关键护理医学中的深度生物钟:对翻译精确护理的全面审查
Ithamar Cheyne1, Magdalena Voinič1, Tara Radaideh1
1Anesthesiology and Critical Care Scientific Circle English Division (ANKONA ED), Medical University of Warsaw, 02-004 Warsaw, Poland.
Journal of personalized medicine
|February 26, 2026
概括
生物衰老时钟可以比时间学年龄更好地预测严重疾病的结果. 这些深层生物钟显示出个性化风险分层和改善重症监护室患者护理的前景.
科学领域:
- 关键护理医学 关键护理医学
- 老年学是一门学科.
- 生物标志物研究的研究.
背景情况:
- 危急疾病后的结果差异很大,这表明当前预后工具的局限性.
- 时间学年龄并不能完全捕捉到重症患者的生理储备或脆弱性.
- 需要个性化的重症监护,以改善短期生存和长期出院后的结果.
研究的目的:
- 审查在成人重症监护病房 (ICU) 人群中使用生物衰老生物标志物.
- 评估生物衰老与重症患者的结局之间的关联.
- 探索生物衰老时钟在重症监护中的个性化预后的潜力.
主要方法:
- 2015年1月至2025年10月期间发表的人类研究的范围审查.
- 搜索了主要的数据库 (PubMed/MEDLINE,Scopus,Web of Science,Embase) 并进行了引用选.
- 评估了各种生物衰老生物标志物,包括表观遗传,基于端粒,cfDNA,蛋白质,代谢和表型的测量.
主要成果:
- 加快的生物衰老一直与增加的死亡率,器官功能障碍和ICU后的脆弱性有关.
- 不同的衰老措施 (表观遗传,端粒,cfDNA等) 显示了这种关联.
- 一个共同的发现出现了,它将炎症加权和应激反应的深层生物钟与患者的结果联系起来.
结论:
- 生物衰老生物标志物为重症监护中个性化预后提供了一种机理上知情的方法.
- 深度生物钟显示了风险分层和识别高风险恢复表型的潜力.
- 临床转化需要进一步的前性验证和实施研究.
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