Aim. The Lorentz workshop
brought clinicians, epidemiologists, basic scientists and computational
scientists together to focus on the translational potential of knowledge
created in the field of ageing research. Although it became clear that research
in elderly people to improve care, biomedical research to improve the health span,
and basic science to unravel molecular and cellular ageing mechanisms are different
scientific communities the aim of the meeting was to find innovative ways to
improve communication and to seek common research questions. Moreover, we aimed
to describe how the instruments and tools in model systems can be placed at the
service of Population and Patient-based studies to deliver true translational
research: the end result should be applicable in the clinic, in prevention,
diagnosis or treatment.
Outcome. Clinicians and biologists are
equally focused on finding drivers and markers of biological ageing. The main
conclusion of the workshop was that to improve translational potential of the
ageing field clinical researchers and basic scientists should jointly establish
pipelines of connected research strategies focused on functional systems such
as the musculoskeletal or neurocardiovasular system.
Crucial for this is that navigators should be trained that connect clinical and
basic research within these pipelines. Based on state-of-the-art knowledge, the
field needs to prioritize the most informative and functional biomarker sets
that indicate physiological ageing in human systems. This is vital to monitor
health improvement in response to for instance interventions. Research in
animal models should maximize the comparability of phenotypes and related
pathways to match those relevant in human ageing. At the same time, animal-based
studies into molecular mechanisms of ageing potentially reveal hubs in vital
and conserved regulatory systems and will thus contribute to novel targets for
intervention. This is important as drugs are often developed for their effect
on surrogate endpoints, but due to the pleiotropic effects of treatment, drugs
frequently fail to improve the clinical endpoint or even adversely affect
health. The better the molecular networks of ageing humans are understood,
assisted by animal research, the better the surrogate endpoints can be chosen.
Improve
communication. For The Netherlands the conclusions of the
Lorentz workshop will be presented at the kick-off meeting of the Dutch Society
for Research on Ageing (DuSRA) that has recently been
founded in 2015. Again at that meeting the focus is on how to connect clinical
and basic research. Also as a consequence of the Lorenz meeting we approached the
Clinical Society for Internal Medicine to become formally connected to the DuSRA to secure that joint meetings will be organised and
that mutually beneficial research agendas will be drafted.
Stimulate
Healthy Ageing. A decline in function is detectable from
the thirties onward in humans but with the gain of knowledge there are
increasing opportunities to intervene. The decline is a highly heterogeneous
process, not linear, and includes metabolic shifts at different points in the
lifetime and stochastic changes that diversify the phenotypes of ageing
individuals. To understand the driving forces behind this variation research is
needed from stem cell and genetic research through to the role of lifestyle and
nutrition. All these research lines encompass the aim and potential to deliver
molecular targets and to lifestyle and nutritional interventions to stimulate
healthy ageing. The Lorentz concept worked very stimulating as indicated by the
enthusiastic responses of participants. After many working group discussions
systems pipeline concepts began to emerge demonstrating that joint efforts
between clinical research and basic science to design such pipelines is vital
to book any translational progress. The format of the Lorentz meeting helped us
clarify how to bring working groups together in the near future. This awareness
is timely; at the DuSRA kick off meeting also the
scientific director of the National Institutes of Ageing (NIA) USA will
indicate how the NIA has made attempts to bring the right parties together for
translational research strategies. The Dutch Ageing research community is now
primed to improve the situation in The Netherlands and to jointly approach
policy makers and funding agencies to help setting our targets and work on the
pipelines we will define.
A summary of the Lorentz meeting is being
finalised both from the scientific and public perspectives created by members of
the organizing committee and journalist Rebecca Miler, respectively.