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  1. Article ; Online: Mitigating COVID-19 Mortality and Morbidity in China's Aging Population: A Focus on Available Medications and Future Developments.

    Bischof, Evelyne

    Aging and disease

    2023  Volume 14, Issue 6, Page(s) 1967–1976

    Abstract: The COVID-19 pandemic, often referred to as the geropandemic, has put immense pressure on global healthcare systems worldwide, leading to a rush in the development and approval of medications for the treatment of the viral infection. Clinical trials on ... ...

    Abstract The COVID-19 pandemic, often referred to as the geropandemic, has put immense pressure on global healthcare systems worldwide, leading to a rush in the development and approval of medications for the treatment of the viral infection. Clinical trials on efficacy and safety had a limited spectrum on inclusion and endpoints because of the urgent need for fast results. The chronologically and biologically aged population is especially at risk for severe or lethal disease, as well as treatment-associated toxicity. In China, the growing elderly population segment has been a focus in public health measurements of COVID-19, guiding towards herd immunity with a mild variant, thus minimizing overall deaths and morbidity. While the COVID-19 pandemic has now been reclassified and the virus weakened, there is a clear need for novel therapies to protect the elderly. This paper reviews the current safety and efficacy of available COVID-19 medications in China, with a specific focus on 3CL protease inhibitors and the aging population. The current COVID wave in China has demonstrated a significant impact on the elderly and the need for new drugs that are effective at low doses and can be used alone, without harmful side effects, generation of viral resistance, and drug-drug interactions. The rush to develop and approve COVID-19 medications has brought up important questions about the balance between speed and caution, resulting in a pipeline of novel therapies now moving through clinical trials, including third-generation 3CL protease inhibitors. A majority of those therapeutics are being developed in China.
    Language English
    Publishing date 2023-12-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2625789-0
    ISSN 2152-5250 ; 2152-5250
    ISSN (online) 2152-5250
    ISSN 2152-5250
    DOI 10.14336/AD.2023.0318
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Anesthesia with ciprofol in cardiac surgery with cardiopulmonary bypass: A case report.

    Yu, Le / Bischof, Evelyne / Lu, Hui-Hong

    World journal of clinical cases

    2023  Volume 11, Issue 1, Page(s) 157–163

    Abstract: Background: Ciprofol is a novel agent for intravenous general anesthesia. In February 2022, it was approved by the National Medical Products Administration for general anesthesia induction and maintenance. It has the advantages of fast onset, fast ... ...

    Abstract Background: Ciprofol is a novel agent for intravenous general anesthesia. In February 2022, it was approved by the National Medical Products Administration for general anesthesia induction and maintenance. It has the advantages of fast onset, fast elimination, stable circulation, and few adverse reactions. However, the efficacy and safety of ciprofol in cardiac surgery with cardiopulmonary bypass have not been reported. Here we describe a case where ciprofol was successfully used for anesthesia in cardiac surgery with cardiopulmonary bypass.
    Case summary: A 72-year-old man (height 176 cm; weight 70 kg) was diagnosed with coronary atherosclerotic cardiomyopathy requiring coronary artery bypass grafting and left ventricular aneurysmectomy. Ciprofol was administered for induction (0.4 mg/kg) and maintenance (0.6-1.0 mg/kg/h) of general anesthesia. During the entire operation, the bispectral index, hemodynamics, and blood oxygen saturation were maintained at normal levels. The patient recovered well after surgery, with no serious adverse events related to ciprofol.
    Conclusion: Ciprofol is safe and effective for anesthesia in cardiac surgery with cardiopulmonary bypass.
    Language English
    Publishing date 2023-01-03
    Publishing country United States
    Document type Case Reports
    ISSN 2307-8960
    ISSN 2307-8960
    DOI 10.12998/wjcc.v11.i1.157
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Stress, diet, exercise: Common environmental factors and their impact on epigenetic age.

    Galkin, Fedor / Kovalchuk, Olga / Koldasbayeva, Diana / Zhavoronkov, Alex / Bischof, Evelyne

    Ageing research reviews

    2023  Volume 88, Page(s) 101956

    Abstract: Epigenetic aging clocks have gained significant attention as a tool for predicting age-related health conditions in clinical and research settings. They have enabled geroscientists to study the underlying mechanisms of aging and assess the effectiveness ... ...

    Abstract Epigenetic aging clocks have gained significant attention as a tool for predicting age-related health conditions in clinical and research settings. They have enabled geroscientists to study the underlying mechanisms of aging and assess the effectiveness of anti-aging therapies, including diet, exercise and environmental exposures. This review explores the effects of modifiable lifestyle factors' on the global DNA methylation landscape, as seen by aging clocks. We also discuss the underlying mechanisms through which these factors contribute to biological aging and provide comments on what these findings mean for people willing to build an evidence-based pro-longevity lifestyle.
    MeSH term(s) Humans ; Epigenesis, Genetic ; Aging/genetics ; Longevity/genetics ; DNA Methylation ; Diet
    Language English
    Publishing date 2023-05-19
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2075672-0
    ISSN 1872-9649 ; 1568-1637
    ISSN (online) 1872-9649
    ISSN 1568-1637
    DOI 10.1016/j.arr.2023.101956
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sex-disaggregated data in COVID-19 vaccine trials.

    Vijayasingham, Lavanya / Bischof, Evelyne / Wolfe, Jeannette

    Lancet (London, England)

    2021  Volume 397, Issue 10278, Page(s) 966–967

    MeSH term(s) COVID-19 Vaccines ; Clinical Trials as Topic ; Data Analysis ; Female ; Humans ; Male ; Sex Factors
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-03-05
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(21)00384-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The role of quality of life data as an endpoint for collecting real-world evidence within geroscience clinical trials.

    Harinath, Girish / Zalzala, Sajad / Nyquist, Andy / Wouters, Maartje / Isman, Anar / Moel, Mauricio / Verdin, Eric / Kaeberlein, Matt / Kennedy, Brian / Bischof, Evelyne

    Ageing research reviews

    2024  Volume 97, Page(s) 102293

    Abstract: With geroscience research evolving at a fast pace, the need arises for human randomized controlled trials to assess the efficacy of geroprotective interventions to prevent age-related adverse outcomes, disease, and mortality in normative aging cohorts. ... ...

    Abstract With geroscience research evolving at a fast pace, the need arises for human randomized controlled trials to assess the efficacy of geroprotective interventions to prevent age-related adverse outcomes, disease, and mortality in normative aging cohorts. However, to confirm efficacy requires a long-term and costly approach as time to the event of morbidity and mortality can be decades. While this could be circumvented using sensitive biomarkers of aging, current molecular, physiological, and digital endpoints require further validation. In this review, we discuss how collecting real-world evidence (RWE) by obtaining health data that is amenable for collection from large heterogeneous populations in a real-world setting can help speed up validation of geroprotective interventions. Further, we propose inclusion of quality of life (QoL) data as a biomarker of aging and candidate endpoint for geroscience clinical trials to aid in distinguishing healthy from unhealthy aging. We highlight how QoL assays can aid in accelerating data collection in studies gathering RWE on the geroprotective effects of repurposed drugs to support utilization within healthy longevity medicine. Finally, we summarize key metrics to consider when implementing QoL assays in studies, and present the short-form 36 (SF-36) as the most well-suited candidate endpoint.
    Language English
    Publishing date 2024-04-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2075672-0
    ISSN 1872-9649 ; 1568-1637
    ISSN (online) 1872-9649
    ISSN 1568-1637
    DOI 10.1016/j.arr.2024.102293
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Clinical trials for COVID-19 should include sex as a variable.

    Bischof, Evelyne / Wolfe, Jeannette / Klein, Sabra L

    The Journal of clinical investigation

    2020  Volume 130, Issue 7, Page(s) 3350–3352

    MeSH term(s) COVID-19 ; Clinical Trials as Topic/organization & administration ; Coronavirus Infections ; Female ; Humans ; Male ; Pandemics ; Pneumonia, Viral ; Research Design/standards ; Sex Factors
    Keywords covid19
    Language English
    Publishing date 2020-05-11
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 3067-3
    ISSN 1558-8238 ; 0021-9738
    ISSN (online) 1558-8238
    ISSN 0021-9738
    DOI 10.1172/JCI139306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Artificial intelligence in longevity medicine.

    Zhavoronkov, Alex / Bischof, Evelyne / Lee, Kai-Fu

    Nature aging

    2020  Volume 1, Issue 1, Page(s) 5–7

    MeSH term(s) Artificial Intelligence ; Longevity ; Medicine
    Language English
    Publishing date 2020-11-30
    Publishing country United States
    Document type Journal Article
    ISSN 2662-8465
    ISSN (online) 2662-8465
    DOI 10.1038/s43587-020-00020-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Understanding COVID-19 new diagnostic guidelines - a message of reassurance from an internal medicine doctor in Shanghai.

    Bischof, Evelyne / Chen, Guoting / Ferretti, Maria Teresa

    Swiss medical weekly

    2020  Volume 150, Page(s) w20216

    MeSH term(s) Betacoronavirus/isolation & purification ; COVID-19 ; COVID-19 Testing ; China/epidemiology ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Humans ; Internal Medicine ; Physicians ; Pneumonia, Viral/diagnosis ; Practice Guidelines as Topic ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-03-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2036179-8
    ISSN 1424-3997 ; 1424-7860
    ISSN (online) 1424-3997
    ISSN 1424-7860
    DOI 10.4414/smw.2020.20216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The potential of rapalogs to enhance resilience against SARS-CoV-2 infection and reduce the severity of COVID-19.

    Bischof, Evelyne / Siow, Richard C / Zhavoronkov, Alex / Kaeberlein, Matt

    The Lancet. Healthy longevity

    2021  Volume 2, Issue 2, Page(s) e105–e111

    Abstract: COVID-19 disproportionately affects older people, with likelihood of severe complications and death mirroring that of other age-associated diseases. Inhibition of the mechanistic target of rapamycin complex 1 (mTORC1) has been shown to delay or reverse ... ...

    Abstract COVID-19 disproportionately affects older people, with likelihood of severe complications and death mirroring that of other age-associated diseases. Inhibition of the mechanistic target of rapamycin complex 1 (mTORC1) has been shown to delay or reverse many age-related phenotypes, including declining immune function. Rapamycin (sirolimus) and rapamycin derivatives are US Food and Drug Administration-approved inhibitors of mTORC1 with broad clinical utility and well established dosing and safety profiles. Based on preclinical and clinical evidence, a strong case can be made for immediate large-scale clinical trials to assess whether rapamycin and other mTORC1 inhibitors can prevent COVID-19 infection in these populations and also to determine whether these drugs can improve outcomes in patients with severe COVID-19.
    MeSH term(s) COVID-19 ; Humans ; MTOR Inhibitors ; Mechanistic Target of Rapamycin Complex 1 ; SARS-CoV-2 ; Sirolimus ; United States
    Chemical Substances MTOR Inhibitors ; Mechanistic Target of Rapamycin Complex 1 (EC 2.7.11.1) ; Sirolimus (W36ZG6FT64)
    Language English
    Publishing date 2021-02-03
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ISSN 2666-7568
    ISSN (online) 2666-7568
    DOI 10.1016/S2666-7568(20)30068-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Longevity medicine: upskilling the physicians of tomorrow.

    Bischof, Evelyne / Scheibye-Knudsen, Morten / Siow, Richard / Moskalev, Alexey

    The Lancet. Healthy longevity

    2021  Volume 2, Issue 4, Page(s) e187–e188

    MeSH term(s) Humans ; Longevity ; Medicine ; Physicians
    Language English
    Publishing date 2021-03-12
    Publishing country England
    Document type Journal Article
    ISSN 2666-7568
    ISSN (online) 2666-7568
    DOI 10.1016/S2666-7568(21)00024-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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