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Showing posts with label Old Age. Show all posts
Showing posts with label Old Age. Show all posts

Friday, March 18, 2016

The Brain May Show Signs of Aging Earlier Than Old Age



Newswise, March 18, 2016--A new study published in Physiological Genomics suggests that the brain shows signs of aging earlier than old age. The study found that the microglia cells—the immune cells of the brain—in middle-aged mice already showed altered activity seen in microglia from older mice.

Parkinson’s, Alzheimer’s and other aging-related neurodegenerative disorders are associated with excessive inflammation in the brain. Scientists believe that overactive microglia cells contribute to the excess inflammation. Normally, microglia protect the brain from infection and ensure the brain functions properly. Their immune response is tightly controlled.

Microglia produce pro-inflammatory molecules to turn the inflammation process on, followed by anti-inflammatory molecules to turn inflammation off. With aging, microglial cells can overreact, and their immune activity can become less controlled—they turn inflammation on too quickly or turn it off too slowly. The prolonged or constant inflammation that results can damage the brain.

While it is known that microglia immune activity changes with aging, which response is affected first—the pro-inflammatory or the anti-inflammatory—or, more importantly, when microglial aging begins is not clear, says Jyoti Watters of the University of Wisconsin-Madison and lead investigator of the study. “We show in a mouse model that it may begin earlier than we thought,” Watters says.

The research team at the University of Wisconsin-Madison studied the microglia activity of young (two months old) and middle-aged (nine to 10 months old) mice. The researchers injected the mice with lipopolysaccharide, a molecule found in bacteria that strongly activates the immune system and causes inflammation. The mice were injected twice to assess the microglia’s ability to reset their immune activity and respond to another bout of inflammation.

The researchers found that middle-aged mice displayed exaggerated pro-inflammatory responses after the first injection. However, anti-inflammatory responses were normal. After the second injection, both pro-inflammatory and anti-inflammatory responses were normal.

The data suggest that at middle age, the microglia already showed signs of an altered immune response. But not everything is impaired: The microglia of the middle-aged mice still responded normally to the second injection.

“At this time, age-related alterations may only be beginning since other critical capacities have not begun to deteriorate yet,” according to Watters. “Of course, it is not known when aging-associated changes in microglial activities begin in the human brain, but these results in mice suggest that it may be earlier than we had previously appreciated,” Watters says.

The article “Age-dependent differences in microglial responses to systemic inflammation are evident as early as middle age” is published ahead-of-print in Physiological Genomics.

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About the American Physiological Society
Physiology is the study of how molecules, cells, tissues and organs function in health and disease. Established in 1887, the American Physiological Society (APS) was the first U.S. society in the biomedical sciences field. The Society represents more than 10,000 members and publishes 15 peer-reviewed journals with a worldwide readership. 



Wednesday, September 16, 2015

Factors for Higher Risk of Death Following Hip Fracture Surgery Compared to Hip Replacement

Newswise, September 16, 2015 — Patients undergoing surgery for a hip fracture were older and had more medical conditions than patients who underwent an elective total hip replacement, factors that may contribute to the higher risk of in-hospital death and major postoperative complications experienced by hip fracture surgery patients, according to a study in the September 15 issue of JAMA.

Although hip surgery can improve mobility and pain, it can be associated with major postoperative medical complications and mortality. Patients undergoing surgery for a hip fracture are at substantially higher risk of mortality and medical complications compared with patients undergoing an elective total hip replacement (THR). 

The effect of older age and other medical conditions associated with hip fracture on this increased risk has not been known, according to background information in the article.

Yannick Le Manach, M.D., Ph.D., of McMaster University, Hamilton, Ontario, Canada and colleagues examined if there was a difference in hospital mortality among patients who underwent hip fracture surgery relative to an elective THR, after adjustment for age, sex, and preoperative medical conditions. 

Using the French National Hospital Discharge Database, the researchers included patients older than 45 years who underwent hip surgery at French hospitals from January 2010 to December 2013. 

The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, codes were used to determine patients' co-existing conditions and complications after surgery.

A total of 690,995 eligible patients were included from 864 centers in France. Patients undergoing elective THR surgery (n = 371,191) were younger, more commonly men, and had less medical comorbidity compared with patients undergoing hip fracture surgery. 

Following hip fracture surgery (n = 319,804), 10,931 patients (3.4 percent) died before hospital discharge and 669 patients (0.18 percent) died after elective THR.

Analysis of the matched populations (n = 234,314) demonstrated a higher risk of mortality (1.8 percent for hip fracture surgery vs 0.3 percent for elective THR) and of major postoperative complications (5.9 percent for hip fracture surgery vs 2.3 percent for elective THR) among patients undergoing hip fracture surgery.

“Patients undergoing surgery for a hip fracture were older and had more comorbidities than patients who underwent an elective THR, and these differences accounted for some of the difference in outcomes between these groups,” the authors write.

“If the absolute risk increases of 1.51 percent for in-hospital mortality and 3.54 percent for major postoperative complications were modifiable, they would be consistent with the number needed to treat of 59 patients for in-hospital mortality and 28 patients for major postoperative complications. Hip fracture may be associated with physiologic processes that are not present in circumstances leading to elective THR and increase the risk of morbidity and mortality following surgery.”

“Further studies are needed to define the causes for these differences.”