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病例报告:列宁格勒围城战幸存者的超常血管衰老

Case Report: Supernormal Vascular Aging in Leningrad Siege Survivors.

作者信息

Rotar Oxana, Boyarinova Maria, Moguchaya Ekaterina, Tolkunova Kristina, Kolosov Nikita, Rezapova Valeriia, Freylikhman Olga, Usoltsev Dmitrii, Melnik Olesya, Sergushichev Alexey, Solntsev Vladislav, Kostareva Anna, Dubinina Elena, Voortman Trudy, Stevens Christine, Daly Mark J, Konradi Alexandra, Shlyakhto Evgeny, Artomov Mykyta

机构信息

Almazov National Medical Research Centre, Saint Petersburg, Russia.

ITMO University, Saint Petersburg, Russia.

出版信息

Front Cardiovasc Med. 2022 May 23;9:843439. doi: 10.3389/fcvm.2022.843439. eCollection 2022.

DOI:10.3389/fcvm.2022.843439
PMID:35677697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9170230/
Abstract

Age-related changes in the vascular system play an important role in the biological age and lifespan of a person and maybe affected from an early age onward. One of the indicators of changes in the vascular system is arterial wall stiffness and its main measure, i.e., carotid-femoral pulse wave velocity (cfPWV). We examined arterial wall stiffness in a sample of 305 Leningrad Siege survivors to assess how hunger and stressful conditions during fetal development and early childhood affected the state of the cardiovascular system at a later age and what factors may neutralize the negative impact sustained in early childhood. Here, we presented an evaluation of two unique patients with supernormal vascular aging (SUPERNOVA) phenotype from this cohort and described the details of congruence between hereditary resistance and practiced lifestyle yielding slower biological aging rate.

摘要

血管系统的年龄相关变化在人的生物学年龄和寿命中起着重要作用,并且可能从早年就受到影响。血管系统变化的指标之一是动脉壁硬度及其主要测量指标,即颈股脉搏波速度(cfPWV)。我们在305名列宁格勒围城战幸存者样本中检查了动脉壁硬度,以评估胎儿发育和幼儿期的饥饿及压力状况如何影响晚年的心血管系统状态,以及哪些因素可能抵消幼儿期遭受的负面影响。在此,我们展示了对该队列中两名具有超常血管衰老(SUPERNOVA)表型的独特患者的评估,并描述了遗传抗性与实践生活方式之间一致性的细节,这种一致性导致生物衰老速率较慢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceb7/9170230/392ce82e2c46/fcvm-09-843439-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceb7/9170230/392ce82e2c46/fcvm-09-843439-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceb7/9170230/392ce82e2c46/fcvm-09-843439-g0001.jpg

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本文引用的文献

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Transition of Living Arrangement and Cognitive Impairment Status among Chinese Older Adults: Are They Associated?中国老年人居住安排转变与认知障碍状况:两者相关吗?
Medicina (Kaunas). 2021 Sep 12;57(9):961. doi: 10.3390/medicina57090961.
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Vascular Ageing - State of Play, Gaps and Key Issues.血管老化——现状、差距与关键问题
Heart Lung Circ. 2021 Nov;30(11):1591-1594. doi: 10.1016/j.hlc.2021.06.528. Epub 2021 Aug 12.
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Dismantling Anti-Ageing Medicine: Why Age-Relatedness of Cardiovascular Disease is Proof of Robustness Rather Than of Ageing-Associated Vulnerability.
解构抗衰老医学:为何心血管疾病的年龄相关性是稳健性而非衰老相关性脆弱性的证据。
Heart Lung Circ. 2021 Nov;30(11):1702-1709. doi: 10.1016/j.hlc.2021.05.105. Epub 2021 Jul 7.
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Meta-analysis: Early Age at Natural Menopause and Risk for All-Cause and Cardiovascular Mortality.荟萃分析:自然绝经年龄早与全因和心血管死亡率的风险。
Biomed Res Int. 2021 Mar 15;2021:6636856. doi: 10.1155/2021/6636856. eCollection 2021.
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Early and Supernormal Vascular Aging: Clinical Characteristics and Association With Incident Cardiovascular Events.早期和超正常血管老化:临床特征及与心血管事件发生的关系。
Hypertension. 2020 Nov;76(5):1616-1624. doi: 10.1161/HYPERTENSIONAHA.120.14971. Epub 2020 Sep 8.
6
Genome-wide association analysis of pulse wave velocity traits provide new insights into the causal relationship between arterial stiffness and blood pressure.全基因组关联分析脉搏波速度特征为动脉僵硬度与血压之间的因果关系提供了新的见解。
PLoS One. 2020 Aug 13;15(8):e0237237. doi: 10.1371/journal.pone.0237237. eCollection 2020.
7
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Ann Med. 2020 Aug;52(5):147-161. doi: 10.1080/07853890.2020.1770849. Epub 2020 Jun 10.
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Body mass index and all-cause mortality in older adults: A scoping review of observational studies.体质指数与老年人全因死亡率:观察性研究的范围综述。
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Biological Versus Chronological Aging: JACC Focus Seminar.生物年龄与实际年龄:美国心脏病学会焦点研讨会。
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