Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, University of Birmingham, Birmingham, UK.
Age Ageing. 2023 Feb 1;52(2). doi: 10.1093/ageing/afac328.
Life expectancy has been on the rise for the past few decades, but healthy life expectancy has not kept pace, leading to a global burden of age-associated disorders. Advancing age is accompanied by a chronic increase in basal systemic inflammation, termed inflammaging, contributing towards an increased risk of developing chronic diseases in old age. This article reviews the recent literature to formulate hypotheses regarding how age-associated inflammaging plays a crucial role in driving chronic diseases and ill health in older adults. Here, we discuss how non-pharmacological intervention strategies (diet, nutraceutical supplements, phytochemicals, physical activity, microbiome-based therapies) targeting inflammaging restore health in older adults. We also consider alternative existing pharmacological interventions (Caloric restriction mimetics, p38 mitogen-activated protein kinase inhibitors) and explore novel targets (senolytics) aimed at combating inflammaging and optimising the ageing process to increase healthy lifespan.
在过去的几十年里,预期寿命一直在上升,但健康预期寿命并没有跟上,这导致了与年龄相关的疾病的全球负担。随着年龄的增长,基础系统性炎症会持续慢性增加,被称为炎症衰老,这会增加老年人患慢性疾病的风险。本文回顾了最近的文献,提出了关于与年龄相关的炎症衰老如何在驱动老年人的慢性疾病和健康不良方面发挥关键作用的假说。在这里,我们讨论了针对炎症衰老的非药物干预策略(饮食、营养补充剂、植物化学物质、体育活动、基于微生物组的疗法)如何恢复老年人的健康。我们还考虑了替代现有的药物干预措施(热量限制模拟物、p38 丝裂原活化蛋白激酶抑制剂),并探索了旨在对抗炎症衰老和优化衰老过程以增加健康寿命的新靶点(衰老细胞清除剂)。