老方法。目前,已有一些药物可以改善生活质量。哺乳动物雷帕霉素靶蛋白(mTOR)信号的激活是与衰老相关的核心和有害机制之一;雷帕霉素通过抑制 mTOR 通路可以降低衰老速度,改善与年龄相关的疾病,有效地延长寿命和健康寿命。然而,目前关于雷帕霉素在延长寿命和器官衰老方面的证据是零散的。在本综述中,我们通过系统地减轻多个器官系统(如神经系统、泌尿系统、消化系统、循环系统、运动系统、呼吸系统、内分泌系统、生殖系统、皮肤系统和免疫系统)的衰老,总结了雷帕霉素在延长健康寿命方面的疗效和安全性,为雷帕霉素在抗衰老方面的未来临床应用提供了理论依据。

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