EMAN RESEARCH PUBLISHING | <p>Interplay And Causative Relationship Between Frailty And Atherosclerosis</p>
Inflammation Cancer Angiogenesis Biology and Therapeutics | Impact 0.1 (CiteScore) | Online ISSN  2207-872X
REVIEWS   (Open Access)

Interplay And Causative Relationship Between Frailty And Atherosclerosis

Anastasia V. Poznyak 1*, Victoria A. Khotina 2, Roghayyeh Vakili-Ghartavol 2,3, Victor Y Glanz 2, Vasily N. Sukhorukov 2, Alexander N. Orekhov 2*

+ Author Affiliations

Journal of Angiotherapy 8(2) 1-11 https://doi.org/10.25163/angiotherapy.829449

Submitted: 01 January 2024  Revised: 20 February 2024  Published: 27 February 2024 

Abstract

Frailty syndrome is a complex condition with numerous contributing factors. It is characterized by a decline in physiological reserves and increased susceptibility to stress due to multi-system impairments. Commonly associated with aging, frailty can lead to adverse outcomes such as hospitalization, falls, and mortality. Cardiovascular diseases are recognized as a significant risk factor for frailty syndrome and frequently coexist in the elderly population. This review aims to explore the relationship between cardiovascular diseases and frailty syndrome. Research demonstrates that both acute and chronic cardiac conditions are prevalent among the risk factors for frailty. Cardiovascular diseases often manifest against the backdrop of atherosclerosis (AS) and are a leading cause of death in older adults. This review seeks to examine potential pathways through which cardiovascular events contribute to the development of frailty syndrome. Frail individuals often experience impaired physical function, significantly impacting their quality of life. Understanding the link between subclinical cardiovascular events and the pathogenesis of frailty syndrome is crucial for developing effective therapeutic interventions. Investigating how cardiovascular events influence the progression of frailty can provide valuable insights into improving clinical outcomes for frail patients.

Keywords: Frailty, Atherosclerosis, Cardiovascular disease

References

Adabag S, Vo TN, Langsetmo L, Schousboe JT, Cawthon PM, Stone KL, Shikany JM, Taylor BC, Ensrud KE. Frailty as a Risk Factor for Cardiovascular Versus Noncardiovascular Mortality in Older Men: Results From the MrOS Sleep (Outcomes of Sleep Disorders in Older Men) Study. J Am Heart Assoc. 2018 May 4;7(10):e008974. doi: 10.1161/JAHA.118.008974. PMID: 29728373; PMCID: PMC6015334.

Adachi T, Tsunekawa Y, Tanimura D. Association among mild cognitive impairment, social frailty, and clinical events in elderly patients with cardiovascular disease. Heart Lung. 2022 Sep-Oct;55:82-88. doi: 10.1016/j.hrtlng.2022.04.011. Epub 2022 Apr 29. PMID: 35500433.

Afilalo J, Alexander KP, Mack MJ, Maurer MS, Green P, Allen LA, Popma JJ, Ferrucci L, Forman DE. Frailty assessment in the cardiovascular care of older adults. J Am Coll Cardiol. 2014 Mar 4;63(8):747-62. doi: 10.1016/j.jacc.2013.09.070. Epub 2013 Nov 27. PMID: 24291279; PMCID: PMC4571179.

Baumeister D, Akhtar R, Ciufolini S, Pariante CM, Mondelli V. Childhood trauma and adulthood inflammation: a meta-analysis of peripheral C-reactive protein, interleukin-6 and tumour necrosis factor-α. Mol Psychiatry. 2016 May;21(5):642-9. doi: 10.1038/mp.2015.67. Epub 2015 Jun 2. PMID: 26033244; PMCID: PMC4564950.

Cesari M, Calvani R, Marzetti E. Frailty in Older Persons. Clin Geriatr Med. 2017 Aug;33(3):293-303. doi: 10.1016/j.cger.2017.02.002. Epub 2017 Apr 6. PMID: 28689563.

Chen TH, Koh KY, Lin KM, Chou CK. Mitochondrial Dysfunction as an Underlying Cause of Skeletal Muscle Disorders. Int J Mol Sci. 2022 Oct 26;23(21):12926. doi: 10.3390/ijms232112926. PMID: 36361713; PMCID: PMC9653750.

Chen X, Mao G, Leng SX. Frailty syndrome: an overview. Clin Interv Aging. 2014 Mar 19;9:433-41. doi: 10.2147/CIA.S45300. PMID: 24672230; PMCID: PMC3964027.

Chianca M, Panichella G, Fabiani I, Giannoni A, L'Abbate S, Aimo A, Del Franco A, Vergaro G, Grigoratos C, Castiglione V, Cipolla CM, Fedele A, Passino C, Emdin M, Cardinale DM. Bidirectional Relationship Between Cancer and Heart Failure: Insights on Circulating Biomarkers. Front Cardiovasc Med. 2022 Jul 6;9:936654. doi: 10.3389/fcvm.2022.936654. PMID: 35872912; PMCID: PMC9299444.

Clegg A, Hassan-Smith Z. Frailty and the endocrine system. Lancet Diabetes Endocrinol. 2018 Sep;6(9):743-752. doi: 10.1016/S2213-8587(18)30110-4. Epub 2018 Jul 17. PMID: 30017798.

Colin S, Chinetti-Gbaguidi G, Staels B. Macrophage phenotypes in atherosclerosis. Immunol Rev. 2014 Nov;262(1):153-66. doi: 10.1111/imr.12218. PMID: 25319333.

Custodero C, Pahor M, Mazzoccoli C, Manini TM, Anton SD, Mazzocca A, Lozupone M, Panza F, Sabbà C, Solfrizzi V. Effect of change of interleukin-6 over time on gait speed response: Results from the lifestyle interventions and independence for elders study. Mech Ageing Dev. 2023 Mar;210:111763. doi: 10.1016/j.mad.2022.111763. Epub 2022 Dec 14. PMID: 36526102.

Dagli RJ, Sharma A. Polypharmacy: a global risk factor for elderly people. J Int Oral Health. 2014 Nov-Dec;6(6):i-ii. PMID: 25628499; PMCID: PMC4295469.

Davalli P, Mitic T, Caporali A, Lauriola A, D'Arca D. ROS, Cell Senescence, and Novel Molecular Mechanisms in Aging and Age-Related Diseases. Oxid Med Cell Longev. 2016;2016:3565127. doi: 10.1155/2016/3565127. Epub 2016 May 10. PMID: 27247702; PMCID: PMC4877482.

Demer LL, Tintut Y. Vascular calcification: pathobiology of a multifaceted disease. Circulation. 2008 Jun 3;117(22):2938-48. doi: 10.1161/CIRCULATIONAHA.107.743161. PMID: 18519861; PMCID: PMC4431628.

Dugravot A, Fayosse A, Dumurgier J, Bouillon K, Rayana TB, Schnitzler A, Kivimaki M, Sabia S, Singh-Manoux A. Social inequalities in multimorbidity, frailty, disability, and transitions to mortality: a 24-year follow-up of the Whitehall II cohort study. Lancet Public Health. 2020 Jan;5(1):e42-e50. doi: 10.1016/S2468-2667(19)30226-9. Epub 2019 Dec 16. PMID: 31837974; PMCID: PMC7098476.

Fernandes J, Gomes CDS, Guerra RO, Pirkle CM, Vafaei A, Curcio CL, Dornelas de Andrade A. Frailty syndrome and risk of cardiovascular disease: Analysis from the International Mobility in Aging Study. Arch Gerontol Geriatr. 2021 Jan-Feb;92:104279. doi: 10.1016/j.archger.2020.104279. Epub 2020 Oct 9. PMID: 33069110.

Ferrucci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol. 2018 Sep;15(9):505-522. doi: 10.1038/s41569-018-0064-2. PMID: 30065258; PMCID: PMC6146930.

Fried LP, Cohen AA, Xue QL, Walston J, Bandeen-Roche K, Varadhan R. The physical frailty syndrome as a transition from homeostatic symphony to cacophony. Nat Aging. 2021 Jan;1(1):36-46. doi: 10.1038/s43587-020-00017-z. Epub 2021 Jan 14. PMID: 34476409; PMCID: PMC8409463.

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146. PMID: 11253156.

Greenberg AS, Obin MS. Many roads lead to the lipid droplet. Cell Metab. 2008 Jun;7(6):472-3. doi: 10.1016/j.cmet.2008.05.005. PMID: 18522827.

Hardigan T, Ward R, Ergul A. Cerebrovascular complications of diabetes: focus on cognitive dysfunction. Clin Sci (Lond). 2016 Oct 1;130(20):1807-22. doi: 10.1042/CS20160397. PMID: 27634842; PMCID: PMC5599301.

Hepple RT, Rice CL. Innervation and neuromuscular control in ageing skeletal muscle. J Physiol. 2016 Apr 15;594(8):1965-78. doi: 10.1113/JP270561. Epub 2015 Dec 21. PMID: 26437581; PMCID: PMC4933121.

Hubbard RE, Woodhouse KW. Frailty, inflammation and the elderly. Biogerontology. 2010 Oct;11(5):635-41. doi: 10.1007/s10522-010-9292-5. Epub 2010 Jun 23. PMID: 20571864.

Kim KK, Sheppard D, Chapman HA. TGF-β1 Signaling and Tissue Fibrosis. Cold Spring Harb Perspect Biol. 2018 Apr 2;10(4):a022293. doi: 10.1101/cshperspect.a022293. PMID: 28432134; PMCID: PMC5880172.

Kita A, Saito Y, Miura N, Miyajima M, Yamamoto S, Sato T, Yotsuyanagi T, Fujimiya M, Chikenji TS. Altered regulation of mesenchymal cell senescence in adipose tissue promotes pathological changes associated with diabetic wound healing. Commun Biol. 2022 Apr 5;5(1):310. doi: 10.1038/s42003-022-03266-3. PMID: 35383267; PMCID: PMC8983691.

Lang PO, Michel JP, Zekry D. Frailty syndrome: a transitional state in a dynamic process. Gerontology. 2009;55(5):539-49. doi: 10.1159/000211949. Epub 2009 Apr 4. PMID: 19346741.

Larsson L, Degens H, Li M, Salviati L, Lee YI, Thompson W, Kirkland JL, Sandri M. Sarcopenia: Aging-Related Loss of Muscle Mass and Function. Physiol Rev. 2019 Jan 1;99(1):427-511. doi: 10.1152/physrev.00061.2017. PMID: 30427277; PMCID: PMC6442923.

Lecordier S, Manrique-Castano D, El Moghrabi Y, ElAli A. Neurovascular Alterations in Vascular Dementia: Emphasis on Risk Factors. Front Aging Neurosci. 2021 Sep 10;13:727590. doi: 10.3389/fnagi.2021.727590. PMID: 34566627; PMCID: PMC8461067.

Lee SJ, Lee IK, Jeon JH. Vascular Calcification-New Insights Into Its Mechanism. Int J Mol Sci. 2020 Apr 13;21(8):2685. doi: 10.3390/ijms21082685. PMID: 32294899; PMCID: PMC7216228.

Lee SY, Chao CT, Huang JW, Huang KC. Vascular Calcification as an Underrecognized Risk Factor for Frailty in 1783 Community-Dwelling Elderly Individuals. J Am Heart Assoc. 2020 Sep 15;9(18):e017308. doi: 10.1161/JAHA.120.017308. Epub 2020 Sep 2. PMID: 32875940; PMCID: PMC7727009.

Li X, Yang T, Sun Z. Hormesis in Health and Chronic Diseases. Trends Endocrinol Metab. 2019 Dec;30(12):944-958. doi: 10.1016/j.tem.2019.08.007. Epub 2019 Sep 11. PMID: 31521464; PMCID: PMC6875627.

Li X, Zhang Y, Tian Y, Cheng Q, Gao Y, Gao M. Exercise interventions for older people with cognitive frailty-a scoping review. BMC Geriatr. 2022 Sep 1;22(1):721. doi: 10.1186/s12877-022-03370-3. PMID: 36045320; PMCID: PMC9434944.

Libby P, Buring JE, Badimon L, Hansson GK, Deanfield J, Bittencourt MS, Tokgözoglu L, Lewis EF. Atherosclerosis. Nat Rev Dis Primers. 2019 Aug 16;5(1):56. doi: 10.1038/s41572-019-0106-z. PMID: 31420554.

McKechnie DGJ, Papacosta AO, Lennon LT, Ellins EA, Halcox JPJ, Ramsay SE, Whincup PH, Wannamethee SG. Subclinical cardiovascular disease and risk of incident frailty: The British Regional Heart Study. Exp Gerontol. 2021 Oct 15;154:111522. doi: 10.1016/j.exger.2021.111522. Epub 2021 Aug 21. PMID: 34428478.

McNallan SM, Singh M, Chamberlain AM, Kane RL, Dunlay SM, Redfield MM, Weston SA, Roger VL. Frailty and healthcare utilization among patients with heart failure in the community. JACC Heart Fail. 2013 Apr;1(2):135-41. doi: 10.1016/j.jchf.2013.01.002. PMID: 23956958; PMCID: PMC3743559.

Menorca RM, Fussell TS, Elfar JC. Nerve physiology: mechanisms of injury and recovery. Hand Clin. 2013 Aug;29(3):317-30. doi: 10.1016/j.hcl.2013.04.002. PMID: 23895713; PMCID: PMC4408553.

Nadruz W Jr, Kitzman D, Windham BG, Kucharska-Newton A, Butler K, Palta P, Griswold ME, Wagenknecht LE, Heiss G, Solomon SD, Skali H, Shah AM. Cardiovascular Dysfunction and Frailty Among Older Adults in the Community: The ARIC Study. J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(7):958-964. doi: 10.1093/gerona/glw199. PMID: 27733425; PMCID: PMC5458397.

Piggott DA, Tuddenham S. The gut microbiome and frailty. Transl Res. 2020 Jul;221:23-43. doi: 10.1016/j.trsl.2020.03.012. Epub 2020 May 1. PMID: 32360945; PMCID: PMC8487348.

Polidoro A, Stefanelli F, Ciacciarelli M, Pacelli A, Di Sanzo D, Alessandri C. Frailty in patients affected by atrial fibrillation. Arch Gerontol Geriatr. 2013 Nov-Dec;57(3):325-7. doi: 10.1016/j.archger.2013.04.014. Epub 2013 May 23. PMID: 23706973.

Reed SC, Dhir N, Widmer RJ. Optimal cardiovascular medical therapy: current guidelines and new developments. Proc (Bayl Univ Med Cent). 2022 Jun 16;35(5):636-642. doi: 10.1080/08998280.2022.2083903. PMID: 35991714; PMCID: PMC9373776.

Ruff C, Gerharz A, Groll A, Stoll F, Wirbka L, Haefeli WE, Meid AD. Disease-dependent variations in the timing and causes of readmissions in Germany: A claims data analysis for six different conditions. PLoS One. 2021 Apr 26;16(4):e0250298. doi: 10.1371/journal.pone.0250298. PMID: 33901203; PMCID: PMC8075250.

Schirrmacher V. Less Can Be More: The Hormesis Theory of Stress Adaptation in the Global Biosphere and Its Implications. Biomedicines. 2021 Mar 13;9(3):293. doi: 10.3390/biomedicines9030293. PMID: 33805626; PMCID: PMC8000639.

Semeraro GC, Cipolla CM, Cardinale DM. Role of Cardiac Biomarkers in Cancer Patients. Cancers (Basel). 2021 Oct 29;13(21):5426. doi: 10.3390/cancers13215426. PMID: 34771589; PMCID: PMC8582425.

Sergi G, Veronese N, Fontana L, De Rui M, Bolzetta F, Zambon S, Corti MC, Baggio G, Toffanello ED, Crepaldi G, Perissinotto E, Manzato E. Pre-frailty and risk of cardiovascular disease in elderly men and women: the Pro.V.A. study. J Am Coll Cardiol. 2015 Mar 17;65(10):976-83. doi: 10.1016/j.jacc.2014.12.040. PMID: 25766943.

Soeters PB, Wolfe RR, Shenkin A. Hypoalbuminemia: Pathogenesis and Clinical Significance. JPEN J Parenter Enteral Nutr. 2019 Feb;43(2):181-193. doi: 10.1002/jpen.1451. Epub 2018 Oct 4. PMID: 30288759; PMCID: PMC7379941.

Soysal P, Stubbs B, Lucato P, Luchini C, Solmi M, Peluso R, Sergi G, Isik AT, Manzato E, Maggi S, Maggio M, Prina AM, Cosco TD, Wu YT, Veronese N. Inflammation and frailty in the elderly: A systematic review and meta-analysis. Ageing Res Rev. 2016 Nov;31:1-8. doi: 10.1016/j.arr.2016.08.006. Epub 2016 Aug 31. Erratum in: Ageing Res Rev. 2017 May;35:364-365. PMID: 27592340.

Soysal P, Veronese N, Thompson T, Kahl KG, Fernandes BS, Prina AM, Solmi M, Schofield P, Koyanagi A, Tseng PT, Lin PY, Chu CS, Cosco TD, Cesari M, Carvalho AF, Stubbs B. Relationship between depression and frailty in older adults: A systematic review and meta-analysis. Ageing Res Rev. 2017 Jul;36:78-87. doi: 10.1016/j.arr.2017.03.005. Epub 2017 Mar 31. PMID: 28366616.

Stewart R. Cardiovascular Disease and Frailty: What Are the Mechanistic Links? Clin Chem. 2019 Jan;65(1):80-86. doi: 10.1373/clinchem.2018.287318. Epub 2018 Nov 30. PMID: 30504259.

Stewart R. Cardiovascular Disease and Frailty: What Are the Mechanistic Links? Clin Chem. 2019 Jan;65(1):80-86. doi: 10.1373/clinchem.2018.287318. Epub 2018 Nov 30. PMID: 30504259.

Tran N, Garcia T, Aniqa M, Ali S, Ally A, Nauli SM. Endothelial Nitric Oxide Synthase (eNOS) and the Cardiovascular System: in Physiology and in Disease States. Am J Biomed Sci Res. 2022;15(2):153-177. Epub 2022 Jan 4. PMID: 35072089; PMCID: PMC8774925.

Uchmanowicz I, Mlynarska A, Lisiak M, Kaluzna-Oleksy M, Wleklik M, Chudiak A, Dudek M, Migaj J, Hinterbuchner L, Gobbens R. Heart Failure and Problems with Frailty Syndrome: Why it is Time to Care About Frailty Syndrome in Heart Failure. Card Fail Rev. 2019 Feb;5(1):37-43. doi: 10.15420/cfr.2018.37.1. PMID: 30847244; PMCID: PMC6396065.

Valsdóttir V, Magnúsdóttir BB, Chang M, Sigurdsson S, Gudnason V, Launer LJ, Jónsdóttir MK. Cognition and brain health among older adults in Iceland: the AGES-Reykjavik study. Geroscience. 2022 Dec;44(6):2785-2800. doi: 10.1007/s11357-022-00642-z. Epub 2022 Aug 17. PMID: 35978066; PMCID: PMC9768066.

Veronese N, Custodero C, Demurtas J, Smith L, Barbagallo M, Maggi S, Cella A, Vanacore N, Aprile PL, Ferrucci L, Pilotto A; Special Interest Group in Systematic Reviews of the European Geriatric Medicine Society (EuGMS); Special Interest Group in Meta-analyses and Comprehensive Geriatric Assessment of the European Geriatric Medicine Society (EuGMS). Comprehensive geriatric assessment in older people: an umbrella review of health outcomes. Age Ageing. 2022 May 1;51(5):afac104. doi: 10.1093/ageing/afac104. PMID: 35524746.

Veronese N. Frailty as Cardiovascular Risk Factor (and Vice Versa). Adv Exp Med Biol. 2020;1216:51-54. doi: 10.1007/978-3-030-33330-0_6. PMID: 31894546.

Volpato S, Ferrucci L, Secchiero P, Corallini F, Zuliani G, Fellin R, Guralnik JM, Bandinelli S, Zauli G. Association of tumor necrosis factor-related apoptosis-inducing ligand with total and cardiovascular mortality in older adults. Atherosclerosis. 2011 Apr;215(2):452-8. doi: 10.1016/j.atherosclerosis.2010.11.004. Epub 2010 Nov 11. PMID: 21122855; PMCID: PMC3070040.

Waritu NC, Nair SKP, Birhan B, Adugna T, Awgichew GB, Jemal M. Serum Lipid Profiles, Blood Glucose, and High-Sensitivity C-Reactive Protein Levels Among People Living with HIV Taking Dolutegravir and Ritonavir-Boosted Atazanavir-Based Antiretroviral Therapy at Jimma University Medical Center, Southwest Ethiopia, 2021. HIV AIDS (Auckl). 2024 Feb 12;16:17-32. doi: 10.2147/HIV.S430310. PMID: 38369986; PMCID: PMC10873129.

Wleklik M, Denfeld Q, Lisiak M, Czapla M, Kaluzna-Oleksy M, Uchmanowicz I. Frailty Syndrome in Older Adults with Cardiovascular Diseases-What Do We Know and What Requires Further Research? Int J Environ Res Public Health. 2022 Feb 16;19(4):2234. doi: 10.3390/ijerph19042234. PMID: 35206422; PMCID: PMC8872246.

Wong TY, Massa MS, O'Halloran AM, Kenny RA, Clarke R. Cardiovascular risk factors and frailty in a cross-sectional study of older people: implications for prevention. Age Ageing. 2018 Sep 1;47(5):714-720. doi: 10.1093/ageing/afy080. PMID: 29796607; PMCID: PMC6108388.

Yan Y, Li M, Lin J, Ji Y, Wang K, Yan D, Shen Y, Wang W, Huang Z, Jiang H, Sun H, Qi L. Adenosine monophosphate activated protein kinase contributes to skeletal muscle health through the control of mitochondrial function. Front Pharmacol. 2022 Oct 20;13:947387. doi: 10.3389/fphar.2022.947387. PMID: 36339617; PMCID: PMC9632297.

Yao S, Guo J, Shi G, Zhu Y, Wang Y, Chu X, Jiang X, Jin L, Wang Z, Wang X. Association of BNP with Frailty in Elderly Population: Rugao Longevity and Ageing Study. J Nutr Health Aging. 2019;23(1):73-78. doi: 10.1007/s12603-018-1112-7. PMID: 30569072.

Zha Y, Zhuang W, Yang Y, Zhou Y, Li H, Liang J. Senescence in Vascular Smooth Muscle Cells and Atherosclerosis. Front Cardiovasc Med. 2022 Jun 1;9:910580. doi: 10.3389/fcvm.2022.910580. PMID: 35722104; PMCID: PMC9198250.

Committee on Publication Ethics

PDF
Full Text
Export Citation

View Dimensions


View Plumx



View Altmetric



2
Save
0
Citation
101
View
0
Share