PMID- 30071357 OWN - NLM STAT- MEDLINE DCOM- 20190805 LR - 20211204 IS - 1872-9649 (Electronic) IS - 1568-1637 (Linking) VI - 47 DP - 2018 Nov TI - Towards frailty biomarkers: Candidates from genes and pathways regulated in aging and age-related diseases. PG - 214-277 LID - S1568-1637(18)30093-X [pii] LID - 10.1016/j.arr.2018.07.004 [doi] AB - OBJECTIVE: Use of the frailty index to measure an accumulation of deficits has been proven a valuable method for identifying elderly people at risk for increased vulnerability, disease, injury, and mortality. However, complementary molecular frailty biomarkers or ideally biomarker panels have not yet been identified. We conducted a systematic search to identify biomarker candidates for a frailty biomarker panel. METHODS: Gene expression databases were searched (http://genomics.senescence.info/genes including GenAge, AnAge, LongevityMap, CellAge, DrugAge, Digital Aging Atlas) to identify genes regulated in aging, longevity, and age-related diseases with a focus on secreted factors or molecules detectable in body fluids as potential frailty biomarkers. Factors broadly expressed, related to several "hallmark of aging" pathways as well as used or predicted as biomarkers in other disease settings, particularly age-related pathologies, were identified. This set of biomarkers was further expanded according to the expertise and experience of the authors. In the next step, biomarkers were assigned to six "hallmark of aging" pathways, namely (1) inflammation, (2) mitochondria and apoptosis, (3) calcium homeostasis, (4) fibrosis, (5) NMJ (neuromuscular junction) and neurons, (6) cytoskeleton and hormones, or (7) other principles and an extensive literature search was performed for each candidate to explore their potential and priority as frailty biomarkers. RESULTS: A total of 44 markers were evaluated in the seven categories listed above, and 19 were awarded a high priority score, 22 identified as medium priority and three were low priority. In each category high and medium priority markers were identified. CONCLUSION: Biomarker panels for frailty would be of high value and better than single markers. Based on our search we would propose a core panel of frailty biomarkers consisting of (1) CXCL10 (C-X-C motif chemokine ligand 10), IL-6 (interleukin 6), CX3CL1 (C-X3-C motif chemokine ligand 1), (2) GDF15 (growth differentiation factor 15), FNDC5 (fibronectin type III domain containing 5), vimentin (VIM), (3) regucalcin (RGN/SMP30), calreticulin, (4) PLAU (plasminogen activator, urokinase), AGT (angiotensinogen), (5) BDNF (brain derived neurotrophic factor), progranulin (PGRN), (6) alpha-klotho (KL), FGF23 (fibroblast growth factor 23), FGF21, leptin (LEP), (7) miRNA (micro Ribonucleic acid) panel (to be further defined), AHCY (adenosylhomocysteinase) and KRT18 (keratin 18). An expanded panel would also include (1) pentraxin (PTX3), sVCAM/ICAM (soluble vascular cell adhesion molecule 1/Intercellular adhesion molecule 1), defensin alpha, (2) APP (amyloid beta precursor protein), LDH (lactate dehydrogenase), (3) S100B (S100 calcium binding protein B), (4) TGFbeta (transforming growth factor beta), PAI-1 (plasminogen activator inhibitor 1), TGM2 (transglutaminase 2), (5) sRAGE (soluble receptor for advanced glycosylation end products), HMGB1 (high mobility group box 1), C3/C1Q (complement factor 3/1Q), ST2 (Interleukin 1 receptor like 1), agrin (AGRN), (6) IGF-1 (insulin-like growth factor 1), resistin (RETN), adiponectin (ADIPOQ), ghrelin (GHRL), growth hormone (GH), (7) microparticle panel (to be further defined), GpnmB (glycoprotein nonmetastatic melanoma protein B) and lactoferrin (LTF). We believe that these predicted panels need to be experimentally explored in animal models and frail cohorts in order to ascertain their diagnostic, prognostic and therapeutic potential. CI - Copyright (c) 2018 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Cardoso, Ana Luisa AU - Cardoso AL AD - Center for Neurosciences, Cell Biology, Faculty of Medicine - Polo I, University of Coimbra, Coimbra, Portugal. FAU - Fernandes, Adelaide AU - Fernandes A AD - iMed.ULisboa, Research Institute for Medicines, Department of Biochemistry and Human Biology, Faculty of Pharmacy, Universidade de Lisboa, Lisboa, Portugal. FAU - Aguilar-Pimentel, Juan Antonio AU - Aguilar-Pimentel JA AD - German Mouse Clinic, Institute for Experimental Genetics, Helmholtz Zentrum Muenchen, German Research Center for Environmental Health, Neuherberg, Germany. FAU - de Angelis, Martin Hrabe AU - de Angelis MH AD - German Mouse Clinic, Institute for Experimental Genetics, Helmholtz Zentrum Muenchen, German Research Center for Environmental Health and German Center for Diabetes Research (DZD), Chair of Experimental Genetics, School of Life Science Weihenstephan, Technische University Munich, Neuherberg, Germany. FAU - Guedes, Joana Ribeiro AU - Guedes JR AD - Center for Neurosciences, Cell Biology, Faculty of Medicine - Polo I, University of Coimbra, Coimbra, Portugal. FAU - Brito, Maria Alexandra AU - Brito MA AD - iMed.ULisboa, Research Institute for Medicines, Department of Biochemistry and Human Biology, Faculty of Pharmacy, Universidade de Lisboa, Lisboa, Portugal. FAU - Ortolano, Saida AU - Ortolano S AD - Rare Diseases and Pediatric Medicine Research Group, Galicia Sur Health Research Institute-SERGAS-UVIGO, Vigo, Spain. FAU - Pani, Giovambattista AU - Pani G AD - Insititute of General Pathology, Universita Cattolica del Sacro Cuore, Faculty of Medicine, Rome, Italy. FAU - Athanasopoulou, Sophia AU - Athanasopoulou S AD - Molecular and Cellular Aging Laboratory, Institute of Biology, Medicinal Chemistry and Biotechnology, National Hellenic Research Foundation, Athens, Greece. FAU - Gonos, Efstathios S AU - Gonos ES AD - Institute of Biology, Medicinal Chemistry and Biotechnology, National Hellenic Research Foundation, Athens, Greece. FAU - Schosserer, Markus AU - Schosserer M AD - Department of Biotechnology, University of Natural Resources and Life Sciences, Vienna, Austria. FAU - Grillari, Johannes AU - Grillari J AD - Christian Doppler Laboratory on Biotechnology of Skin Aging, Department of Biotechnology, University of Natural Resources and Life Sciences, Vienna, Austria. FAU - Peterson, Part AU - Peterson P AD - Institute of Biomedicine and Translational Medicine, University of Tartu, Estonia. FAU - Tuna, Bilge Guvenc AU - Tuna BG AD - School of Medicine, Yeditepe University, Istanbul, Turkey. FAU - Dogan, Soner AU - Dogan S AD - Department of Medical Biology, School of Medicine, Yeditepe University, Istanbul, Turkey. FAU - Meyer, Angelika AU - Meyer A AD - Novartis Institutes for Biomedical Research, Musculoskeletal Disease Area, Muscle Research, Basel, Switzerland. FAU - van Os, Ronald AU - van Os R AD - Central Animal Facility, Mouse Clinic for Cancer and Aging, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. FAU - Trendelenburg, Anne-Ulrike AU - Trendelenburg AU AD - Novartis Institutes for Biomedical Research, Musculoskeletal Disease Area, Muscle Research, Cambridge, USA. Electronic address: anne-ulrike.trendelenburg@novartis.com. LA - eng PT - Journal Article PT - Review DEP - 20180730 PL - England TA - Ageing Res Rev JT - Ageing research reviews JID - 101128963 RN - 0 (Amyloid beta-Peptides) RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Biomarkers) RN - 0 (FGF23 protein, human) RN - 0 (FNDC5 protein, human) RN - 0 (Fgf23 protein, mouse) RN - 0 (Fibronectins) RN - 0 (GDF15 protein, human) RN - 0 (Growth Differentiation Factor 15) RN - 0 (IGF1 protein, human) RN - 0 (IL1RL1 protein, human) RN - 0 (Interleukin-1 Receptor-Like 1 Protein) RN - 0 (Membrane Glycoproteins) RN - 0 (MicroRNAs) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) MH - Aged MH - Aging/genetics/*metabolism MH - Amyloid beta-Peptides/genetics MH - Amyloid beta-Protein Precursor/genetics/metabolism MH - Animals MH - Apoptosis/physiology MH - Biomarkers/metabolism MH - Fibroblast Growth Factor-23 MH - Fibronectins/genetics/metabolism MH - Frailty/genetics/*metabolism MH - Genetic Association Studies/*methods/trends MH - Growth Differentiation Factor 15/genetics/metabolism MH - Humans MH - Insulin-Like Growth Factor I/genetics/metabolism MH - Interleukin-1 Receptor-Like 1 Protein/genetics/metabolism MH - Membrane Glycoproteins/genetics/metabolism MH - MicroRNAs/genetics/metabolism MH - Signal Transduction/*physiology OTO - NOTNLM OT - *Age-related diseases OT - *Biomarker panel OT - *Frailty OT - *Hallmark of aging pathways EDAT- 2018/08/03 06:00 MHDA- 2019/08/06 06:00 CRDT- 2018/08/03 06:00 PHST- 2018/04/06 00:00 [received] PHST- 2018/07/08 00:00 [revised] PHST- 2018/07/10 00:00 [accepted] PHST- 2018/08/03 06:00 [pubmed] PHST- 2019/08/06 06:00 [medline] PHST- 2018/08/03 06:00 [entrez] AID - S1568-1637(18)30093-X [pii] AID - 10.1016/j.arr.2018.07.004 [doi] PST - ppublish SO - Ageing Res Rev. 2018 Nov;47:214-277. doi: 10.1016/j.arr.2018.07.004. Epub 2018 Jul 30.