Koutouroushis Christos, Sarkar Oiendrila
General Internal Medicine, St. Mary's Hospital, Isle of Wight NHS Trust, Newport, GBR.
Cureus. 2021 Nov 30;13(11):e20042. doi: 10.7759/cureus.20042. eCollection 2021 Nov.
Cardiovascular disease is the leading cause of death worldwide and is expected to further increase as people continue to live even longer. Although the life span of the general population is increasing, the con of such a prolonged life span is that aging has certain detrimental effects on the molecular, structural, and functional elements of the cardiovascular system. This review will discuss various molecular pathways linked to longevity, most notably autophagy and its associated mechanisms, and how these pathways can be targeted to promote cardiovascular health through the process of aging. It is to be noted that the process of autophagy decreases with aging; hence, this review concludes that the promotion of autophagy, through implementation of caloric restriction, intermittent fasting, and pharmacologic agents, has proven to be an efficacious means of stimulating cardiovascular health. Therefore, autophagy is an important target for prevention and procrastination of cardiovascular pathologies in the geriatric population.
心血管疾病是全球主要死因,随着人们寿命的不断延长,预计其死亡率还会进一步上升。尽管普通人群的寿命在增加,但寿命延长的弊端在于衰老会对心血管系统的分子、结构和功能要素产生某些有害影响。本综述将讨论与长寿相关的各种分子途径,尤其是自噬及其相关机制,以及如何通过衰老过程靶向这些途径来促进心血管健康。需要注意的是,自噬过程会随着衰老而减少;因此,本综述得出结论,通过实施热量限制、间歇性禁食和药物等手段促进自噬,已被证明是促进心血管健康的有效方法。因此,自噬是老年人群预防和延缓心血管疾病的重要靶点。