Stenvinkel Peter, Shiels Paul G, Kotanko Peter, Evenepoel Pieter, Johnson Richard J
Division of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Glasgow Geroscience Group, School of Molecular Biosciences, University of Glasgow, Glasgow, United Kingdom.
J Am Soc Nephrol. 2025 Feb 1;36(2):311-321. doi: 10.1681/ASN.0000000582. Epub 2024 Nov 22.
Planetary health encompasses the understanding that the long-term well-being of humanity is intrinsically linked to the health of global ecological systems. Unfortunately, current practices often overlook this principle, leading to a human-oriented (anthropocentric) worldview that has resulted in heightened greenhouse gas emissions, increased heat stress, lack of access to clean water, and pollution, threatening both the environment and health and survival of Homo sapiens and countless other species. One significant consequence of these environmental changes is the exacerbation of inflammatory and oxidative stressors, which not only contributes to common lifestyle diseases but also accelerates the aging process. We advocate for a shift away from our current anthropocentric frameworks to an approach that focuses on nature's solutions that developed from natural selection over the eons. This approach, which encompasses the field of biomimicry, may provide insights that can help protect against an inflammatory phenotype to mitigate physiological and cellular senescence and provide a buffer against environmental stressors. Gaining insights from how animals have developed ingenious approaches to combat adversity through the evolutionary process of natural selection not only provides solutions for climate change but also confronts the rising burden of lifestyle diseases that accumulate with age.
行星健康包含这样一种认识,即人类的长期福祉与全球生态系统的健康有着内在联系。不幸的是,当前的做法往往忽视这一原则,导致一种以人类为中心(人类中心主义)的世界观,这种世界观导致温室气体排放增加、热应激加剧、缺乏清洁水以及污染,威胁着环境以及智人和无数其他物种的健康与生存。这些环境变化的一个重大后果是炎症和氧化应激源的加剧,这不仅导致常见的生活方式疾病,还加速了衰老过程。我们主张从当前的人类中心主义框架转向一种关注从长期自然选择中发展而来的自然解决方案的方法。这种涵盖仿生学领域的方法可能会提供一些见解,有助于预防炎症表型,减轻生理和细胞衰老,并为环境应激源提供缓冲。从动物如何通过自然选择的进化过程发展出巧妙的应对逆境方法中获得见解,不仅能为气候变化提供解决方案,还能应对随着年龄增长而不断增加的生活方式疾病负担。