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人类衰老与年龄相关疾病:从潜在机制到促长寿干预措施。

Human Aging and Age-Related Diseases: From Underlying Mechanisms to Pro-Longevity Interventions.

作者信息

Chmielewski Piotr Pawel, Data Krzysztof, Strzelec Bartłomiej, Farzaneh Maryam, Anbiyaiee Amir, Zaheer Uzma, Uddin Shahab, Sheykhi-Sabzehpoush Mohadeseh, Mozdziak Paul, Zabel Maciej, Dzięgiel Piotr, Kempisty Bartosz

机构信息

Division of Anatomy, Department of Human Morphology and Embryology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.

2nd Department of General Surgery and Surgical Oncology, Medical University Hospital, Wroclaw, Poland.

出版信息

Aging Dis. 2024 Jun 14. doi: 10.14336/AD.2024.0280.

Abstract

As human life expectancy continues to rise, becoming a pressing global concern, it brings into focus the underlying mechanisms of aging. The increasing lifespan has led to a growing elderly population grappling with age-related diseases (ARDs), which strains healthcare systems and economies worldwide. While human senescence was once regarded as an immutable and inexorable phenomenon, impervious to interventions, the emerging field of geroscience now offers innovative approaches to aging, holding the promise of extending the period of healthspan in humans. Understanding the intricate links between aging and pathologies is essential in addressing the challenges presented by aging populations. A substantial body of evidence indicates shared mechanisms and pathways contributing to the development and progression of various ARDs. Consequently, novel interventions targeting the intrinsic mechanisms of aging have the potential to delay the onset of diverse pathological conditions, thereby extending healthspan. In this narrative review, we discuss the most promising methods and interventions aimed at modulating aging, which harbor the potential to mitigate ARDs in the future. We also outline the complexity of senescence and review recent empirical evidence to identify rational strategies for promoting healthy aging.

摘要

随着人类预期寿命持续上升,这一问题成为全球紧迫关切,它使衰老的潜在机制成为焦点。寿命的延长导致老年人口不断增加,他们正与年龄相关疾病(ARDs)作斗争,这给全球医疗系统和经济带来压力。虽然人类衰老曾被视为一种不可改变、不可阻挡的现象,不受干预影响,但新兴的老年科学领域现在为衰老提供了创新方法,有望延长人类健康期。了解衰老与疾病之间的复杂联系对于应对老龄化人口带来的挑战至关重要。大量证据表明,各种ARDs的发生和发展存在共同的机制和途径。因此,针对衰老内在机制的新型干预措施有可能延缓多种病理状况的发生,从而延长健康期。在这篇叙述性综述中,我们讨论了旨在调节衰老的最有前景的方法和干预措施,这些方法和措施有可能在未来减轻ARDs。我们还概述了衰老的复杂性,并回顾了最近的实证证据,以确定促进健康衰老的合理策略。

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