Li Qiao, Zhang Heng, Xiao Nanyin, Liang Guangyu, Lin Yan, Yang Xiao, Yang Jiankun, Qian Zonghao, Fu Yangguang, Zhang Cuntai, Liu Anding
Experimental Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Key Laboratory of Vascular Aging, Ministry of Education, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
FASEB J. 2025 May 15;39(9):e70575. doi: 10.1096/fj.202402797RR.
The pathogenesis of various chronic diseases is closely associated with aging. Aging of the cardiovascular system promotes the development of severe cardiovascular diseases with high mortality, including atherosclerosis, coronary heart disease, and myocardial infarction. Similarly, aging of the nervous system promotes the development of neurodegenerative diseases, such as Alzheimer's disease, which seriously impairs cognitive function. Aging of the musculoskeletal system is characterized by decreased function and mobility. The molecular basis of organ aging is cellular senescence, which involves multiple cellular and molecular mechanisms, such as impaired autophagy, metabolic imbalance, oxidative stress, and persistent inflammation. Given the ongoing demographic shift toward an aging society, strategies to delay or reduce the effects of aging have gained significance. Lifestyle modifications, such as exercise and calorie restriction, are now recognized for their anti-aging effects, their capacity to reduce modification, their potential to prolong lifespan, and their capacity to lower the risk of cardiovascular disease. This review elucidates the molecular mechanisms and application significance of various anti-aging approaches at the molecular level, based on research progress in aging. It aims to provide a reference for the prevention and treatment of age-related diseases in progressively aging societies.
各种慢性疾病的发病机制与衰老密切相关。心血管系统的衰老促进了包括动脉粥样硬化、冠心病和心肌梗死在内的高死亡率严重心血管疾病的发展。同样,神经系统的衰老促进了神经退行性疾病的发展,如阿尔茨海默病,它严重损害认知功能。肌肉骨骼系统的衰老表现为功能和活动能力下降。器官衰老的分子基础是细胞衰老,它涉及多种细胞和分子机制,如自噬受损、代谢失衡、氧化应激和持续性炎症。鉴于人口结构正朝着老龄化社会转变,延缓或减轻衰老影响的策略变得愈发重要。生活方式的改变,如运动和热量限制,现在因其抗衰老作用、减少修饰的能力、延长寿命的潜力以及降低心血管疾病风险的能力而得到认可。本综述基于衰老研究进展,在分子水平阐明了各种抗衰老方法的分子机制及应用意义。旨在为老龄化社会中与年龄相关疾病的预防和治疗提供参考。