Daily Archives: 19 May 2024

A study on calorie restriction unveils intricacies in the relationship between diet and the ageing process

Researchers at Penn State may have uncovered another layer of complexity in the mystery surrounding how diet influences the ageing process. A recent study, spearheaded by researchers from the Penn State College of Health and Human Development, delved into the impact of caloric restriction on telomeres – the protective caps at the ends of chromosomes composed of genetic bases.

Published in Aging Cell, the study analysed data from a two-year investigation into human caloric restriction. The findings revealed that individuals who restricted their calorie intake experienced varying rates of telomere loss compared to the control group, despite both groups ending the study with telomeres of approximately equal length. Previous research has indicated that restricting calories by 20% to 60% can contribute to extended lifespans in various animal models.

Throughout a human lifespan, each time cells replicate, some telomeres are lost as chromosomes are copied into new cells. This continual loss shortens the overall length of telomeres. Eventually, the protective cap provided by telomeres is depleted, leaving genetic information vulnerable to damage, which can hinder cellular function and reproduction. Longer telomeres indicate a younger functional age for a cell, highlighting that individuals of the same chronological age may possess different biological ages based on telomere length.

Factors such as typical ageing, stress, illness, genetics, and diet can influence the frequency of cell replication and the extent to which telomeres retain their length. Idan Shalev, associate professor of biobehavioral health at Penn State, led the team analysing genetic samples from the CALERIE study – the first randomised clinical trial of human calorie restriction. They aimed to ascertain the impact of caloric restriction on telomere length, offering insight into how this dietary intervention may decelerate ageing.

Waylon Hastings, lead author of the study and a 2020 Penn State doctoral graduate in biobehavioral health, emphasised the multifaceted mechanisms through which caloric restriction potentially extends the human lifespan. One primary mechanism involves cellular metabolism; reduced energy consumption within cells during caloric restriction leads to fewer waste products, mitigating oxidative stress and preserving cellular integrity.

The researchers evaluated telomere length in 175 study participants at the onset of the CALERIE study, after one year, and upon its conclusion after 24 months of caloric restriction. Approximately two-thirds of the participants adhered to caloric restriction, with the remaining third being the control group.

During the study, telomere loss exhibited changing trajectories. In the initial year, participants undergoing caloric restriction experienced rapid telomere loss alongside weight reduction compared to the control group. Subsequently, telomere loss slowed down during the second year as participants on caloric restriction stabilised their weight after one year. By the study’s end, both groups exhibited similar telomere lengths.

Shalev highlighted the unexpected findings, noting that while they hypothesised slower telomere loss among those on caloric restriction, the initial rapid loss followed by a slower rate was observed instead.

The results prompted numerous questions, including the potential impact of an additional year of data collection. Study participants are scheduled for a 10-year follow-up, which Shalev anticipates will provide further insights.

Despite the nuanced results, there remains promise regarding the potential health benefits of caloric restriction in humans. Previous analyses of CALERIE data have indicated potential reductions in harmful cholesterol levels and blood pressure due to caloric restriction. Although the two-year timeline did not reveal evident telomere-related benefits, further investigations may unveil them.

The research team, led by Shalev, comprised three of his trainees: Hastings, current graduate student Qiaofeng Ye, and former postdoctoral scholar Sarah Wolf. Hastings expressed gratitude for the opportunity to lead the study, acknowledging its pivotal role in shaping his career trajectory. As he prepares to embark on his role as an assistant professor in the Department of Nutrition at Texas A&M University, Hastings credits this project for providing invaluable experience in nutrition research under Shalev’s guidance.

More information: Waylon J. Hastings et al, Effect of long-term caloric restriction on telomere length in healthy adults: CALERIE™ 2 trial analysis, Aging Cell. DOI: 10.1111/acel.14149

Journal information: Aging Cell Provided by Penn State

Studies on atopic dermatitis lack patient images

Sam Polesie, an associate professor at the Sahlgrenska Academy, University of Gothenburg, and a dermatologist at Sahlgrenska University Hospital, has led a significant study on visualising patient conditions in scientific research.

Polesie emphasises a crucial shift in patient care, highlighting the increased empowerment of patients in their healthcare decisions. This participatory approach necessitates healthcare professionals to make treatment decisions with their patients. However, Polesie observes that scientific literature has not fully embraced these changes. He advocates for including more patient images in scientific publications to facilitate communication, asserting that the intricate figures currently used can be daunting for patients to comprehend, particularly when describing the severity of conditions or the potential effects of treatments. This shift could significantly empower patients in their healthcare journey.

The study, which also involved Danish researchers, revealed concerning statistics about the representation of patients in scientific journals, particularly those with psoriasis and atopic dermatitis. Despite reviewing 60 studies encompassing nearly 18,000 patients, only 16 images from six patients were used across these publications, equating to a mere 0.3 per thousand of the depicted patients.

Atopic dermatitis, a familiar yet variably severe chronic inflammatory skin disease, affects about 25% of children and 10% of adults. It can cause dry, itchy skin patches and severely impact a person’s quality of life in more severe cases. Polesie explains that the appearance of eczema varies significantly across different skin tones. In lighter-skinned individuals, eczema may appear red, while in those with melanin-rich skin, it tends to show up darker, often perceived as purple or greyish. This variability makes the need for diverse patient images in educational materials even more critical.

According to Polesie, there’s an urgent need to expand the visual resources available in medical education. He proposes that having a comprehensive set of images illustrating various types of atopic dermatitis across different patient groups and their responses to treatments would significantly enhance the training of healthcare professionals and medical students and also aid in educating patients themselves. This aligns with international recommendations and guidelines emphasising patient education’s importance in managing atopic dermatitis. This could open up new opportunities for healthcare professionals and medical students to enhance their understanding and skills in dermatology.

Moreover, more images are needed to improve patient education and care and hinder the advancement of artificial intelligence in dermatology. Machine learning algorithms necessitate extensive datasets of images to be effectively trained. With more comprehensive image collections, these AI systems could revolutionise dermatology, assisting dermatologists in identifying the most effective treatment options tailored to individual patients shortly. This presents an exciting prospect for the future of dermatological care.

Polesie’s findings, published in the Journal of Dermatological Treatment, underscore a significant gap in integrating visual aids in scientific documentation and education concerning dermatological conditions. If addressed, this gap could enhance patient understanding, participation, and the effectiveness of treatment regimens.

More information: Sam Polesie et al, A systematic review investigating the proportion of clinical images shared in prospective randomized controlled trials involving patients with atopic dermatitis and systemic pharmacotherapy, Journal of Dermatological Treatment. DOI: 10.1080/09546634.2024.2338280

Journal information: Journal of Dermatological Treatment Provided by University of Gothenbur