Gaylord Abigail, Cohen Alan, Kupsco Allison
Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States.
PRIMUS Research Group, Department of Family Medicine, University of Sherbrooke, Sherbrooke, Quebec, Canada.
Curr Opin Epidemiol Public Health. 2023 Jun;2(2):7-17. doi: 10.1097/pxh.0000000000000018.
The development of biomarkers of aging has greatly advanced epidemiological studies of aging processes. However, much debate remains on the timing of aging onset and the causal relevance of these biomarkers. In this review, we discuss the most recent biomarkers of aging that have been applied across the life course.
The most recently developed aging biomarkers that have been applied across the life course can be designated into three categories: epigenetic clocks, epigenetic markers of chronic inflammation, and mitochondrial DNA copy number. While these have been applied at different life stages, the development, validation, and application of these markers has been largely centered on populations of older adults. Few studies have examined trajectories of aging biomarkers across the life course. As the wealth of molecular and biochemical data increases, emerging biomarkers may be able to capture complex and system-specific aging processes. Recently developed biomarkers include novel epigenetic clocks; clocks based on ribosomal DNA, transcriptomic profiles, proteomics, metabolomics, and inflammatory markers; clonal hematopoiesis of indeterminate potential gene mutations; and multi-omics approaches.
Attention should be placed on aging at early and middle life stages to better understand trajectories of aging biomarkers across the life course. Additionally, novel biomarkers will provide greater insight into aging processes. The specific mechanisms of aging reflected by these biomarkers should be considered when interpreting results.
衰老生物标志物的发展极大地推动了衰老过程的流行病学研究。然而,关于衰老起始时间以及这些生物标志物的因果相关性仍存在诸多争议。在本综述中,我们讨论了在整个生命历程中应用的最新衰老生物标志物。
最近在整个生命历程中应用的已开发衰老生物标志物可分为三类:表观遗传时钟、慢性炎症的表观遗传标志物和线粒体DNA拷贝数。虽然这些标志物已应用于不同生命阶段,但它们的开发、验证和应用主要集中在老年人群体。很少有研究考察衰老生物标志物在整个生命历程中的轨迹。随着分子和生化数据的丰富,新兴的生物标志物或许能够捕捉复杂且特定系统的衰老过程。最近开发的生物标志物包括新型表观遗传时钟;基于核糖体DNA、转录组图谱、蛋白质组学、代谢组学和炎症标志物的时钟;不确定潜能的克隆性造血基因突变;以及多组学方法。
应关注生命早期和中期阶段的衰老情况,以更好地了解衰老生物标志物在整个生命历程中的轨迹。此外,新型生物标志物将为衰老过程提供更深入的见解。在解释结果时应考虑这些生物标志物所反映的衰老具体机制。