Babizhayev Mark A, Kasus-Jacobi Anne, Vishnyakova Khava S, Yegorov Yegor E
Innovative Vision Products, Inc., Moscow Division, Ivanovskaya 20, Suite 74 Moscow 127434 Russian Federation.
Recent Pat Endocr Metab Immune Drug Discov. 2014;8(3):153-79. doi: 10.2174/1872214808666140608145810.
Telomere length is emerging as a biomarker for aging and survival is paternally inherited and associated with parental lifespan. Telomere-associated cellular senescence may contribute to certain age-related disorders, including an increase in cancer incidence, wrinkling and diminished skin elasticity, atherosclerosis, osteoporosis, weight loss, age-related cataract, glaucoma and others. Shorter telomere length in leukocytes was associated cross-sectionally with cardiovascular disorders and its risk factors, including pulse pressure and vascular aging, obesity, vascular dementia, diabetes, coronary artery disease, myocardial infarction (although not in all studies), cellular turnover and exposure to oxidative and inflammatory damage in chronic obstructive pulmonary disease. Effective regulation of abnormal therapeutic targets of an age-related disease requires the alteration of either the topological structure or dynamic characteristics of telomeres which are DNA-protein structures at the ends of eukaryotic chromosomes, the DNA of which comprise noncoding repeats of guanine-rich sequences. Telomeric DNA plays a fundamental role in protecting the cell from recombination and degradation, including those as the metabolic super-achievers in the body, organ systems in a given target network of a disease and aging. In order to manage and control the complex direct and indirect target hubs, in this paper, a review of the recent patents is made analyzing techniques, new approaches developed during the last years in adaptive pharmacology directed at slowing and preventing the loss of telomere length that may slow aging using pharmaceutical and nutritional module-based designs, such as with regard to the timing of administration of imidazole-containing dipeptides. We discuss our recent identification of the role of neuron-specific imidazole- containing dipeptide based compounds (L-carnosine, N-acetylcarnosine, carcinine) that regulate and therapeutically control telomere shortening, telomerase activity and cellular senescence. We support a therapeutic concept of using nonhydrolyzed forms of naturally occurring imidazole-dipeptide based compounds carnosine and carcinine, making it clinically possible that slowing down the rate of telomere shortening could slow down the human aging process in specific tissues where proliferative senescence is known to occur with the demonstrated evidence of telomere shortening appeared to be a hallmark of oxidative stress and disease. The preliminary longitudinal studies of elderly individuals suggest that longer telomeres are associated with better survival and an advanced oral pharmaconutrition provision with non-hydrolyzed carnosine (or carcinine and patented compositions thereof) is a useful therapeutic tool of a critical telomere length maintenance (allowing indirectly to manipulate with telomerase activity) that may fundamentally be applied in the therapeutic treatment of agerelated sight-threatening eye disorders, Diabetes mellitus, sarcopenia (that is the gradual loss of muscle mass) that can affect elderly people and subjects under the effect of exhausting exercises and physical load, prolong life expectancy, increase survival and chronological age of an organism in health control, smoking behavior, metabolic syndrome increasing the risk of developing cardio-vascular diseases, age-related neurodegenerative diseases, including Alzheimer's disease and cognitive impairment.
端粒长度正逐渐成为衰老的生物标志物,其长度由父系遗传,并与父母的寿命相关。端粒相关的细胞衰老可能导致某些与年龄相关的疾病,包括癌症发病率增加、皮肤起皱和弹性下降、动脉粥样硬化、骨质疏松、体重减轻、年龄相关性白内障、青光眼等。白细胞中端粒长度较短与心血管疾病及其危险因素相关,包括脉压和血管衰老、肥胖、血管性痴呆、糖尿病、冠状动脉疾病、心肌梗死(尽管并非在所有研究中)、细胞更新以及慢性阻塞性肺疾病中氧化和炎症损伤的暴露。有效调节与年龄相关疾病的异常治疗靶点需要改变端粒的拓扑结构或动态特性,端粒是真核染色体末端的DNA - 蛋白质结构,其DNA由富含鸟嘌呤的非编码重复序列组成。端粒DNA在保护细胞免受重组和降解方面起着基本作用,包括那些作为身体代谢超强者、疾病和衰老特定靶网络中的器官系统。为了管理和控制复杂的直接和间接靶点枢纽,本文对近期专利进行了综述,分析了近年来在适应性药理学中开发的技术和新方法,这些方法旨在通过基于药物和营养模块的设计来减缓并预防端粒长度的丧失,从而可能减缓衰老,例如关于含咪唑二肽的给药时间。我们讨论了我们最近对基于神经元特异性含咪唑二肽的化合物(L - 肌肽、N - 乙酰肌肽、肌氨酸)作用的鉴定,这些化合物调节并治疗性控制端粒缩短、端粒酶活性和细胞衰老。我们支持使用天然存在的基于咪唑二肽的化合物肌肽和肌氨酸的非水解形式的治疗概念,这使得减缓端粒缩短速率在临床上有可能减缓人类特定组织中的衰老过程,在这些组织中增殖性衰老已知会发生,并且端粒缩短的证据似乎是氧化应激和疾病的标志。对老年人的初步纵向研究表明,较长的端粒与更好的生存率相关,并且提供含有非水解肌肽(或肌氨酸及其专利组合物)的高级口服药物营养制剂是维持关键端粒长度的有用治疗工具(间接允许操纵端粒酶活性),这可能从根本上应用于治疗与年龄相关的威胁视力的眼部疾病、糖尿病、肌肉减少症(即肌肉质量的逐渐丧失),肌肉减少症会影响老年人以及在高强度运动和体力负荷影响下的受试者,延长预期寿命,提高生物体在健康控制、吸烟行为、增加心血管疾病发病风险的代谢综合征、包括阿尔茨海默病和认知障碍在内的与年龄相关的神经退行性疾病中的生存率和实际年龄。