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Targeting aging pathways with natural compounds: a review of curcumin, epigallocatechin gallate, thymoquinone, and resveratrol. 用天然化合物靶向衰老途径:姜黄素、表没食子儿茶素没食子酸酯、百里醌和白藜芦醇的综述。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-03 DOI: 10.1186/s12979-025-00522-y
Mohamed Ahmed

Aging is a multifactorial biological process driven by oxidative stress, chronic inflammation, genomic instability, and mitochondrial dysfunction. Recent research underscores the potential of naturally derived compounds to modulate these aging hallmarks. Curcumin, epigallocatechin gallate (EGCG), thymoquinone, and resveratrol exhibit antioxidant, anti-inflammatory, and autophagy-enhancing effects that target core pathways involved in cellular senescence and tissue degeneration. These phytochemicals regulate key molecular players such as sirtuins, AMPK, NF-κB, and mTOR, offering promise in delaying age-associated pathologies and promoting longevity. This review discusses the molecular mechanisms underlying their anti-aging actions and highlights their potential as dietary geroprotective interventions.

衰老是一个多因素的生物学过程,由氧化应激、慢性炎症、基因组不稳定和线粒体功能障碍驱动。最近的研究强调了天然衍生化合物调节这些衰老特征的潜力。姜黄素、表没食子儿茶素没食子酸酯(EGCG)、百里醌和白藜芦醇表现出抗氧化、抗炎和增强自噬的作用,这些作用针对涉及细胞衰老和组织退化的核心途径。这些植物化学物质调节sirtuins、AMPK、NF-κB和mTOR等关键分子,有望延缓与年龄相关的病理和延长寿命。本文讨论了其抗衰老作用的分子机制,并强调了其作为饮食老年保护干预措施的潜力。
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引用次数: 0
Differential effects of young and old hematopoietic stem cell niches on bone marrow-derived dendritic cells. 年轻和年老造血干细胞壁龛对骨髓来源的树突状细胞的不同影响。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-03 DOI: 10.1186/s12979-025-00517-9
Patrik Milić, Mojca Justin Kjuder, Katerina Jazbec Gradišar, Urban Švajger, Primož Rožman

Background: Aging is linked to various dysfunctions of the immune system, including the decline of its primary developmental source: the hematopoietic stem cell (HSC) niche. This decline leads to chronic inflammation, increased vulnerability to infections, cancer, autoimmune diseases, and reduced vaccine efficacy. As individuals age, the HSC niche undergoes significant changes, including greater adipocyte accumulation and alterations in the molecular microenvironment, which may influence the development and function of immune cells. Among these cells, the impact of the aging HSC niche on dendritic cell (DC) function is less understood. Heterochronic autologous HSC transplantation is a promising intervention to prevent age-related disorders, contributing to the extension of healthspan and longevity, however, several murine experiments failed to produce the expected results, which led us to presume that the problem lies within the old HSC niche. Therefore, we created in vitro models of young and old HSC niches and examined how these microenvironments affect the differentiation and maturation and functionality of BM-derived DCs (BMDCs).

Results: An analysis of the conditioned media from young and aged HSC niches revealed that the environment of aged niches exhibited an increased presence of adiponectin. This media was subsequently utilized in BMDC differentiation and maturation protocols, with their effects closely monitored. Our results indicate that the old HSC niche microenvironment promotes premature BMDC activation, characterized by elevated MHC class II expression and enhanced allostimulatory capacity of BMDCs at their immature stage. Additionally, LPS stimulation of BMDCs, used to induce DC maturation, significantly increased CD86 expression on BMDCs from the aged niche. However, these cells did not show superior allostimulatory capacity compared to their counterparts from the young niche environment. By analyzing the BMDC cytokine profile, we observed that when cultured in aged niche-conditioned media, the BMDCs secreted significantly higher levels of IL-6, indicating a heightened proinflammatory activation state.

Conclusions: Collectively, our findings suggest that aging-related changes within the HSC niche can considerably alter DC functionality by disrupting their normal development from BM precursors. These results emphasize the significance of this phenomenon and its implications for immunosenescence.

背景:衰老与免疫系统的各种功能障碍有关,包括其主要发育来源:造血干细胞(HSC)生态位的下降。这种下降会导致慢性炎症,增加对感染、癌症、自身免疫性疾病的易感性,并降低疫苗效力。随着个体年龄的增长,HSC生态位会发生显著变化,包括脂肪细胞的积累和分子微环境的改变,这可能会影响免疫细胞的发育和功能。在这些细胞中,老化的HSC生态位对树突状细胞(DC)功能的影响尚不清楚。异慢性自体HSC移植是一种很有前途的干预措施,可以预防年龄相关疾病,有助于延长健康寿命和寿命,然而,一些小鼠实验未能产生预期的结果,这使我们假设问题出在旧的HSC生态位上。因此,我们建立了年轻和年老HSC生态位的体外模型,并研究了这些微环境如何影响脑源性dc (bmdc)的分化、成熟和功能。结果:对来自年轻和老年HSC生态位的条件培养基的分析显示,老年生态位的环境显示出脂肪联素的增加。该培养基随后用于BMDC分化和成熟方案,并密切监测其效果。我们的研究结果表明,旧的HSC生态位微环境促进BMDC过早激活,其特征是MHC II类表达升高和BMDC在未成熟阶段的异源刺激能力增强。此外,用于诱导DC成熟的脂多糖刺激BMDCs显著增加了老年生态位BMDCs上CD86的表达。然而,与来自年轻生态位环境的细胞相比,这些细胞并没有表现出优越的异源刺激能力。通过分析BMDC细胞因子谱,我们观察到,当在年龄较大的壁龛条件培养基中培养时,BMDC分泌的IL-6水平显著升高,表明促炎激活状态升高。结论:总的来说,我们的研究结果表明,HSC生态位中与年龄相关的变化可以通过破坏它们从BM前体正常发育而显著改变DC功能。这些结果强调了这一现象的重要性及其对免疫衰老的影响。
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引用次数: 0
Different CMV-specific effector T cell subtypes are associated with age, CMV serostatus, and increased systolic blood pressure. 不同的巨细胞病毒特异性效应T细胞亚型与年龄、巨细胞病毒血清状态和收缩压升高有关。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-07-03 DOI: 10.1186/s12979-025-00523-x
Lennart M Roesner, Berislav Bošnjak, Stephan Traidl, Jochen Huehn, Reinhold Förster, Thomas Werfel

Background: Cytomegalovirus (CMV) infection is one of the most common infections in humans, and CMV antigens are the major drivers of repetitive T-cell stimulation as a part of a well-adapted immune response in immunocompetent individuals. With higher age, the recurrent clonal expansion of CMV-specific T cells results in high frequencies of CMV-specific effector T cells. Further on, CMV seropositivity has been linked to an increased risk of developing cardiovascular diseases (CVD). Here we investigated the frequency and phenotype of CMV-specific T cells in the circulation of a population cohort of 650 individuals focusing on the age group over 60 years. Circulating immune cells of individuals carrying the HLA-A*02 allele were investigated (n = 302) applying MHC class I tetramers.

Results: We add to previous knowledge by showing that the frequency of CMVpp65-specific CD8+ T cells is associated with the total percentage and absolute counts of CD8+ and CD4+CD8+ double-positive T cells within leukocytes, and further with systolic blood pressure (SBP) and history of CVD. An investigation into the differentiation status of CMV-specific T cells revealed an association of higher age and increased frequencies of both TEM and CD27-expressing TEMRA cells. In contrast, higher CMV-IgG titers were found to be associated with TEM and CD27- TEMRA cell frequencies. SBP significantly correlated with CMV-specific effector CD8+ T cells, which was mostly reflected by CD27- TEMRA cells.

Conclusions: Within the circulating CMV-specific T cell population, different effector T-cell subtypes were associated with age, serostatus and SBP. This suggests that it is not age or infection per se that render CMV-positive individuals susceptible to CVD, but rather the cellular immune response to CMV. Detailed immunophenotyping may identify individuals whose immune systems are strongly influenced by the response to CMV, leading to health consequences and impairing healthy aging.

背景:巨细胞病毒(CMV)感染是人类最常见的感染之一,在免疫能力强的个体中,巨细胞病毒抗原是重复t细胞刺激的主要驱动因素,是适应良好的免疫反应的一部分。随着年龄的增长,cmv特异性T细胞的复发性克隆扩增导致cmv特异性效应T细胞的频率较高。此外,巨细胞病毒血清阳性与患心血管疾病(CVD)的风险增加有关。在这里,我们研究了650名60岁以上人群的循环中cmv特异性T细胞的频率和表型。应用MHC I类四聚体检测携带HLA-A*02等位基因个体的循环免疫细胞(n = 302)。结果:我们通过显示cmvpp65特异性CD8+ T细胞的频率与白细胞内CD8+和CD4+CD8+双阳性T细胞的总百分比和绝对计数相关,并进一步与收缩压(SBP)和CVD史相关,从而增加了先前的知识。对cmv特异性T细胞分化状态的研究显示,TEM和表达cd27的TEMRA细胞的年龄和频率增加有关。相反,高CMV-IgG滴度被发现与TEM和CD27- TEMRA细胞频率相关。收缩压与cmv特异性效应因子CD8+ T细胞显著相关,主要由CD27- TEMRA细胞反映。结论:在循环cmv特异性T细胞群中,不同的效应T细胞亚型与年龄、血清状态和收缩压相关。这表明不是年龄或感染本身使CMV阳性个体易患CVD,而是细胞对CMV的免疫反应。详细的免疫表型可以识别免疫系统受到巨细胞病毒应答强烈影响的个体,导致健康后果并损害健康衰老。
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引用次数: 0
The aging immune system and all-cause mortality in older americans: differences across sex and race/ethnicity. 美国老年人的免疫系统老化和全因死亡率:性别和种族/民族的差异。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-06-21 DOI: 10.1186/s12979-025-00521-z
Kate A Duchowny, Yuan S Zhang, Rebecca C Stebbins, Xin Ma, Jaydon Jun Yu Chin, Virginia W Chang, Allison E Aiello, Grace A Noppert
<p><strong>Background: </strong>As individuals age, the immune system undergoes complex changes, including an increase in the number of CD8 T cells relative to CD4 T cells, a decline in naïve cell production (including T and B cells), and an accumulation of terminally differentiated cells with diminished functionality. These age-related immune alterations collectively contribute to immunosenescence, a phenotype associated with aging-related declines and diseases such as dementia, Alzheimer's disease, osteoporosis, and diabetes. Premature mortality at older ages often results from cumulative health deterioration initiated by physiological dysregulation over the life course. Mortality risk, therefore, provides a meaningful measure of the long-term impact of physiological changes, including those related to the immune system. Examining the link between mortality risk and immune aging in older adults could illuminate the underlying pathology of aging-related health decline. This study uses data from the Health and Retirement Study (HRS), a national, population-based sample of middle-aged and older Americans, to explore the relationship between specific immune aging ratios and six-year mortality, stratified by race/ethnicity and sex.</p><p><strong>Results: </strong>Using a sample of 8,259 individuals from the HRS, we found that overall, the presence, magnitude, and direction of the association differed by the specific immune ratio measure, sex, and race/ethnicity. We found particularly robust associations among Hispanic and non-Hispanic Black females. Among Hispanic females, for example, a one-unit increase in the log CD4 EMRA: Naïve ratio was associated with a nearly 50% increase in mortality for Hispanic females and a 25% increase in mortality for non-Hispanic Black females which was robust to adjustment for additional covariates. While we found little evidence of an association between immune function and mortality among non-Hispanic White and Hispanic males, we found associations in the opposite direction as what we would expect among non-Hispanic Black males. For example, a one-unit increase in the CD4, EMRA: Naïve ratio was associated with a 15% decrease in mortality among non-Hispanic Black males.</p><p><strong>Conclusions: </strong>Our findings demonstrate that associations between immune aging and mortality are not uniform but instead vary in magnitude and direction across sex and racial/ethnic subgroups. The strongest and most consistent associations were observed among Hispanic and non-Hispanic Black females-groups experiencing multiple forms of marginalization-suggesting that these populations may face heightened vulnerability to the downstream consequences of immune aging. However, the absence or reversal of expected associations in some subgroups-particularly non-Hispanic Black males-underscores the complexity of immune aging processes and their interaction with social and biological contexts. These results highlight the importance of di
背景:随着个体年龄的增长,免疫系统经历了复杂的变化,包括CD8 T细胞相对于CD4 T细胞数量的增加,naïve细胞生成(包括T细胞和B细胞)的减少,以及功能减弱的终末分化细胞的积累。这些与年龄相关的免疫改变共同导致免疫衰老,这是一种与衰老相关的衰退和痴呆症、阿尔茨海默病、骨质疏松症和糖尿病等疾病相关的表型。老年人过早死亡往往是由于生命过程中生理失调引起的累积健康恶化造成的。因此,死亡风险为生理变化(包括与免疫系统相关的生理变化)的长期影响提供了有意义的衡量标准。研究老年人死亡风险与免疫老化之间的联系,可以阐明与衰老相关的健康衰退的潜在病理。本研究使用来自健康与退休研究(HRS)的数据,这是一项以美国中老年人口为基础的全国性样本,以种族/民族和性别为分层,探讨特定免疫老化率与6年死亡率之间的关系。结果:使用来自HRS的8259个个体的样本,我们发现总体而言,这种关联的存在、程度和方向因特定免疫比测量、性别和种族/民族而异。我们在西班牙裔和非西班牙裔黑人女性中发现了特别强烈的关联。例如,在西班牙裔女性中,log CD4 EMRA: Naïve比率每增加一个单位,西班牙裔女性死亡率增加近50%,非西班牙裔黑人女性死亡率增加25%,这对于其他协变量的调整是稳健的。虽然我们在非西班牙裔白人和西班牙裔男性中几乎没有发现免疫功能和死亡率之间存在关联的证据,但我们在非西班牙裔黑人男性中发现了与我们预期相反的关联。例如,CD4、EMRA: Naïve比值每增加一个单位,非西班牙裔黑人男性的死亡率就会降低15%。结论:我们的研究结果表明,免疫衰老与死亡率之间的关联并不统一,而是在性别和种族/民族亚群的程度和方向上有所不同。在西班牙裔和非西班牙裔黑人女性中观察到最强烈和最一致的关联,这些群体经历了多种形式的边缘化,这表明这些人群可能面临免疫衰老下游后果的高度脆弱性。然而,在一些亚群中,特别是非西班牙裔黑人男性,预期的关联缺失或逆转,强调了免疫衰老过程的复杂性及其与社会和生物环境的相互作用。这些结果强调了分类分析的重要性,并表明免疫衰老可能在不同人群中表现出来并影响死亡风险。
{"title":"The aging immune system and all-cause mortality in older americans: differences across sex and race/ethnicity.","authors":"Kate A Duchowny, Yuan S Zhang, Rebecca C Stebbins, Xin Ma, Jaydon Jun Yu Chin, Virginia W Chang, Allison E Aiello, Grace A Noppert","doi":"10.1186/s12979-025-00521-z","DOIUrl":"10.1186/s12979-025-00521-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;As individuals age, the immune system undergoes complex changes, including an increase in the number of CD8 T cells relative to CD4 T cells, a decline in naïve cell production (including T and B cells), and an accumulation of terminally differentiated cells with diminished functionality. These age-related immune alterations collectively contribute to immunosenescence, a phenotype associated with aging-related declines and diseases such as dementia, Alzheimer's disease, osteoporosis, and diabetes. Premature mortality at older ages often results from cumulative health deterioration initiated by physiological dysregulation over the life course. Mortality risk, therefore, provides a meaningful measure of the long-term impact of physiological changes, including those related to the immune system. Examining the link between mortality risk and immune aging in older adults could illuminate the underlying pathology of aging-related health decline. This study uses data from the Health and Retirement Study (HRS), a national, population-based sample of middle-aged and older Americans, to explore the relationship between specific immune aging ratios and six-year mortality, stratified by race/ethnicity and sex.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Using a sample of 8,259 individuals from the HRS, we found that overall, the presence, magnitude, and direction of the association differed by the specific immune ratio measure, sex, and race/ethnicity. We found particularly robust associations among Hispanic and non-Hispanic Black females. Among Hispanic females, for example, a one-unit increase in the log CD4 EMRA: Naïve ratio was associated with a nearly 50% increase in mortality for Hispanic females and a 25% increase in mortality for non-Hispanic Black females which was robust to adjustment for additional covariates. While we found little evidence of an association between immune function and mortality among non-Hispanic White and Hispanic males, we found associations in the opposite direction as what we would expect among non-Hispanic Black males. For example, a one-unit increase in the CD4, EMRA: Naïve ratio was associated with a 15% decrease in mortality among non-Hispanic Black males.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our findings demonstrate that associations between immune aging and mortality are not uniform but instead vary in magnitude and direction across sex and racial/ethnic subgroups. The strongest and most consistent associations were observed among Hispanic and non-Hispanic Black females-groups experiencing multiple forms of marginalization-suggesting that these populations may face heightened vulnerability to the downstream consequences of immune aging. However, the absence or reversal of expected associations in some subgroups-particularly non-Hispanic Black males-underscores the complexity of immune aging processes and their interaction with social and biological contexts. These results highlight the importance of di","PeriodicalId":51289,"journal":{"name":"Immunity & Ageing","volume":"22 1","pages":"25"},"PeriodicalIF":5.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of serum total light chain kappa and lambda levels with all-cause mortality in Chinese centenarians. 中国百岁老人血清总轻链kappa和lambda水平与全因死亡率的关系。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-06-19 DOI: 10.1186/s12979-025-00520-0
Yuting Duan, Zhe Li, Weiguang Zhang, Yue Niu, Bin Wang, Zhe Feng, Ding Sun, Hao Li, Zehao Zhang, Zeyu Qu, Qiushi Wang, Xinye Jin, Jie Zhang, Miao Liu, Hongyan Hu, Yali Zhao, Yao He, Guangyan Cai, Song Hu, Xiangmei Chen, Yizhi Chen

The purpose of this study was to determine the relationship between the serum levels of kappa (κ) and lambda (λ) total light chain (TLC), the κ/λ ratio, and the combined serum TLCκ and TLCλ (ΣTLC) levels in Chinese centenarians and all-cause mortality. The association between serum TLC and all-cause mortality was investigated using restricted cubic spline (RCS) analysis, Cox proportional hazards models, and Kaplan‒Meier curves. The study included 906 centenarians (18.8% male), 838 (92.5%) of whom died during a median follow-up of 30 months. The proportions of centenarians with abnormal TLCκ and TLCλ levels were 68.1% and 49.0%, respectively. RCS analysis indicated that the levels of TLCκ, TLCλ, and ΣTLC were associated with all-cause mortality (P < 0.05), whereas the κ/λ ratio was not (P > 0.05). Cox proportional hazards analysis demonstrated that the highest quartiles of TLCκ, TLCλ, and ΣTLC were associated with an increased risk of death, with hazard ratios of 1.434 (95% confidence interval [CI], 1.061-1.939; P = 0.019), 1.351 (95% CI, 1.013-1.802; P = 0.041), and 1.891 (95% CI, 1.347-2.654; P < 0.001), respectively. Kaplan-Meier analysis illustrated that centenarians with higher levels of TLCκ, TLCλ, and ΣTLC had significantly shorter median survival times (26 months versus 35 months, P < 0.001; 26 months versus 32 months, P = 0.003; and 26 months versus 36 months, P < 0.001, respectively). Our findings suggest that serum levels of TLCκ, TLCλ, and ΣTLC are significantly associated with all-cause mortality in centenarians. Trial registration Not applicable.

本研究旨在探讨中国百岁老人血清kappa (κ)和lambda (λ)总轻链(TLC)水平、κ/λ比值以及血清TLCκ和TLCλ (ΣTLC)联合水平与全因死亡率的关系。采用限制性三次样条(RCS)分析、Cox比例风险模型和Kaplan-Meier曲线研究血清TLC与全因死亡率之间的关系。该研究包括906名百岁老人(18.8%为男性),其中838人(92.5%)在中位随访30个月期间死亡。TLCκ和TLCλ水平异常的百岁老人比例分别为68.1%和49.0%。RCS分析显示TLCκ、TLCλ和ΣTLC水平与全因死亡率相关(P < 0.05)。Cox比例风险分析显示,TLCκ、TLCλ和ΣTLC的最高四分位数与死亡风险增加相关,风险比为1.434(95%可信区间[CI], 1.061 ~ 1.939;P = 0.019), 1.351 (95% ci, 1.013-1.802;P = 0.041), 1.891 (95% CI, 1.347-2.654;P
{"title":"Associations of serum total light chain kappa and lambda levels with all-cause mortality in Chinese centenarians.","authors":"Yuting Duan, Zhe Li, Weiguang Zhang, Yue Niu, Bin Wang, Zhe Feng, Ding Sun, Hao Li, Zehao Zhang, Zeyu Qu, Qiushi Wang, Xinye Jin, Jie Zhang, Miao Liu, Hongyan Hu, Yali Zhao, Yao He, Guangyan Cai, Song Hu, Xiangmei Chen, Yizhi Chen","doi":"10.1186/s12979-025-00520-0","DOIUrl":"10.1186/s12979-025-00520-0","url":null,"abstract":"<p><p>The purpose of this study was to determine the relationship between the serum levels of kappa (κ) and lambda (λ) total light chain (TLC), the κ/λ ratio, and the combined serum TLCκ and TLCλ (ΣTLC) levels in Chinese centenarians and all-cause mortality. The association between serum TLC and all-cause mortality was investigated using restricted cubic spline (RCS) analysis, Cox proportional hazards models, and Kaplan‒Meier curves. The study included 906 centenarians (18.8% male), 838 (92.5%) of whom died during a median follow-up of 30 months. The proportions of centenarians with abnormal TLCκ and TLCλ levels were 68.1% and 49.0%, respectively. RCS analysis indicated that the levels of TLCκ, TLCλ, and ΣTLC were associated with all-cause mortality (P < 0.05), whereas the κ/λ ratio was not (P > 0.05). Cox proportional hazards analysis demonstrated that the highest quartiles of TLCκ, TLCλ, and ΣTLC were associated with an increased risk of death, with hazard ratios of 1.434 (95% confidence interval [CI], 1.061-1.939; P = 0.019), 1.351 (95% CI, 1.013-1.802; P = 0.041), and 1.891 (95% CI, 1.347-2.654; P < 0.001), respectively. Kaplan-Meier analysis illustrated that centenarians with higher levels of TLCκ, TLCλ, and ΣTLC had significantly shorter median survival times (26 months versus 35 months, P < 0.001; 26 months versus 32 months, P = 0.003; and 26 months versus 36 months, P < 0.001, respectively). Our findings suggest that serum levels of TLCκ, TLCλ, and ΣTLC are significantly associated with all-cause mortality in centenarians. Trial registration Not applicable.</p>","PeriodicalId":51289,"journal":{"name":"Immunity & Ageing","volume":"22 1","pages":"24"},"PeriodicalIF":5.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency of synaptic antigen-specific CD4+ T cells in dementia is age-dependent but not correlated with cognitive impairment. 痴呆患者突触抗原特异性CD4+ T细胞的频率与年龄相关,但与认知障碍无关。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-06-19 DOI: 10.1186/s12979-025-00516-w
Julius Hoffmann, Marie-Luise Machule, Jakob Kreye, Laura Stöffler, Péter Körtvelyessy, Maria Buthut, Rosa Rößling, Petra Bacher, Alexander Scheffold, Harald Prüss

Neurodegenerative dementias including Alzheimer disease severely impair cognitive and social abilities and are a major cause of mortality with no causal treatment yet. Autoimmune mechanisms have been increasingly considered to contribute to disease progression, e.g. by enhancing protein misfolding or pro-inflammatory immune responses. Understanding this contribution may lead to novel treatment options beyond removing neurodegeneration-associated proteins. We hypothesized that CD4+ TH cells against synaptic proteins may play a role in dementia, given the profound changes of synaptic proteins in the disease. We investigated TH cell frequencies and phenotypes after antigen-reactive T cell enrichment (ARTE) using three important synaptic antigens known to play a role in cognitive function, N-Methyl-D-Aspartate receptor (NMDAR), Leucine-rich, glioma inactivated 1 (LGI1) and metabotropic glutamate receptor 5 (mGluR5). Our data revealed that synaptic autoantigen-specific TH cells occurred in all cohorts and were similarly frequent in patients with dementia and sex- and age-matched controls. However, they were significantly reduced compared to young healthy subjects, indicating strong age-related effects ('immune senescence'). Compared to the ubiquitously available Candida albicans antigen, synaptic autoantigen-specific TH cell responses were strongly driven by IFNγ-producing T cells, expression of which markedly decreased with age. Patients with dementia had significantly less IL-17-producing synaptic autoantigen-specific TH cells than aged healthy controls. This first direct ex vivo quantitative and qualitative analysis of circulating T cells autoreactive to three synaptic autoantigens in dementia shows no correlation with cognitive impairment. It suggests that synaptic autoantigen-specific TH cells decline with age and are not a major driver of dementia development.

包括阿尔茨海默病在内的神经退行性痴呆严重损害认知和社交能力,是导致死亡的主要原因,目前尚无因果治疗方法。越来越多的人认为自身免疫机制有助于疾病进展,例如通过增强蛋白质错误折叠或促炎免疫反应。了解这一贡献可能会带来新的治疗选择,而不仅仅是去除神经变性相关蛋白。鉴于突触蛋白在痴呆症中的深刻变化,我们假设CD4+ TH细胞对抗突触蛋白可能在痴呆症中发挥作用。我们利用已知在认知功能中起作用的三种重要突触抗原n-甲基- d -天冬氨酸受体(NMDAR)、富亮氨酸、胶质瘤失活1 (LGI1)和代谢性谷氨酸受体5 (mGluR5),研究了抗原反应性T细胞富集(ARTE)后TH细胞的频率和表型。我们的数据显示突触自身抗原特异性TH细胞出现在所有队列中,并且在痴呆患者和性别和年龄匹配的对照组中同样频繁。然而,与年轻的健康受试者相比,它们显着减少,表明强烈的年龄相关影响(“免疫衰老”)。与普遍存在的白色念珠菌抗原相比,突触自身抗原特异性TH细胞反应是由产生ifn γ的T细胞强烈驱动的,其表达随着年龄的增长而显著降低。痴呆患者产生il -17的突触自身抗原特异性TH细胞明显少于老年健康对照。这是对痴呆患者循环T细胞自身对三种突触自身抗原反应的首次直接离体定量和定性分析,显示与认知障碍无关。这表明突触自身抗原特异性TH细胞随着年龄的增长而下降,并不是痴呆发展的主要驱动因素。
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引用次数: 0
Age-associated changes in the lymphoid tissues of Boa constrictor. 巨蟒淋巴组织的年龄相关变化。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-06-19 DOI: 10.1186/s12979-025-00519-7
Eva Dervas, Udo Hetzel, Anja Kipar

Aging is a complex and multifaceted biological process that results in the gradual decline of physiological functions over time. It is associated with reduced performance across multiple systems, affecting metabolic, reproductive, musculoskeletal, and immune functions. While immune aging has been extensively studied in endothermic animals, and in particular mammals such as laboratory rodents, comparatively little is known about how aging manifests in ectothermic vertebrates like reptiles. This study explored the lymphoid tissue (spleen and thymus) of Boa constrictor, a boid snake indigenous to South and Central America and Mexico, but widely kept in captivity all over the world, for potential age-related changes. We observed a significant decrease in cellularity in the spleen, coupled with an increase in organ size correlated with age. In both spleen and thymus the connective tissue of capsule and trabeculae increased significantly with age, indicative of progressive fibrosis. In addition, several changes were observed with increasing frequency in older animals, epithelial hyperplasia in the thymic medulla as well stromal fibrosis and an increasing infiltration by so-called granular cells in both organs. Granular cells likely represent a leukocyte subtype; their presence indicates a progressive chronic low-grade inflammatory state in the lymphoid organs, a feature known as inflammaging in other animal classes. They may also play a role in the progressive fibrosis of the connective tissue. The results firstly describe morphological evidence of aging in B. constrictor and indicate similarities in the aging across animal classes.

衰老是一个复杂的、多方面的生物过程,它导致生理功能随着时间的推移而逐渐下降。它与多个系统的性能下降有关,影响代谢、生殖、肌肉骨骼和免疫功能。虽然免疫衰老已经在恒温动物,特别是哺乳动物如实验室啮齿动物中得到了广泛的研究,但相对而言,人们对像爬行动物这样的变温脊椎动物的衰老表现知之甚少。这项研究探索了蟒蛇的淋巴组织(脾脏和胸腺),蟒蛇是一种原产于中南美洲和墨西哥的类蛇,但在世界各地广泛圈养,以寻找潜在的与年龄相关的变化。我们观察到脾脏细胞显著减少,同时与年龄相关的器官大小增加。脾脏和胸腺的囊和小梁结缔组织随着年龄的增长而明显增加,表明纤维化的进展。此外,在老年动物中观察到的一些变化越来越频繁,胸腺髓质上皮增生以及间质纤维化和两个器官中所谓颗粒细胞的浸润增加。颗粒细胞可能代表一种白细胞亚型;它们的存在表明淋巴器官处于进行性慢性低度炎症状态,这一特征在其他动物类别中被称为炎症。它们也可能在结缔组织的进行性纤维化中起作用。研究结果首次描述了蟒蛇衰老的形态学证据,并指出了不同动物类群衰老的相似性。
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引用次数: 0
Diverging effects of tumor necrosis factor inhibitors and conventional synthetic disease-modifying antirheumatic drugs on immunosenescence and inflammageing in rheumatoid arthritis: a cross-sectional analysis. 肿瘤坏死因子抑制剂和常规合成疾病改善抗风湿药物对类风湿关节炎免疫衰老和炎症的分化作用:一项横断面分析
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-22 DOI: 10.1186/s12979-025-00508-w
Tobias Schwarz, Giovanni Almanzar, Sebastian Völkl, Martin Feuchtenberger, Johannes Leierer, Christian Schmidt, Frank Deininger, Hans-Peter Tony, Marc Schmalzing, Martina Prelog

Background: Immunosenescence is characterized by a decline in naive T cells, a reduced T cell receptor repertoire, and the accumulation of terminally-differentiated and unspecifically-activated proinflammatory cells, a process called inflammageing. Premature immunosenescence is thought to be pathogenetically relevant in rheumatoid arthritis (RA), either by posing a risk factor for its development, or by advancing the rheumatic disease as a result of excess antigenic and inflammatory stimulation. We investigated parameters of immunosenescence in RA patients treated with conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) only compared to patients treated additionally or exclusively with a tumor necrosis factor inhibitor (TNFi) and age-matched healthy controls to investigate the effect of RA treatment on age-associated T cell phenotypes and functions.

Results: The csDMARD-only treated patients, compared to the TNFi-treated patients and healthy controls, displayed an enhanced age-dependent decline in CD31+ recent thymic emigrants (RTE) and Interleukin-7 (IL-7)-receptor α-chain (CD127)-expressing CD4+ T cells participating in IL-7-associated homeostatic proliferation, a diminished proliferation of RTE and CD127+ T cells, as well as reduced T cell receptor excision circle (TREC) counts. However, whereas the RA patients exhibited reduced proportions of unspecifically activated IFNγ- and IL-17-producing T cells, TNFi initiation induced an increase in these proinflammatory cells.

Conclusions: Whereas a TNFi treatment seems to counteract the non-inflammatory aspects of immunosenescence, it induces increasing proportions of terminally-differentiated, cytokine-producing effector memory T cells, requiring awareness as possibly contributing to secondary autoimmune phenomena in RA.

背景:免疫衰老的特征是初始T细胞减少,T细胞受体库减少,终末分化和非特异性激活的促炎细胞积累,这一过程称为炎症形成。过早的免疫衰老被认为与类风湿关节炎(RA)的病理相关,要么是其发展的危险因素,要么是由于过度的抗原和炎症刺激而导致风湿性疾病的恶化。我们研究了仅接受常规合成疾病改善抗风湿药物(csDMARDs)治疗的RA患者的免疫衰老参数,与额外或单独接受肿瘤坏死因子抑制剂(TNFi)治疗的患者和年龄匹配的健康对照进行比较,以研究RA治疗对年龄相关T细胞表型和功能的影响。结果:与接受tnfi治疗的患者和健康对照组相比,仅接受csdmard治疗的患者表现出CD31+最近胸腺移行细胞(RTE)和表达参与IL-7相关稳态增殖的白细胞介素-7 (IL-7)受体α-链(CD127)的CD4+ T细胞的年龄依赖性下降,RTE和CD127+ T细胞的增殖减少,T细胞受体切除圈(TREC)计数减少。然而,尽管RA患者表现出非特异性激活的IFNγ-和产生il -17的T细胞比例减少,但TNFi启动诱导这些促炎细胞增加。结论:尽管TNFi治疗似乎可以抵消免疫衰老的非炎症方面,但它会诱导终末分化、产生细胞因子的效应记忆T细胞的比例增加,这需要意识到可能会导致RA的继发性自身免疫现象。
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引用次数: 0
Gut-vitamin D interplay: key to mitigating immunosenescence and promoting healthy ageing. 肠道与维生素D的相互作用:缓解免疫衰老和促进健康衰老的关键。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-19 DOI: 10.1186/s12979-025-00514-y
Hammad Ullah

Background: Immunosenescence is the loss and change of immunological organs, as well as innate and adaptive immune dysfunction with ageing, which can lead to increased sensitivity to infections, age-related diseases, and cancer. Emerging evidence highlights the role of gut-vitamin D axis in the regulation of immune ageing, influencing chronic inflammation and systemic health. This review aims to explore the interplay between the gut microbiota and vitamin D in mitigating immunosenescence and preventing against chronic inflammation and age-related diseases.

Main text: Gut microbiota dysbiosis and vitamin D insufficiency accelerate immunosenescence and risk of chronic diseases. Literature data reveal that vitamin D modulates gut microbiota diversity and composition, enhances immune resilience, and reduce systemic inflammation. Conversely, gut microbiota influences vitamin D metabolism to promote the synthesis of active vitamin D metabolites with implications for immune health.

Conclusions: These findings underscore the potential of targeting gut-vitamin D axis to modulate immune responses, delay the immune ageing, and mitigate age-related diseases. Further research is needed to integrate vitamin D supplementation and microbiome modulation into strategies aimed at promoting healthy ageing.

背景:免疫衰老是指随着年龄的增长,免疫器官的丧失和改变,以及先天和适应性免疫功能障碍,这可能导致对感染、年龄相关疾病和癌症的敏感性增加。新出现的证据强调了肠道维生素D轴在免疫衰老调节中的作用,影响慢性炎症和全身健康。本文旨在探讨肠道微生物群与维生素D在缓解免疫衰老、预防慢性炎症和年龄相关疾病中的相互作用。肠道菌群失调和维生素D不足加速免疫衰老和慢性疾病的风险。文献资料显示,维生素D可以调节肠道微生物群的多样性和组成,增强免疫弹性,减少全身炎症。相反,肠道微生物群影响维生素D代谢,促进活性维生素D代谢物的合成,对免疫健康有影响。结论:这些发现强调了靶向肠道维生素D轴调节免疫反应、延缓免疫老化和减轻年龄相关疾病的潜力。需要进一步研究将维生素D补充和微生物组调节整合到旨在促进健康老龄化的策略中。
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引用次数: 0
Zinc deficiency as possible link between immunosenescence and age-related diseases. 锌缺乏可能与免疫衰老和年龄相关疾病有关。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-19 DOI: 10.1186/s12979-025-00511-1
Michael Tobias Schulz, Lothar Rink

As global life expectancy increases, research reveals a critical challenge in aging: the progressive deterioration of immune function, termed immunosenescence. This age-related immune decline is characterized by a complex dysregulation of immune responses, which leaves older adults increasingly vulnerable to infections, chronic inflammatory states, and various degenerative diseases. Without intervention, immunosenescence significantly contributes to morbidity and mortality among the elderly, intensifying healthcare burdens and diminishing quality of life on both individual and societal levels. This review explores the essential role of zinc, a trace element critical for immune health, in mitigating the impact of immunosenescence and slowing the cascade of immunological dysfunctions associated with aging. By modulating the activity of key immune cells and pathways, zinc supplementation emerges as a promising approach to strengthen immunity, reduce oxidative stress, and counteract "inflammaging," a state of chronic, low-grade inflammation that accelerates tissue damage and drives disease progression. Zinc's involvement in cellular defense and repair mechanisms across the immune system highlights its ability to enhance immune cell functionality, resilience, and adaptability, strengthening the body's resistance to infection and its ability to manage stressors that contribute to diseases of aging. Indeed, zinc has demonstrated potential to improve immune responses, decrease inflammation, and mitigate the risk of age-related conditions including diabetes, depression, cardiovascular disease, and vision loss. Given the prevalent barriers to adequate zinc intake among older adults, including dietary limitations, decreased absorption, and interactions with medications, this review underscores the urgent need to address zinc deficiency in aging populations. Recent findings on zinc's cellular and molecular effects on immune health present zinc supplementation as a practical, accessible intervention for supporting healthier aging and improving quality of life. By integrating zinc into targeted strategies, public health efforts may not only sustain immunity in the elderly but also extend healthy longevity, reduce healthcare costs, and potentially mitigate the incidence and impact of chronic diseases that strain healthcare systems worldwide.

随着全球预期寿命的增加,研究揭示了衰老的一个关键挑战:免疫功能的逐渐恶化,称为免疫衰老。这种与年龄相关的免疫衰退的特征是免疫反应的复杂失调,这使得老年人越来越容易受到感染、慢性炎症状态和各种退行性疾病的影响。如果不进行干预,免疫衰老会显著增加老年人的发病率和死亡率,加重个人和社会层面的医疗负担,降低生活质量。本文探讨了锌作为一种对免疫健康至关重要的微量元素,在减轻免疫衰老的影响和减缓与衰老相关的免疫功能障碍级联反应中的重要作用。通过调节关键免疫细胞和途径的活性,锌补充剂成为增强免疫力、减少氧化应激和对抗“炎症”(一种加速组织损伤和推动疾病进展的慢性、低度炎症状态)的一种有希望的方法。锌参与免疫系统的细胞防御和修复机制,突出了其增强免疫细胞功能、恢复力和适应性的能力,增强了身体对感染的抵抗力和管理导致衰老疾病的压力源的能力。事实上,锌已经被证明有潜力改善免疫反应,减少炎症,并减轻与年龄有关的疾病的风险,包括糖尿病,抑郁症,心血管疾病和视力丧失。考虑到老年人摄入足够锌的普遍障碍,包括饮食限制、吸收减少以及与药物的相互作用,本综述强调了解决老年人缺锌问题的迫切需要。最近关于锌对免疫健康的细胞和分子影响的研究表明,锌补充剂是一种实用的、可获得的干预措施,可支持更健康的老龄化和提高生活质量。通过将锌纳入有针对性的战略,公共卫生工作不仅可以维持老年人的免疫力,还可以延长健康寿命,降低医疗成本,并有可能减轻慢性疾病的发病率和影响,这些疾病给全球医疗系统带来了压力。
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引用次数: 0
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