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锂治疗延长人类寿命:来自英国生物银行的研究结果。

Lithium treatment extends human lifespan: findings from the UK Biobank.

机构信息

Energy Metabolism Laboratory, Institute of Translational Medicine, Swiss Federal Institute of Technology (ETH) Zürich, Schwerzenbach CH-8603, Switzerland.

Center for Thrombosis and Hemostasis and Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz D-55131, Germany.

出版信息

Aging (Albany NY). 2023 Jan 11;15(2):421-440. doi: 10.18632/aging.204476.

DOI:10.18632/aging.204476
PMID:36640269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9925675/
Abstract

Lithium is a nutritional trace element that is also used pharmacologically for the management of bipolar and related psychiatric disorders. Recent studies have shown that lithium supplementation can extend health and lifespan in different animal models. Moreover, nutritional lithium uptake from drinking water was repeatedly found to be positively correlated with human longevity. By analyzing a large observational aging cohort (UK Biobank, = 501,461 individuals) along with prescription data derived from the National Health Services (NHS), we here find therapeutic supplementation of lithium linked to decreased mortality ( = 0.0017) of individuals diagnosed with affective disorders. Subsequent multivariate survival analyses reveal lithium to be the strongest factor in regards to increased survival effects (hazard ratio = 0.274 [0.119-0.634 CI 95%, = 0.0023]), corresponding to 3.641 times lower (95% CI 1.577-8.407) chances of dying at a given age for lithium users compared to users of other anti-psychotic drugs. While these results may further support the use of lithium as a geroprotective supplement, it should be noted that doses applied within the UK Biobank/NHS setting require close supervision by qualified medical professionals.

摘要

锂是一种营养微量元素,也在药理学上用于治疗双相情感障碍和相关精神疾病。最近的研究表明,锂补充剂可以延长不同动物模型的健康和寿命。此外,从饮用水中摄取营养性锂与人类长寿呈正相关,这一点已在反复研究中得到证实。通过分析一个大型观察性衰老队列(英国生物库,n = 501461 人)以及来自国民保健系统(NHS)的处方数据,我们在这里发现,锂的治疗性补充与诊断为情感障碍的个体死亡率降低相关(p = 0.0017)。随后的多变量生存分析显示,锂是影响生存效果的最强因素(风险比 = 0.274 [0.119-0.634 置信区间 95%,p = 0.0023]),与使用其他抗精神病药物的患者相比,锂使用者在给定年龄死亡的几率低 3.641 倍(95%置信区间 1.577-8.407)。虽然这些结果可能进一步支持将锂作为一种抗衰老补充剂使用,但需要注意的是,英国生物库/NHS 设定中的应用剂量需要由合格的医疗专业人员密切监督。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/8026a94009d8/aging-15-204476-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/d70fccad0a8b/aging-15-204476-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/824483137274/aging-15-204476-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/8026a94009d8/aging-15-204476-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/d70fccad0a8b/aging-15-204476-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/824483137274/aging-15-204476-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d76/9925675/8026a94009d8/aging-15-204476-g003.jpg

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