Longevity leap: mind the healthspan gap.


Journal

NPJ Regenerative medicine
ISSN: 2057-3995
Titre abrégé: NPJ Regen Med
Pays: United States
ID NLM: 101699846

Informations de publication

Date de publication:
23 Sep 2021
Historique:
received: 03 03 2021
accepted: 02 09 2021
entrez: 24 9 2021
pubmed: 25 9 2021
medline: 25 9 2021
Statut: epublish

Résumé

Life expectancy has increased by three decades since the mid-twentieth century. Parallel healthspan expansion has however not followed, largely impeded by the pandemic of chronic diseases afflicting a growing older population. The lag in quality of life is a recognized challenge that calls for prioritization of disease-free longevity. Contemporary communal, clinical and research trends aspiring to extend the health horizon are here outlined in the context of an evolving epidemiology. A shared action integrating public and societal endeavors with emerging interventions that target age-related multimorbidity and frailty is needed. A multidimensional buildout of a curative perspective, boosted by modern anti-senescent and regenerative technology with augmented decision making, would require dedicated resources and cost-effective validation to responsibly bridge the healthspan-lifespan gap for a future of equitable global wellbeing.

Identifiants

pubmed: 34556664
doi: 10.1038/s41536-021-00169-5
pii: 10.1038/s41536-021-00169-5
pmc: PMC8460831
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

57

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL134664
Pays : United States

Informations de copyright

© 2021. The Author(s).

Références

JAMA. 2018 Oct 2;320(13):1319-1320
pubmed: 30242336
Nat Rev Clin Oncol. 2011 Aug 23;8(11):661-8
pubmed: 21862980
JAMA. 2018 Jun 5;319(21):2212-2222
pubmed: 29800033
Nature. 2018 Sep;561(7721):45-56
pubmed: 30185958
JAMA. 2021 Jan 5;325(1):96
pubmed: 33399841
Clin Transl Sci. 2011 Jun;4(3):225-6
pubmed: 21707955
Lancet Oncol. 2021 Jan;22(1):e29-e36
pubmed: 33387502
N Engl J Med. 2019 Apr 4;380(14):1347-1358
pubmed: 30943338
Science. 2012 Sep 21;337(6101):1456-7
pubmed: 22997310
Br J Clin Pharmacol. 2021 Jun;87(6):2428-2443
pubmed: 32154598
Science. 2020 May 22;368(6493):
pubmed: 32439765
Eur Heart J. 2018 Apr 21;39(16):1481-1495
pubmed: 29370377
Circ Res. 2018 Apr 27;122(9):1302-1315
pubmed: 29700074
Lancet Healthy Longev. 2020 Oct;1(1):e43-e47
pubmed: 36094187
Cell. 2013 Jun 6;153(6):1194-217
pubmed: 23746838
J Clin Endocrinol Metab. 2021 Mar 8;106(3):e1481-e1487
pubmed: 33155651
Nature. 2014 Jul 10;511(7508):147-9
pubmed: 25013878
J Clin Oncol. 2020 Nov 10;38(32):3743-3752
pubmed: 32936713
NPJ Regen Med. 2018 Oct 10;3:19
pubmed: 30323950
Regen Med. 2020 Dec;15(12):2325-2328
pubmed: 33560172
Aging (Albany NY). 2020 Dec 30;12(24):24484-24503
pubmed: 33378272
Cell Stem Cell. 2019 Nov 7;25(5):594-606
pubmed: 31703770
Lancet Healthy Longev. 2021 Feb;2(2):e60-e61
pubmed: 36098156
Regen Med. 2008 May;3(3):351-63
pubmed: 18462058
Science. 2020 Feb 28;367(6481):982-983
pubmed: 32108102
Trends Cardiovasc Med. 2016 Jul;26(5):395-404
pubmed: 27020904
Circ Res. 2018 Jul 6;123(2):132-137
pubmed: 29976683
Circulation. 2020 Mar 3;141(9):e120-e138
pubmed: 31992057
Nat Rev Cancer. 2020 May;20(5):263-273
pubmed: 32251397
Lancet. 2019 Aug 10;394(10197):521-532
pubmed: 31395440
Nature. 2019 Nov;575(7782):299-309
pubmed: 31723286
Nat Rev Clin Oncol. 2020 Jan;17(1):33-48
pubmed: 31548601
JAMA. 2019 Apr 9;321(14):1400-1401
pubmed: 30855638
EBioMedicine. 2019 Sep;47:446-456
pubmed: 31542391
Cell Stem Cell. 2018 Mar 1;22(3):306-309
pubmed: 29499150
Geriatr Gerontol Int. 2019 Dec;19(12):1275-1281
pubmed: 31758656
Curr Opin Psychol. 2015 Oct;5:78-84
pubmed: 26213711
BMJ. 2020 Oct 28;371:m3048
pubmed: 33115717
J Med Econ. 2018 Dec;21(12):1238-1245
pubmed: 30260711
Cell. 2017 Aug 24;170(5):828-843
pubmed: 28841416
Lancet. 2019 Aug 17;394(10198):548-549
pubmed: 31371094
Nature. 2014 May 22;509(7501):439-46
pubmed: 24848057
N Engl J Med. 2020 Feb 6;382(6):545-553
pubmed: 32023374
Nat Rev Cardiol. 2021 Jul;18(7):465-478
pubmed: 33526938
Lancet. 2018 Sep 22;392(10152):1072-1088
pubmed: 30264707
Science. 2014 Sep 12;345(6202):1243-4
pubmed: 25214590
Bone Marrow Transplant. 2020 Sep;55(9):1706-1715
pubmed: 32474570
Int J Technol Assess Health Care. 2020 Oct;36(5):525-532
pubmed: 33059782
JAMA Oncol. 2018 Jul 1;4(7):994-996
pubmed: 29710129
J Am Geriatr Soc. 2019 Apr;67(4):674-694
pubmed: 30693946
JAMA. 2018 Oct 2;320(13):1323-1324
pubmed: 30242384
N Engl J Med. 2019 May 2;380(18):1748-1760
pubmed: 31042827
Biomark Med. 2021 Jun;15(10):775-783
pubmed: 34169733
Proc Natl Acad Sci U S A. 2019 Mar 12;116(11):4905-4910
pubmed: 30804179
BMC Med Inform Decis Mak. 2020 Jan 8;20(1):6
pubmed: 31914992
Regen Med. 2015 Nov;10(8):959-73
pubmed: 26563421
Lancet Healthy Longev. 2021 Feb;2(2):e96-e104
pubmed: 36098163
PLoS One. 2019 Oct 15;14(10):e0223449
pubmed: 31613904
Science. 2019 May 17;364(6441):636-637
pubmed: 31097655
Biomark Med. 2015;9(1):1-3
pubmed: 25605449
Stem Cells Transl Med. 2017 Aug;6(8):1723-1729
pubmed: 28749065
Lancet. 2019 Oct 12;394(10206):1365-1375
pubmed: 31609228
Regen Med. 2019 Sep;14(9):867-886
pubmed: 31455183
Regen Med. 2021 Mar;16(3):309-322
pubmed: 33622049
N Engl J Med. 2016 Jul 7;375(1):65-74
pubmed: 27406349
Open Biol. 2019 Mar 29;9(3):180250
pubmed: 30914007
Biomed Hub. 2021 Feb 25;6(1):42-47
pubmed: 33791316
J Am Coll Cardiol. 2015 Jan 20;65(2):148-50
pubmed: 25593055
JAMA Netw Open. 2020 Dec 1;3(12):e2027584
pubmed: 33258906
Sci Transl Med. 2016 Feb 24;8(327):327ra24
pubmed: 26912903
Science. 2012 Sep 21;337(6101):1501-3
pubmed: 22997330
PLoS One. 2020 Jun 5;15(6):e0233857
pubmed: 32502177
Lancet. 2017 Apr 1;389(10076):1323-1335
pubmed: 28236464
J Tissue Eng Regen Med. 2017 Oct;11(10):2950-2959
pubmed: 27401932
Lancet. 2020 Jun 6;395(10239):1746-1747
pubmed: 32505242
J Glob Health. 2018 Dec;8(2):020409
pubmed: 30140435
Nat Rev Drug Discov. 2020 Jan;19(1):39-56
pubmed: 31601994
JAMA Intern Med. 2020 Feb 1;180(2):181-189
pubmed: 31617562
Nature. 2019 May;569(7756):368-373
pubmed: 31068696
J Am Geriatr Soc. 2019 Feb;67(2):371-380
pubmed: 30536694
Pharmacoeconomics. 2021 Feb;39(2):181-209
pubmed: 33026634
Nat Rev Genet. 2019 Jul;20(7):377-388
pubmed: 30737492
Lancet Public Health. 2018 Jul;3(7):e323-e332
pubmed: 29908859
Parkinsonism Relat Disord. 2006 Oct;12(7):443-52
pubmed: 16798054
JAMA Surg. 2020 Jun 1;155(6):513-519
pubmed: 32347903
N Engl J Med. 2020 Dec 31;383(27):2603-2615
pubmed: 33301246
Lancet. 2020 Oct 17;396(10258):1204-1222
pubmed: 33069326
BMJ. 2019 Jan 28;364:l251
pubmed: 30692093
Nat Neurosci. 2002 Jul;5(7):627-8
pubmed: 12042822
Lancet. 2019 Oct 12;394(10206):1376-1386
pubmed: 31609229
Lancet. 2020 Nov 21;396(10263):1644-1652
pubmed: 33186534
Eur Heart J. 2017 Sep 1;38(33):2532-2546
pubmed: 28575280

Auteurs

Armin Garmany (A)

Center for Regenerative Medicine, Marriott Family Comprehensive Cardiac Regenerative Medicine, Marriott Heart Disease Research Program, Van Cleve Cardiac Regenerative Medicine Program, Mayo Clinic, Rochester, MN, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic Alix School of Medicine, Regenerative Sciences Track, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, Rochester, MN, USA.

Satsuki Yamada (S)

Center for Regenerative Medicine, Marriott Family Comprehensive Cardiac Regenerative Medicine, Marriott Heart Disease Research Program, Van Cleve Cardiac Regenerative Medicine Program, Mayo Clinic, Rochester, MN, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Division of Geriatric Medicine and Gerontology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.

Andre Terzic (A)

Center for Regenerative Medicine, Marriott Family Comprehensive Cardiac Regenerative Medicine, Marriott Heart Disease Research Program, Van Cleve Cardiac Regenerative Medicine Program, Mayo Clinic, Rochester, MN, USA. terzic.andre@mayo.edu.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA. terzic.andre@mayo.edu.
Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA. terzic.andre@mayo.edu.
Department of Clinical Genomics, Mayo Clinic, Rochester, MN, USA. terzic.andre@mayo.edu.

Classifications MeSH