de Lima Enzo Pereira, Tanaka Masaru, Lamas Caroline Barbalho, Quesada Karina, Detregiachi Claudia Rucco P, Araújo Adriano Cressoni, Guiguer Elen Landgraf, Catharin Virgínia Maria Cavallari Strozze, de Castro Marcela Vialogo Marques, Junior Edgar Baldi, Bechara Marcelo Dib, Ferraz Bruna Fidencio Rahal, Catharin Vitor Cavallari Strozze, Laurindo Lucas Fornari, Barbalho Sandra Maria
Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Marília 17525-902, SP, Brazil.
HUN-REN-SZTE Neuroscience Research Group, Danube Neuroscience Research Laboratory, Hungarian Research Network, University of Szeged (HUN-REN-SZTE), Tisza Lajos Krt. 113, H-6725 Szeged, Hungary.
Biomedicines. 2024 Sep 13;12(9):2096. doi: 10.3390/biomedicines12092096.
The triad of vascular impairment, muscle atrophy, and cognitive decline represents critical age-related conditions that significantly impact health. Vascular impairment disrupts blood flow, precipitating the muscle mass reduction seen in sarcopenia and the decline in neuronal function characteristic of neurodegeneration. Our limited understanding of the intricate relationships within this triad hinders accurate diagnosis and effective treatment strategies. This review analyzes the interrelated mechanisms that contribute to these conditions, with a specific focus on oxidative stress, chronic inflammation, and impaired nutrient delivery. The aim is to understand the common pathways involved and to suggest comprehensive therapeutic approaches. Vascular dysfunctions hinder the circulation of blood and the transportation of nutrients, resulting in sarcopenia characterized by muscle atrophy and weakness. Vascular dysfunction and sarcopenia have a negative impact on physical function and quality of life. Neurodegenerative diseases exhibit comparable pathophysiological mechanisms that affect cognitive and motor functions. Preventive and therapeutic approaches encompass lifestyle adjustments, addressing oxidative stress, inflammation, and integrated therapies that focus on improving vascular and muscular well-being. Better understanding of these links can refine therapeutic strategies and yield better patient outcomes. This study emphasizes the complex interplay between vascular dysfunction, muscle degeneration, and cognitive decline, highlighting the necessity for multidisciplinary treatment approaches. Advances in this domain promise improved diagnostic accuracy, more effective therapeutic options, and enhanced preventive measures, all contributing to a higher quality of life for the elderly population.
血管损伤、肌肉萎缩和认知衰退这三者构成了与年龄相关的关键病症,对健康产生重大影响。血管损伤会扰乱血流,引发肌肉减少症中出现的肌肉量减少以及神经退行性变所特有的神经元功能衰退。我们对这三者之间复杂关系的有限理解阻碍了准确的诊断和有效的治疗策略。本综述分析了导致这些病症的相互关联机制,特别关注氧化应激、慢性炎症和营养输送受损。目的是了解其中涉及的共同途径,并提出综合治疗方法。血管功能障碍会阻碍血液循环和营养物质运输,导致以肌肉萎缩和无力为特征的肌肉减少症。血管功能障碍和肌肉减少症会对身体功能和生活质量产生负面影响。神经退行性疾病表现出影响认知和运动功能的类似病理生理机制。预防和治疗方法包括生活方式调整、应对氧化应激和炎症,以及专注于改善血管和肌肉健康的综合疗法。对这些联系的更好理解可以优化治疗策略并产生更好的患者预后。本研究强调了血管功能障碍、肌肉退化和认知衰退之间的复杂相互作用,突出了多学科治疗方法的必要性。该领域的进展有望提高诊断准确性、提供更有效的治疗选择并加强预防措施,所有这些都有助于提高老年人群的生活质量。