Najm Alfred, Niculescu Adelina-Gabriela, Grumezescu Alexandru Mihai, Beuran Mircea
Department of Surgery, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari, Sector 5, 050474 Bucharest, Romania.
Emergency Hospital Floreasca Bucharest, 8 Calea Floresca, Sector 1, 014461 Bucharest, Romania.
Int J Mol Sci. 2024 Apr 12;25(8):4300. doi: 10.3390/ijms25084300.
Sarcopenia is a prevalent degenerative skeletal muscle condition in the elderly population, posing a tremendous burden on diseased individuals and healthcare systems worldwide. Conventionally, sarcopenia is currently managed through nutritional interventions, physical therapy, and lifestyle modification, with no pharmaceutical agents being approved for specific use in this disease. As the pathogenesis of sarcopenia is still poorly understood and there is no treatment recognized as universally effective, recent research efforts have been directed at better comprehending this illness and diversifying treatment strategies. In this respect, this paper overviews the new advances in sarcopenia treatment in correlation with its underlying mechanisms. Specifically, this review creates an updated framework for sarcopenia, describing its etiology, pathogenesis, risk factors, and conventional treatments, further discussing emerging therapeutic approaches like new drug formulations, drug delivery systems, stem cell therapies, and tissue-engineered scaffolds in more detail.
肌肉减少症是老年人群中一种普遍存在的退行性骨骼肌疾病,给全球患病个体和医疗保健系统带来了巨大负担。传统上,目前通过营养干预、物理治疗和生活方式改变来管理肌肉减少症,尚无药物被批准专门用于治疗这种疾病。由于肌肉减少症的发病机制仍知之甚少,且尚无被公认为普遍有效的治疗方法,因此最近的研究工作致力于更好地理解这种疾病并使治疗策略多样化。在这方面,本文概述了与肌肉减少症潜在机制相关的治疗新进展。具体而言,本综述为肌肉减少症建立了一个更新的框架,描述了其病因、发病机制、危险因素和传统治疗方法,并进一步更详细地讨论了新兴的治疗方法,如新药物制剂、药物递送系统、干细胞疗法和组织工程支架。