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Butler T, Davey MG, Kerin MJ. Molecular Morbidity Score-Can MicroRNAs Assess the Burden of Disease? Int J Mol Sci 2024; 25:8042. [PMID: 39125612 PMCID: PMC11312210 DOI: 10.3390/ijms25158042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Revised: 07/17/2024] [Accepted: 07/18/2024] [Indexed: 08/12/2024] Open
Abstract
Multimorbidity refers to the presence of two or more chronic diseases and is associated with adverse outcomes for patients. Factors such as an ageing population have contributed to a rise in prevalence of multimorbidity globally; however, multimorbidity is often neglected in clinical guidelines. This is largely because patients with multimorbidity are systematically excluded from clinical trials. Accordingly, there is an urgent need to develop novel biomarkers and methods of prognostication for this cohort of patients. The hallmarks of ageing are now thought to potentiate the pathogenesis of multimorbidity. MicroRNAs are small, regulatory, noncoding RNAs which have been implicated in the pathogenesis and prognostication of numerous chronic diseases; there is a substantial body of evidence now implicating microRNA dysregulation with the different hallmarks of ageing in the aetiology of chronic diseases. This article proposes using the hallmarks of ageing as a framework to develop a panel of microRNAs to assess the prognostic burden of multimorbidity. This putative molecular morbidity score would have many potential applications, including assessing the efficacy of clinical interventions, informing clinical decision making and facilitating wider inclusion of patients with multimorbidity in clinical trials.
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Affiliation(s)
- Thomas Butler
- Department of Surgery, Lambe Institute for Translational Research, University of Galway, H91 TK33 Galway, Ireland; (M.G.D.); (M.J.K.)
| | - Matthew G. Davey
- Department of Surgery, Lambe Institute for Translational Research, University of Galway, H91 TK33 Galway, Ireland; (M.G.D.); (M.J.K.)
| | - Michael J. Kerin
- Department of Surgery, Lambe Institute for Translational Research, University of Galway, H91 TK33 Galway, Ireland; (M.G.D.); (M.J.K.)
- Department of Surgery, University Hospital Galway, Newcastle Road, H91 YR71 Galway, Ireland
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Candore G, Accardi G, Aiello A, Baggio G, Bellini T, Calabrese V, Carreca AP, Carreca I, Masucci A, Cattaneo M, Dato S, Bona DD, Fabris L, Gambino C, Lorenzo GD, Francescschi C, Ligotti ME, Manfrinato MC, Puca AA, Tamburello M, Vassallo R, Caruso C. Sex and Gender in Ageing and Longevity: Highlights From an International Course. Transl Med UniSa 2024; 26:15-29. [PMID: 38560614 PMCID: PMC10980291 DOI: 10.37825/2239-9747.1049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 02/03/2024] [Indexed: 04/04/2024] Open
Abstract
Gender medicine is a multidisciplinary science and represents an important perspective for pathophysiological and clinical studies in the third millennium. Here, it is provided an overview of the topics discussed in a recent course on the Role of Sex and Gender in Ageing and Longevity. The paper highlights three themes discussed in the course, i.e., the interaction of gender/sex with, i) the pathophysiology of age-related diseases; ii), the role of genetics and epigenetics in ageing and longevity and, iii) the immune responses of older people to pathogens, vaccines, autoantigens, and allergens. Although largely unexplored, it is clear that sex and gender are modulators of disease biology and treatment outcomes. It is becoming evident that men and women should no longer be considered as subgroups, but as biologically distinct groups of patients deserving consideration for specific therapeutic approaches.
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Affiliation(s)
- Giuseppina Candore
- Laboratory of Immunopathology and Immunosenescence, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
- Department of Laboratory Medicine, University Hospital “P.Giaccone”, Palermo,
Italy
| | - Giulia Accardi
- Laboratory of Immunopathology and Immunosenescence, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
| | - Anna Aiello
- Laboratory of Immunopathology and Immunosenescence, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
| | - Giovannella Baggio
- Italian Center for Studies on Gender Health and Medicine, Padua University-Hospital, Padua,
Italy
| | - Tiziana Bellini
- University Center for Studies on Gender Medicine, University of Ferrara, Ferrara,
Italy
- Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara,
Italy
| | - Vittorio Calabrese
- Department of Biomedical and Biotechnological Sciences, University of Catania,
Italy
| | | | - Ignazio Carreca
- Section of Medical Oncology, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo,
Italy
| | - Anna Masucci
- Department of Laboratory Medicine, University Hospital “P.Giaccone”, Palermo,
Italy
- Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
| | | | - Serena Dato
- Department of Biology, Ecology and Earth Sciences, University of Calabria, Rende,
Italy
| | - Danilo D. Bona
- Department of Medical and Surgical Sciences, University of Foggia, Foggia,
Italy
| | - Luca Fabris
- Italian Center for Studies on Gender Health and Medicine, Padua University-Hospital, Padua,
Italy
- Department of Medicine, University of Padua, Padua,
Italy
- Department of Internal Medicine, Digestive Disease Section, Yale University, New Haven, CT,
USA
| | - Caterina Gambino
- Department of Laboratory Medicine, University Hospital “P.Giaccone”, Palermo,
Italy
- Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
| | - Gabriele D. Lorenzo
- Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo,
Italy
| | - Claudio Francescschi
- Institute of Information Technologies, Mathematics and Mechanics, Lobachevsky State University, Nizhny Novgorod,
Russia
- Institute of Biogerontology, Lobachevsky State University, Nizhny Novgorod,
Russia
| | - Mattia E. Ligotti
- Department of Research, ISMETT-IRCCS Mediterranean Institute for Transplants and Highly Specialized Therapies, Palermo,
Italy
| | - Maria C. Manfrinato
- University Center for Studies on Gender Medicine, University of Ferrara, Ferrara,
Italy
- Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara,
Italy
| | - Annibale A. Puca
- Cardiovascular Department, IRCCS MultiMedica, Milan,
Italy
- Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno,
Italy
| | - Martina Tamburello
- Department of Laboratory Medicine, University Hospital “P.Giaccone”, Palermo,
Italy
- Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
| | - Roberta Vassallo
- Department of Laboratory Medicine, University Hospital “P.Giaccone”, Palermo,
Italy
- Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
| | - Calogero Caruso
- Laboratory of Immunopathology and Immunosenescence, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo,
Italy
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Tessier NP, Hardy LM, Deleuze JF, How-Kit A. Circulating cell-free nucleic acids of plasma in human aging, healthy aging and longevity: current state of knowledge. Front Genet 2023; 14:1321280. [PMID: 38090154 PMCID: PMC10715054 DOI: 10.3389/fgene.2023.1321280] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 11/20/2023] [Indexed: 01/16/2024] Open
Abstract
Circulating cell-free nucleic acids (ccfNAs) of plasma are a remarkable source of genetic, epigenetic and transcriptomic materials originating from different cells, tissues and organs of an individual. They have been increasingly studied over the past decade as they can carry several important pieces of information about the health status of an individual, which makes them biomarkers of choice for non-invasive diagnosis of numerous diseases and health conditions. However, few studies have investigated variations of plasma ccfNAs in healthy subjects, particularly in relation to aging, healthy aging and longevity, despite the great variability of these biological processes among individuals. Here, we reviewed several studies that focused on the analysis of circulating cell-free DNA (ccfDNA) and microRNAs (ccfmiRNAs) during aging and in the elderly, including some on exceptionally long-lived individuals, i.e., centenarians. After a brief overview of the types, origins and functions of plasma ccfNAs, we described the variations of both ccfDNA and ccfmiRNAs during aging as well as the identification of several potential ccfDNA-based and ccfmiRNA-based biomarkers of aging, healthy aging and/or longevity. We finally highlighted some prospects offered by ccfNAs for the understanding and improvement of healthy aging and longevity.
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Affiliation(s)
| | - Lise M. Hardy
- Laboratory for Genomics, Foundation Jean Dausset—CEPH, Paris, France
| | - Jean-François Deleuze
- Laboratory for Genomics, Foundation Jean Dausset—CEPH, Paris, France
- Centre National de Recherche en Génomique Humaine, CEA, Institut François Jacob, Evry, France
| | - Alexandre How-Kit
- Laboratory for Genomics, Foundation Jean Dausset—CEPH, Paris, France
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Aortic Stiffness: A Major Risk Factor for Multimorbidity in the Elderly. J Clin Med 2023; 12:jcm12062321. [PMID: 36983321 PMCID: PMC10058400 DOI: 10.3390/jcm12062321] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 03/14/2023] [Accepted: 03/15/2023] [Indexed: 03/19/2023] Open
Abstract
Multimorbidity, the coexistence of multiple health conditions in an individual, has emerged as one of the greatest challenges facing health services, and this crisis is partly driven by the aging population. Aging is associated with increased aortic stiffness (AoStiff), which in turn is linked with several morbidities frequently affecting and having disastrous consequences for the elderly. These include hypertension, ischemic heart disease, heart failure, atrial fibrillation, chronic kidney disease, anemia, ischemic stroke, and dementia. Two or more of these disorders (multimorbidity) often coexist in the same elderly patient and the specific multimorbidity pattern depends on several factors including sex, ethnicity, common morbidity routes, morbidity interactions, and genomics. Regular exercise, salt restriction, statins in patients at high atherosclerotic risk, and stringent blood pressure control are interventions that delay progression of AoStiff and most likely decrease multimorbidity in the elderly.
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