Fukumoto Takeshi, Shimosawa Tatsuo, Yakabe Mitsutaka, Yoshida Shota, Yoshida Yohko
Division of Dermatology, Department of Internal Related, Kobe University Graduate School of Medicine, Kobe, Japan.
Department of Clinical Laboratory, Graduate School of Medicine, International University of Health and Welfare, Hyogo, Japan.
Geriatr Gerontol Int. 2025 Feb;25(2):139-147. doi: 10.1111/ggi.15054. Epub 2025 Jan 3.
In this review, we review the current status of biomarkers for aging and possible perspectives on anti-aging or rejuvenation from the standpoint of biomarkers. Aging is observed in all cells and organs, and we focused on research into senescence in the skin, musculoskeletal system, immune system, and cardiovascular system. Commonly used biomarkers include SA-βgal, cell-cycle markers, senescence-associated secretory phenotype (SASP) factors, damage-associated molecular patterns (DAMPs), and DNA-damage-related markers. In addition, each organ or cell has its specific markers. Generally speaking, a combination of biomarkers is required to define age-related changes. When considering the translation of basic research, biomarkers that are highly sensitive, highly specific, with validation and reliability as well as being non-invasive are optimal; however, currently reported markers do not fulfill the prerequisite for biomarkers. In addition, rodent models of aging do not necessarily represent human aging, and markers in rodent or cell models are not applicable in clinical settings. The prerequisite of clinically applicable biomarkers is that they provide useful information for clinical decision-making, such as predicting disease risk, diagnosing disease, monitoring disease progression, or guiding treatment decisions. Therefore, the development of non-invasive robust, reliable, and useful biomarkers in humans is necessary to develop anti-aging therapy for humans. Geriatr Gerontol Int 2025; 25: 139-147.
在本综述中,我们回顾了衰老生物标志物的现状以及从生物标志物角度看抗衰或回春的可能前景。在所有细胞和器官中都可观察到衰老现象,我们重点关注了皮肤、肌肉骨骼系统、免疫系统和心血管系统的衰老研究。常用的生物标志物包括衰老相关β-半乳糖苷酶(SA-βgal)、细胞周期标志物、衰老相关分泌表型(SASP)因子、损伤相关分子模式(DAMPs)以及DNA损伤相关标志物。此外,每个器官或细胞都有其特定的标志物。一般来说,需要多种生物标志物的组合来定义与年龄相关的变化。在考虑基础研究的转化时,高度敏感、高度特异、经过验证且可靠以及非侵入性的生物标志物是最佳选择;然而,目前报道的标志物并不满足生物标志物的先决条件。此外,衰老的啮齿动物模型不一定能代表人类衰老,啮齿动物或细胞模型中的标志物也不适用于临床环境。临床适用生物标志物的先决条件是它们能为临床决策提供有用信息,如预测疾病风险、诊断疾病、监测疾病进展或指导治疗决策。因此,开发用于人类的非侵入性、强大、可靠且有用的生物标志物对于开发人类抗衰疗法是必要的。《老年医学与老年病学国际杂志》2025年;25: 139 - 147
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