老化した心臓に光を当てる(Shining light on aging hearts)

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2023-03-22 バッファロー大学(UB)

光療法は、様々な病気の治療に有用であることが示されていますが、年齢に関連する疾患の発生を遅らせることができるのでしょうか?
ナショナル・インスティチュート・オブ・エイジング(NIH)のEdward G. Lakatta博士と、光療法の一形態であるフォトバイオモジュレーション(PBM)の専門家であるプラビーン・アラニー博士による、マウスを用いた研究によると、その可能性があるとされています。
この研究は、低用量の赤外線光を用いた環境照射によって、心臓疾患を抑制し、老化に伴う心臓機能の悪化を遅らせることができることを示しています。フォトバイオモジュレーションによるTGF-β1の活性化によって、幹細胞の活動、炎症、免疫系の機能が調節されるため、光療法がなぜ効果があるのかが解明されました。今後は、人間の臨床試験が必要とされます。

<関連情報>

光バイオモジュレーション療法は心血管系の老化を緩和し、生存率を向上させる Photobiomodulation therapy mitigates cardiovascular aging and improves survival

Sunayana Begum Syed, Ismayil Ahmet, Khalid Chakir, Christopher H. Morrell, Praveen R. Arany, Edward G. Lakatta
Lasers in Surgery and Medicine  Published: 23 February 2023
DOI:https://doi.org/10.1002/lsm.23644

Details are in the caption following the image

Abstract

Background
Photobiomodulation (PBM) therapy, a form of low-dose light therapy, has been noted to be effective in several age-associated chronic diseases such as hypertension and atherosclerosis. Here, we examined the effects of PBM therapy on age-associated cardiovascular changes in a mouse model of accelerated cardiac aging.

Methods
Fourteen months old Adenylyl cyclase type VIII (AC8) overexpressing transgenic mice (n = 8) and their wild-type (WT) littermates (n = 8) were treated with daily exposure to Near-Infrared Light (850 nm) at 25 mW/cm2 for 2 min each weekday for a total dose of 1 Einstein (4.5 p.J/cm2 or fluence 3 J/cm2) and compared to untreated controls over an 8-month period. PBM therapy was administered for 3.5 months (Early Treatment period), paused, due to Covid-19 restrictions for the following 3 months, and restarted again for 1.5 months. Serial echocardiography and gait analyses were performed at monthly intervals, and serum TGF-β1 levels were assessed following sacrifice.

Results
During the Early Treatment period PBM treatments: reduced the age-associated increases in left ventricular (LV) mass in both genotypes (p = 0.0003), reduced the LV end-diastolic volume (EDV) in AC8 (p = 0.04); and reduced the left atrial dimension in both genotypes (p = 0.02). PBM treatments substantially increased the LV ejection fraction (p = 0.03), reduced the aortic wall stiffness (p = 0.001), and improved gait symmetry, an index of neuro-muscular coordination (p = 0.005). The effects of PBM treatments, measured following the pause, persisted. Total TGF-β1 levels were significantly increased in circulation (serum) in AC8 following PBM treatments (p = 0.01). We observed a striking increase in cumulative survival in PBM-treated AC8 mice (100%; p = 0.01) compared to untreated AC8 mice (43%).

Conclusion
PBM treatment mitigated age-associated cardiovascular remodeling and reduced cardiac function, improved neuromuscular coordination, and increased longevity in an experimental animal model. These responses correlate with increased TGF-β1 in circulation. Future mechanistic and dose optimization studies are necessary to assess these anti-aging effects of PBM, and validation in future controlled human studies is required for effective clinical translation.

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