肌少症的血清生物标志物
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(1.四川大学华西医院 老年医学中心,成都 610041;4.四川大学华西医院 国家老年疾病临床医学研究中心,成都 610041;5.四川大学华西医院 精准医学研究中心,成都 610041;2. 四川省绵阳市三台县人民医院老年医学科,四川 三台 621100;3. 四川省德阳市人民医院内分泌代谢及老年病科,四川 德阳 618000)

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R685

基金项目:

四川省科技计划重点研发项目(2020YFS0573) 景海蓉,陈雅雯,为共同第一作者


Serum biomarkers for sarcopenia
Author:
Affiliation:

(1. Center of Gerontology and Geriatrics,Chengdu 610041, China ;4. National Clinical Research Center for Geriatrics,Chengdu 610041, China ;5. Precision Medicine Research Center, West China Hospital, Sichuan University, Chengdu 610041, China;2. Department of Geriatrics, Santai People′s Hospital of Mianyang City, Santai 621100, Sichuan Province, China;3. Department of Endocrine Metabolism and Geriatrics, Deyang People′s Hospital, Deyang 618000, Sichuan Province, China)

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    摘要:

    肌少症是一种以肌肉量减少、伴有肌肉力量和(或)躯体功能减退为特征的老年综合征。近年来肌少症已成为老年医学研究的热点,对肌少症血清生物标志物的探索也取得了新进展。本文全面综述了肌少症的相关血清生物标志物,除传统的炎症相关生物标志物外,重点探讨了肌肉特异性生物标志物、氧化应激相关生物标志物、营养相关生物标志物、内分泌相关生物标志物、神经肌肉连接(NMJ)功能障碍相关生物标志物、小分子核糖核酸(MicroRNA)标志物等对诊断肌少症的潜在价值。鉴于肌少症的表型和致病机制复杂,难以通过单一生物标志物反映,整合多种生物标志物和其他临床特征的临床预测模型是未来研究的方向。

    Abstract:

    Sarcopenia is a geriatric syndrome characterized by reduced muscle mass combined with decreased muscle strength and/or decreased physical performance. In recent years, sarcopenia has become a hot topic in geriatric research, and new achievements have been made in the exploration of serum biomarkers for sarcopenia. In this article, we review the serum biomarkers associated with sarcopenia, and focus on muscle-specific biomarkers, oxidative stress-related biomarkers, nutrition-related biomarkers, endocrine-related biomarkers, neuromuscular junction (NMJ)-dysfunction-related biomarkers, and microRNA markers in addition to traditional inflammation-related biomarkers. The phenotype and pathogenic mechanisms of sarcopenia are complex, therefore, it is difficult to identify sarcopenia based on a single biomarker. Clinical prediction models based on integrating multiple biomarkers and other clinical features are the direction of future research.

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景海蓉,陈雅雯,付泓博,张闻怡,杨茗.肌少症的血清生物标志物[J].中华老年多器官疾病杂志,2022,21(8):616~620

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  • 收稿日期:2021-08-27
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  • 在线发布日期: 2022-08-29
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