药物使用与表型衰老之间的纵向关联:来自巴尔的摩老龄化纵向研究的见解
Bowen Tang1,2,3, Perry Kuo3, Ann Zenobia Moore3
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
概括
某些药物可能会减缓表型衰老,这是生物衰老的衡量标准. 这项研究发现维生素D,双酸盐,质子抑制剂,甲状腺激素和 thiazides 与减少衰老标志物有关.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 药理学 药理学是指药理学的学科.
- 衰老的生物标志物
背景情况:
- 关于药物对表型衰老的影响的基于人口的数据很少.
- 巴尔的摩长度老龄化研究 (BLSA) 为本次调查提供了数据.
- 现型衰老 (PA) 反映了多个生理领域的生物衰老.
研究的目的:
- 调查常用药物的使用与表型衰老标志物的变化之间的关联.
- 确定可能影响衰老速度的特定药物类别.
主要方法:
- 使用Klemera-Doubal (KD) 方法计算表型衰老标志物,评估身体组成,能量,平静机制以及神经可塑性/神经退行.
- 在使用条件概括估计方程 (cGEE) 分析了27种药物类别和PA标记物变化之间的关联.
- 检查了个体内部的变化,以控制遗传和生命早期的因素,并对随时间变化的共变量进行调整.
主要成果:
- 五种药物类别与降低的PA标志物有显著的关联.
- 维生素D,双酸盐和质子抑制剂与特定领域的衰老缓慢有关.
- 甲状腺激素和 thiazides 与多个 PA 领域的减少有关,包括身体组成,能量和神经可塑性/神经退行.
结论:
- 某些药物可能会对表型衰老产生保护作用.
- 这些发现突出了调节衰老过程的潜在治疗点.
- 为了证实这些关联,需要在不同种群中进行进一步的验证.
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