Zhong Ling, Yang Jielin, Syed Jibran Nehal, Zhang Yuwei, Tian Yan, Fu Xianghui
Department of Endocrinology and Metabolism, Department of Biotherapy, Laboratory of Diabetes and Metabolism Research, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Department of Translational Medicine, The Hospital for Sick Children, Toronto, ON M5S 1A1, Canada.
Aging Dis. 2025 Jan 2. doi: 10.14336/AD.2024.1477.
Aging is a complex and universal process marked by gradual functional declines at the cellular and tissue levels, often leading to a range of aging-related diseases such as diabetes, cardiovascular diseases, and cancer. Delaying the aging process can help prevent, slow down, and alleviate the severity of these various conditions, enhancing overall health and well-being. Alpha-glucosidase inhibitors (AGIs) are a class of widely used antidiabetic drugs that inhibit alpha-glucosidase in the small intestinal mucosa, delaying carbohydrate absorption and reducing postprandial hyperglycemia. Beyond their roles in diabetes treatment, AGIs have shown potential in extending lifespan and effectively treating aging-related diseases by modulating oxidative stress, gut microbiota, inflammatory responses, and nutrient-sensing pathways. This review summarizes recent advancements in the application of AGIs for preventing and treating aging and aging-related diseases, with a focus on their mechanisms and roles in these processes.
衰老 是一个复杂且普遍的过程,其特征是细胞和组织水平上的功能逐渐衰退,常常导致一系列与衰老相关的疾病,如糖尿病、心血管疾病和癌症。延缓衰老过程有助于预防、减缓并减轻这些病症的严重程度,提高整体健康水平和幸福感。α-葡萄糖苷酶抑制剂(AGIs)是一类广泛使用的抗糖尿病药物,可抑制小肠黏膜中的α-葡萄糖苷酶,延缓碳水化合物吸收并降低餐后高血糖。除了在糖尿病治疗中的作用外,AGIs还通过调节氧化应激、肠道微生物群、炎症反应和营养感应途径,在延长寿命和有效治疗与衰老相关的疾病方面显示出潜力。本综述总结了AGIs在预防和治疗衰老及与衰老相关疾病方面应用的最新进展,重点关注其在这些过程中的机制和作用。