从早产到早产性病:加速衰老是否起作用?
Keia R Sanderson1, Christel Wekon-Kemeni2,3, Jennifer R Charlton4
1Department of Medicine-Nephrology, University of North Carolina, Chapel Hill, NC, USA. keia_sanderson@med.unc.edu.
Pediatric nephrology (Berlin, Germany)
|November 10, 2023
概括
过早分娩可能会加速生物衰老,增加慢性病 (CKD) 的风险. 了解这种联系可能会导致新的疗法,以预防早产婴儿的晚期CKD.
科学领域:
- 老年病学和科.
- 发育生物学和慢性疾病
背景情况:
- 增加胎儿活力已经将重点从生存转移到早产后的长期健康结果.
- 越来越多的证据将早产与加速的生物衰老和慢性疾病风险增加联系在一起.
- 慢性病 (CKD) 的特点是生物年龄超过时间年龄.
研究的目的:
- 审查过早生理衰老与早产后慢性病 (CKD) 之间的关系.
- 探索潜在的生物学机制,将早产,加速衰老和CKD联系在一起.
- 确定研究缺口和潜在的治疗途径,以预防晚期CKD.
主要方法:
- 文献综述总结了关于衰老,早产后过早衰老和CKD的关键发现.
- 对现有证据进行分析,以确定连接早产和病的可信生物机制.
- 综合当前的研究,以突出早期衰老范式的知识差距.
主要成果:
- 过早分娩与加速的生物衰老表型有关.
- 慢性结症具有类似的现象型,即生物年龄较晚.
- 关于早产和CKD之间具体的生物学联系存在显著的知识差距.
结论:
- 过早分娩可能会启动过早生物衰老的过程,从而增加对CKD的易感性.
- 进一步的研究对于阐明这种过早衰老模式背后的生物机制至关重要.
- 了解这些机制可能会为新的治疗策略铺平道路,以预防早产儿中晚期的CKD.
相关概念视频
Chronic Kidney Disease I: Introduction
17
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
17
Acute Kidney Injury IV: Diagnostic Studies and Prevention
18
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
18
Chronic Kidney Disease II: Clinical Manifestations
11
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
11
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Acute Kidney Injury II: Pathophysiology
9
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
9
Nephrons
2.6K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.6K


