Govoni Stefano, Fagiani Francesca, Lanni Cristina, Allegri Nicola
Department of Drug Sciences (Pharmacology Section), University of Pavia, Pavia, Italy.
CEFAT (Center of Pharmaceuticals Economics and Medical Technologies Evaluation), University of Pavia, Pavia, Italy.
Front Cell Neurosci. 2022 Feb 17;16:838447. doi: 10.3389/fncel.2022.838447. eCollection 2022.
What is the value of assessing the biological age and frailty and predicting residual lifespan and health status? The benefit is obvious if we have means to alter the pace of aging and the development of frailty. So far, limited but increasing examples of interventions altering the predicted status indicate that, at least in some cases, this is possible through interventions spanning from the economic-social through drug treatments. Thus, why searching for biological markers, when some clinical and socio-economic indicators do already provide sufficiently accurate predictions? Indeed, the search of frailty biomarkers and of their biological clocks helps to build up a mechanistic frame that may orientate the design of interventions and the time window of their efficacy. Among the candidate biomarkers identified, several studies converge to indicate epigenetic clocks as a promising sensitive biomarker of the aging process. Moreover, it will help to establish the relationship between personal aging and health trajectories and to individuate the check points beyond which biological changes are irreversible.
评估生物学年龄和虚弱程度以及预测剩余寿命和健康状况有什么价值?如果我们有办法改变衰老速度和虚弱的发展,好处是显而易见的。到目前为止,虽然改变预测状态的干预措施例子有限但在不断增加,这表明至少在某些情况下,通过从经济社会层面到药物治疗等一系列干预措施是有可能做到的。那么,既然一些临床和社会经济指标已经能提供足够准确的预测,为什么还要寻找生物学标志物呢?事实上,寻找虚弱生物标志物及其生物钟有助于构建一个机制框架,该框架可能会指导干预措施的设计及其有效性的时间窗。在已确定的候选生物标志物中,多项研究一致表明表观遗传时钟是衰老过程中一种很有前景的敏感生物标志物。此外,它将有助于建立个人衰老与健康轨迹之间的关系,并确定生物变化不可逆转的关键点。