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老年人肌肉减少症的分子病理生理机制的新兴干预措施的综合述评

A Comprehensive Review of Essential Aspects of Molecular Pathophysiological Mechanisms with Emerging Interventions for Sarcopenia in Older People.

机构信息

Department of Pharmaceutical Sciences, School of Pharmaceutical Sciences, Babasaheb Bhimrao Ambedkar University, Vidya Vihar, Raebareli Road, Lucknow, Uttar Pradesh-226025, India.

Department of Pharmacology, Smt. Kishoritai Bhoyar College of Pharmacy, Kamptee, Nagpur-441002, India.

出版信息

Curr Mol Pharmacol. 2024;17(1):e080323214478. doi: 10.2174/1874467216666230308142137.

Abstract

BACKGROUND

As people age, physical impairments may have a deleterious role on skeletal muscles. Sarcopenia Clinical Practice Guidelines 2017 and the European Working Group on Sarcopenia in older people are two organizations that have published essential guidelines on the definition of "Sarcopenia". Sarcopenia is a geriatric syndrome, characterized by skeletal muscle mass degeneration brought on by ageing, which lowers muscular function and quality. Moreover, Sarcopenia can be classified as primary or age-associated Sarcopenia and secondary Sarcopenia. Also, secondary Sarcopenia occurs when other diseases such as diabetes, obesity, cancer, cirrhosis, myocardial failure, chronic obstructive pulmonary disease, and inflammatory bowel disease also contribute to muscle loss. Furthermore, Sarcopenia is linked with a high risk of negative outcomes, considering a gradual reduction in physical mobility, poor balance, and increased fracture risks which ultimately leads to poor quality of life.

OBJECTIVE

In this comprehensive review, we have elaborated on the pathophysiology, and various signaling pathways linked with Sarcopenia. Also, discussed the preclinical models and current interventional therapeutics to treat muscle wasting in older patients.

CONCLUSION

In a nutshell, a comprehensive description of the pathophysiology, mechanisms, animal models, and interventions of Sarcopenia. We also shed light on pharmacotherapeutics present in clinical trials which are being developed as potential therapeutic options for wasting diseases. Thus, this review could fill in the knowledge gaps regarding Sarcopenia-related muscle loss and muscle quality for both researchers and clinicians.

摘要

背景

随着年龄的增长,身体损伤可能会对骨骼肌肉产生有害影响。2017 年《肌少症临床实践指南》和《欧洲老年人肌少症工作组》是两个发布了关于“肌少症”定义的重要指南的组织。肌少症是一种老年综合征,其特征是衰老导致的骨骼肌质量退化,从而降低肌肉功能和质量。此外,肌少症可分为原发性或与年龄相关的肌少症和继发性肌少症。此外,当其他疾病如糖尿病、肥胖症、癌症、肝硬化、心力衰竭、慢性阻塞性肺疾病和炎症性肠病也导致肌肉减少时,就会发生继发性肌少症。此外,肌少症与负面结果的风险较高相关,因为它会导致身体活动能力逐渐下降、平衡能力差和骨折风险增加,最终导致生活质量下降。

目的

在这篇综述中,我们详细阐述了肌少症的病理生理学和与肌少症相关的各种信号通路。还讨论了用于治疗老年患者肌肉减少症的临床前模型和当前干预疗法。

结论

总之,全面描述了肌少症的病理生理学、机制、动物模型和干预措施。我们还介绍了临床试验中现有的药物治疗方法,这些方法正在被开发为治疗消耗性疾病的潜在治疗选择。因此,本综述可以填补研究人员和临床医生在肌少症相关肌肉减少和肌肉质量方面的知识空白。

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