1
|
Tenchov R, Sasso JM, Wang X, Zhou QA. Antiaging Strategies and Remedies: A Landscape of Research Progress and Promise. ACS Chem Neurosci 2024; 15:408-446. [PMID: 38214973 PMCID: PMC10853939 DOI: 10.1021/acschemneuro.3c00532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 12/01/2023] [Accepted: 12/04/2023] [Indexed: 01/13/2024] Open
Abstract
Aging is typified by a gradual loss of physiological fitness and accumulation of cellular damage, leading to deteriorated functions and enhanced vulnerability to diseases. Antiaging research has a long history throughout civilization, with many efforts put forth to understand and prevent the effects of aging. Multiple strategies aiming to promote healthy aging and extend the lifespan have been developed including lifestyle adjustments, medical treatments, and social programs. A multitude of antiaging medicines and remedies have also been explored. Here, we use data from the CAS Content Collection to analyze the publication landscape of recent research related to antiaging strategies and treatments. We review the recent advances and delineate trends in research headway of antiaging knowledge and practice across time, geography, and development pipelines. We further assess the state-of-the-art antiaging approaches and explore their correlations with age-related diseases. The landscape of antiaging drugs has been outlined and explored. Well-recognized and novel, currently evaluated antiaging agents have also been summarized. Finally, we review clinical applications of antiaging products with their development pipelines. The objective of this review is to summarize current knowledge on preventive strategies and treatment remedies in the field of aging, to outline challenges and evaluate growth opportunities, in order to further efforts to solve the problems that remain.
Collapse
Affiliation(s)
- Rumiana Tenchov
- CAS, a Division of the American
Chemical Society, 2540 Olentangy River Road, Columbus, Ohio 43202, United States
| | - Janet M. Sasso
- CAS, a Division of the American
Chemical Society, 2540 Olentangy River Road, Columbus, Ohio 43202, United States
| | - Xinmei Wang
- CAS, a Division of the American
Chemical Society, 2540 Olentangy River Road, Columbus, Ohio 43202, United States
| | - Qiongqiong Angela Zhou
- CAS, a Division of the American
Chemical Society, 2540 Olentangy River Road, Columbus, Ohio 43202, United States
| |
Collapse
|
2
|
Morris JK, Kueck PJ, Kemna RE, Green ZD, John CS, Winter M, Billinger SA, Vidoni ED. Biomarker Responses to Acute Exercise and Relationship with Brain Blood Flow. J Alzheimers Dis 2024; 97:283-292. [PMID: 38108352 DOI: 10.3233/jad-230766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
Abstract
BACKGROUND There is evidence that aerobic exercise is beneficial for brain health, but these effects are variable between individuals and the underlying mechanisms that modulate these benefits remain unclear. OBJECTIVE We sought to characterize the acute physiological response of bioenergetic and neurotrophic blood biomarkers to exercise in cognitively healthy older adults, as well as relationships with brain blood flow. METHODS We measured exercise-induced changes in lactate, which has been linked to brain blood flow, as well brain-derived neurotrophic factor (BDNF), a neurotrophin related to brain health. We further quantified changes in brain blood flow using arterial spin labeling. RESULTS As expected, lactate and BDNF both changed with time post exercise. Intriguingly, there was a negative relationship between lactate response (area under the curve) and brain blood flow measured acutely following exercise. Finally, the BDNF response tracked strongly with change in platelet activation, providing evidence that platelet activation is an important mechanism for trophic-related exercise responses. CONCLUSIONS Lactate and BDNF respond acutely to exercise, and the lactate response tracks with changes in brain blood flow. Further investigation into how these factors relate to brain health-related outcomes in exercise trials is warranted.
Collapse
Affiliation(s)
- Jill K Morris
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Paul J Kueck
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Riley E Kemna
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Zachary D Green
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Casey S John
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Michelle Winter
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Sandra A Billinger
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| | - Eric D Vidoni
- The University of Kansas Medical Center, Fairway, KS, USA
- Department of Neurology, Fairway, KS, USA
- University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA
| |
Collapse
|
3
|
Mahaparn I, Lepping RJ, Montgomery RN, Mukherjee R, Billinger SA, Brooks WM, Gupta A. The Association of Tacrolimus Formulation on Cerebral Blood Flow and Cognitive Function. Transplant Direct 2023; 9:e1511. [PMID: 37456588 PMCID: PMC10348734 DOI: 10.1097/txd.0000000000001511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 04/19/2023] [Accepted: 05/12/2023] [Indexed: 07/18/2023] Open
Abstract
Calcineurin inhibitors are inherent vasoconstrictors. Cerebral vasoconstriction can reduce cerebral blood flow (CBF), and negatively impact cerebrovascular response (CVR) to exercise, and cognitive function. The once-daily extended-release (LCP) tacrolimus has fewer side effects than the immediate-release (IR) tacrolimus. The role of calcineurin inhibitors on CBF and the impact of specific formulations of tacrolimus on CBF, CVR, and cognitive function are unknown. In this pilot study, we evaluated whether changing from IR tacrolimus to LCP tacrolimus modulates CBF, CVR, or cognitive function in kidney transplant (KT) recipients. Methods We randomized (2:1) 30 stable KT recipients on IR tacrolimus to intervention (switch to LCP tacrolimus) and control (continue IR tacrolimus) arms. We measured CBF, CVR, and cognitive function at baseline and at 12 wk. We used ANCOVA to evaluate changes in outcome variables, with baseline values and study arm as covariates. We used descriptive statistics with mean changes in outcome variables to compare the 2 groups. Results Participants were 51 ± 13 y old. There was no difference in plasma tacrolimus levels at baseline and at 12 wk in the 2 arms. The changes in CBF, resting middle cerebral artery velocity, CVR, and cognitive function were more favorable in the intervention arm than in the control group. Conclusions Changing IR tacrolimus to LCP tacrolimus may improve CBF, cerebrovascular dynamics, and cognitive function in KT recipients. Larger studies are needed to confirm these results.
Collapse
Affiliation(s)
- Irisa Mahaparn
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS
| | - Rebecca J. Lepping
- Department of Neurology, University of Kansas Medical Center, Kansas City, KS
- Hoglund Biomedical Imaging Center, University of Kansas Medical Center, Kansas City, KS
| | - Robert N. Montgomery
- Department of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS
| | - Rishav Mukherjee
- Department of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS
| | - Sandra A. Billinger
- Department of Neurology, University of Kansas Medical Center, Kansas City, KS
| | - William M. Brooks
- Department of Neurology, University of Kansas Medical Center, Kansas City, KS
- Hoglund Biomedical Imaging Center, University of Kansas Medical Center, Kansas City, KS
| | - Aditi Gupta
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS
- Department of Neurology, University of Kansas Medical Center, Kansas City, KS
- Hoglund Biomedical Imaging Center, University of Kansas Medical Center, Kansas City, KS
| |
Collapse
|
4
|
Palmer JA, Morris JK, Billinger SA, Lepping RJ, Martin L, Green Z, Vidoni ED. Hippocampal blood flow rapidly and preferentially increases after a bout of moderate-intensity exercise in older adults with poor cerebrovascular health. Cereb Cortex 2023; 33:5297-5306. [PMID: 36255379 PMCID: PMC10152056 DOI: 10.1093/cercor/bhac418] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 09/02/2022] [Accepted: 09/25/2022] [Indexed: 11/14/2022] Open
Abstract
Over the course of aging, there is an early degradation of cerebrovascular health, which may be attenuated with aerobic exercise training. Yet, the acute cerebrovascular response to a single bout of exercise remains elusive, particularly within key brain regions most affected by age-related disease processes. We investigated the acute global and region-specific cerebral blood flow (CBF) response to 15 minutes of moderate-intensity aerobic exercise in older adults (≥65 years; n = 60) using arterial spin labeling magnetic resonance imaging. Within 0-6 min post-exercise, CBF decreased across all regions, an effect that was attenuated in the hippocampus. The exercise-induced CBF drop was followed by a rebound effect over the 24-minute postexercise assessment period, an effect that was most robust in the hippocampus. Individuals with low baseline perfusion demonstrated the greatest hippocampal-specific CBF effect post-exercise, showing no immediate drop and a rapid increase in CBF that exceeded baseline levels within 6-12 minutes postexercise. Gains in domain-specific cognitive performance postexercise were not associated with changes in regional CBF, suggesting dissociable effects of exercise on acute neural and vascular plasticity. Together, the present findings support a precision-medicine framework for the use of exercise to target brain health that carefully considers age-related changes in the cerebrovascular system.
Collapse
Affiliation(s)
- Jacqueline A Palmer
- Department of Neurology, School of Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, United States
| | - Jill K Morris
- Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Blvd. Kansas City, KS, 66160, United States
- University of Kansas Alzheimer’s Disease Research Center, 4350 Shawnee Mission Parkway, Fairway, KS, 66205, United States
| | - Sandra A Billinger
- Department of Neurology, School of Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, United States
- University of Kansas Alzheimer’s Disease Research Center, 4350 Shawnee Mission Parkway, Fairway, KS, 66205, United States
- Department of Molecular & Integrative Physiology, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS, 66160, United States
| | - Rebecca J Lepping
- Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Blvd. Kansas City, KS, 66160, United States
| | - Laura Martin
- University of Kansas Alzheimer’s Disease Research Center, 4350 Shawnee Mission Parkway, Fairway, KS, 66205, United States
| | - Zachary Green
- Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Blvd. Kansas City, KS, 66160, United States
- University of Kansas Alzheimer’s Disease Research Center, 4350 Shawnee Mission Parkway, Fairway, KS, 66205, United States
| | - Eric D Vidoni
- University of Kansas Alzheimer’s Disease Research Center, 4350 Shawnee Mission Parkway, Fairway, KS, 66205, United States
| |
Collapse
|
5
|
Harmon-Jones E, Harmon-Jones C. Individual differences in dissonance arousal/reduction relate to physical exercise: Testing the action-based model. PLoS One 2022; 17:e0275990. [PMID: 36228024 PMCID: PMC9560602 DOI: 10.1371/journal.pone.0275990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 09/27/2022] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION The present research was designed to test predictions derived from the action-based model of cognitive dissonance theory. These predictions were that dissonance arousal would be negatively related to effective behavior, and that dissonance reduction would be positively related to effective behavior. METHOD Dissonance arousal and reduction were measured using an individual differences questionnaire. Effective behavior was measured as amount of physical exercise obtained from an exercise app that measures exercise using GPS (cycling kilometers over one year; Study 1) and from self-reports (number of days during the previous week; Study 2-3). RESULTS Results suggested that individual differences in dissonance arousal relate to less exercise and that individual differences in dissonance reduction relate to more exercise. Statistically controlling for trait approach and avoidance motivation as well as satisfaction with life revealed that dissonance processes predicted exercise behavior over these traits. This pattern of results was generally consistent across the three studies. Moreover, results from Studies 2-3 suggested possible statistical mediators from the exercise commitment literature of the relationship between trait dissonance arousal/reduction and exercise behavior. DISCUSSION AND CONCLUSION These results highlight the importance of considering dissonance processes as adaptive ones, and they suggest possible ways of increasing exercise behavior.
Collapse
Affiliation(s)
- Eddie Harmon-Jones
- School of Psychology, The University of New South Wales, Sydney, New South Wales, Australia
- * E-mail:
| | - Cindy Harmon-Jones
- School of Psychology, The University of New South Wales, Sydney, New South Wales, Australia
| |
Collapse
|