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肌肉减少症与衰老的生物学决定因素:老年科学视角的叙述性综述

Sarcopenia and the biological determinants of aging: A narrative review from a geroscience perspective.

作者信息

Nunes-Pinto Mariá, Bandeira de Mello Renato Gorga, Pinto Milena Nunes, Moro Cédric, Vellas Bruno, Martinez Laurent O, Rolland Yves, de Souto Barreto Philipe

机构信息

Gerontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, France; Postgraduate Program in Medical Sciences (Endocrinology), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Postgraduate Program in Medical Sciences (Endocrinology), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil; School of Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil; Master of Public Health Program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.

出版信息

Ageing Res Rev. 2025 Jan;103:102587. doi: 10.1016/j.arr.2024.102587. Epub 2024 Nov 19.

Abstract

BACKGROUND

The physiopathology of sarcopenia shares common biological cascades with the aging process, as does any other age-related condition. However, our understanding of the interconnected pathways between diagnosed sarcopenia and aging remains limited, lacking sufficient scientific evidence.

METHODS

This narrative review aims to gather and describe the current evidence on the relationship between biological aging determinants, commonly referred to as the hallmarks of aging, and diagnosed sarcopenia in humans.

RESULTS

Among the twelve hallmarks of aging studied, there appears to be a substantial association between sarcopenia and mitochondrial dysfunction, epigenetic alterations, deregulated nutrient sensing, and altered intercellular communication. Although limited, preliminary evidence suggests a promising association between sarcopenia and genomic instability or stem cell exhaustion.

DISCUSSION

Overall, an imbalance in energy regulation, characterized by impaired mitochondrial energy production and alterations in circulatory markers, is commonly associated with sarcopenia and may reflect the interplay between aging physiology and sarcopenia biology.

摘要

背景

肌肉减少症的生理病理学与衰老过程共享共同的生物学级联反应,其他任何与年龄相关的病症也是如此。然而,我们对已诊断的肌肉减少症与衰老之间相互关联的途径的理解仍然有限,缺乏足够的科学证据。

方法

本叙述性综述旨在收集和描述目前关于生物学衰老决定因素(通常称为衰老标志)与人类已诊断的肌肉减少症之间关系的证据。

结果

在所研究的十二个衰老标志中,肌肉减少症与线粒体功能障碍、表观遗传改变、营养感应失调和细胞间通讯改变之间似乎存在实质性关联。虽然证据有限,但初步证据表明肌肉减少症与基因组不稳定或干细胞耗竭之间存在有前景的关联。

讨论

总体而言,以线粒体能量产生受损和循环标志物改变为特征的能量调节失衡通常与肌肉减少症相关,并且可能反映衰老生理学与肌肉减少症生物学之间的相互作用。

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