Vujosevic Stela, Limoli Celeste, Kozak Igor
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Eye Clinic, IRCCS MultiMedica, Milan, Italy.
Eye (Lond). 2025 Apr;39(5):845-859. doi: 10.1038/s41433-024-03341-5. Epub 2024 Sep 17.
Age-related macular degeneration (AMD) and age-related neurological diseases (ANDs), such as Alzheimer's and Parkinson's Diseases, are increasingly prevalent conditions that significantly contribute to global morbidity, disability, and mortality. The retina, as an accessible part of the central nervous system (CNS), provides a unique window to study brain aging and neurodegeneration. By examining the associations between AMD and ANDs, this review aims to highlight novel insights into fundamental mechanisms of aging and their role in neurodegenerative disease progression. This review integrates knowledge from the emerging field of aging research, which identifies common denominators of biological aging, specifically loss of proteostasis, impaired macroautophagy, mitochondrial dysfunction, and inflammation. Finally, we emphasize the clinical relevance of these pathways and the potential for cross-disease therapies that target common aging hallmarks. Identifying these shared pathways could open avenues to develop therapeutic strategies targeting mechanisms common to multiple degenerative diseases, potentially attenuating disease progression and promoting the healthspan.
年龄相关性黄斑变性(AMD)以及年龄相关性神经疾病(ANDs),如阿尔茨海默病和帕金森病,是日益普遍的疾病,对全球发病率、残疾率和死亡率有显著影响。视网膜作为中枢神经系统(CNS)易于观察的一部分,为研究大脑衰老和神经退行性变提供了一个独特的窗口。通过研究AMD与ANDs之间的关联,本综述旨在突出对衰老基本机制及其在神经退行性疾病进展中作用的新见解。本综述整合了衰老研究这一新兴领域的知识,该领域确定了生物衰老的共同特征,特别是蛋白质稳态丧失、巨自噬受损、线粒体功能障碍和炎症。最后,我们强调了这些途径的临床相关性以及针对共同衰老特征的跨疾病治疗的潜力。确定这些共同途径可能为开发针对多种退行性疾病共同机制的治疗策略开辟道路,有可能减缓疾病进展并促进健康寿命。