Associations of seven measures of biological age acceleration with frailty and all-cause mortality among adult survivors of childhood cancer in the St. Jude Lifetime Cohort

IF 23.5 1区 医学 Q1 ONCOLOGY
Jennifer L. Guida, Geehong Hyun, Daniel W. Belsky, Gregory T. Armstrong, Matthew J. Ehrhardt, Melissa M. Hudson, Paige A. Green, Leslie L. Robison, Brennan P. Streck, Emily S. Tonorezos, Yutaka Yasui, Carmen L. Wilson, Zhaoming Wang, Kirsten K. Ness
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Abstract

Survivors of childhood cancer may experience accelerated biological aging, resulting in premature frailty and death. We used seven measures of biological age in the St. Jude Lifetime (SJLIFE) Cohort to compare biological age acceleration between the SJLIFE Cohort and the third United States National Health and Nutrition Examination Survey controls, explore trajectories of biological age according to cancer treatment and type, and test associations of biological age acceleration with frailty and death (mean follow-up of 26.5 years) among survivors. Survivors of cancer aged 5% faster per year and measured, on average, 0.6–6.44 years biologically older compared to controls and 5–16 years biologically older compared to age-matched individuals at the population level. Survivors treated with hematopoietic cell transplant and vinca alkaloid chemotherapy evidenced the fastest trajectories of biological aging. Biologically, older and faster-aging survivors consistently and robustly had a higher risk of frailty and died earlier than those with slower biological aging, suggesting a potential opportunity to intervene on excess aging. Guida et al. assess seven measures of biological age in SJLIFE Cohort and reveal that survivors of cancer age faster than healthy controls and have increased risk of frailty and death. The aging trajectory is further affected by cancer type and therapy.

Abstract Image

圣裘德终生队列中儿童癌症成年幸存者的七种生物年龄加速与虚弱和全因死亡率的关系。
儿童癌症幸存者可能会加速生物衰老,导致过早衰弱和死亡。我们在圣裘德终生队列(SJLIFE)中使用了七种生物年龄测量方法,以比较 SJLIFE 队列与第三次美国国家健康与营养调查对照组之间的生物年龄加速情况,根据癌症治疗和类型探索生物年龄的轨迹,并检验生物年龄加速与幸存者身体虚弱和死亡(平均随访 26.5 年)之间的关联。癌症幸存者的衰老速度每年加快 5%,与对照组相比,他们的生物年龄平均增长了 0.6-6.44 岁,与人群中年龄匹配的个体相比,他们的生物年龄平均增长了 5-16 岁。接受造血细胞移植和长春花生物碱化疗的幸存者的生物衰老速度最快。从生物学角度看,与生物学衰老较慢的幸存者相比,年龄较大、衰老较快的幸存者始终存在较高的虚弱风险,而且死亡时间较早,这表明有可能对过度衰老进行干预。
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来源期刊
Nature cancer
Nature cancer Medicine-Oncology
CiteScore
31.10
自引率
1.80%
发文量
129
期刊介绍: Cancer is a devastating disease responsible for millions of deaths worldwide. However, many of these deaths could be prevented with improved prevention and treatment strategies. To achieve this, it is crucial to focus on accurate diagnosis, effective treatment methods, and understanding the socioeconomic factors that influence cancer rates. Nature Cancer aims to serve as a unique platform for sharing the latest advancements in cancer research across various scientific fields, encompassing life sciences, physical sciences, applied sciences, and social sciences. The journal is particularly interested in fundamental research that enhances our understanding of tumor development and progression, as well as research that translates this knowledge into clinical applications through innovative diagnostic and therapeutic approaches. Additionally, Nature Cancer welcomes clinical studies that inform cancer diagnosis, treatment, and prevention, along with contributions exploring the societal impact of cancer on a global scale. In addition to publishing original research, Nature Cancer will feature Comments, Reviews, News & Views, Features, and Correspondence that hold significant value for the diverse field of cancer research.
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