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The immunological age prediction of monocytes indicates that gestational diabetes mellitus accelerates the aging of monocytes in offspring. 单核细胞的免疫年龄预测表明,妊娠期糖尿病加速了子代单核细胞的衰老。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-13 DOI: 10.1186/s12979-025-00513-z
Yan Zhang, Rui Guo, Min Yin, Mei Shi, Ting Zhong, Shanshan Liu, Xia Li

Background: Recent studies have suggested that gestational diabetes mellitus (GDM) can accelerate cellular aging in multiple cell types in offspring, but its impact on immune senescence remains uncertain. Our prior study reveals GDM increased the secretion of inflammatory factors by monocytes in offspring. This study discovered the transcriptome characteristics of aging monocytes at the single-cell level and explore the impact of GDM on the progression of monocyte aging in offspring.

Method: Single-cell sequencing data from 56 healthy individuals (aged 0-100 years), comprising self-measured samples (n = 6) and publicly available datasets from the Gene Expression Omnibus (GEO, n = 50), were analyzed to characterize monocyte senescence. Linear mixed-effects modeling was used to screen for age-related genes. A random forest model was created to predict immune age in monocytes, allowing for quantitative assessment of aging.

Results: We detected an increase in the number of inflammatory monocytes expressing IL1B and CXCL8 with age. Two age-related gene expression patterns were identified in monocytes. Analysis of offspring monocytes from mothers with GDM suggested that exposure to a GDM environment in the womb may lead to increased expression of aging-related genes, a hindered cell cycle, and increased immune age. The immune age of monocytes at birth is significantly linked to maternal weight gain, high fasting blood glucose levels, and cord blood C-peptide levels during pregnancy.

Conclusions: Exposure to GDM during pregnancy accelerates aging in offspring immune cells. Monitoring maternal weight and blood sugar during GDM can help prevent negative effects on the offspring immune system.

背景:最近的研究表明,妊娠期糖尿病(GDM)可加速后代多种细胞类型的细胞衰老,但其对免疫衰老的影响尚不确定。我们之前的研究表明GDM增加了后代单核细胞的炎症因子分泌。本研究在单细胞水平上发现衰老单核细胞的转录组特征,探讨GDM对后代单核细胞衰老进程的影响。方法:分析56名健康个体(0-100岁)的单细胞测序数据,包括自测样本(n = 6)和基因表达综合数据库(GEO, n = 50)的公开数据集,以表征单核细胞衰老。线性混合效应模型用于筛选年龄相关基因。建立了一个随机森林模型来预测单核细胞的免疫年龄,允许对衰老进行定量评估。结果:我们检测到炎性单核细胞表达IL1B和CXCL8的数量随着年龄的增长而增加。在单核细胞中发现了两种与年龄相关的基因表达模式。对患有GDM的母亲的后代单核细胞的分析表明,子宫内暴露于GDM环境可能导致衰老相关基因的表达增加,细胞周期受阻,免疫年龄增加。出生时单核细胞的免疫年龄与孕妇体重增加、高空腹血糖水平和怀孕期间脐带血c肽水平显著相关。结论:妊娠期暴露于GDM会加速后代免疫细胞的衰老。在GDM期间监测母亲的体重和血糖有助于防止对后代免疫系统的负面影响。
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引用次数: 0
Immunological enhancement of micro-nanoparticle formulated with risedronate and zinc as vaccine adjuvant in aged mice. 以利塞膦酸钠和锌为疫苗佐剂的微纳米颗粒对老年小鼠的免疫增强作用。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-13 DOI: 10.1186/s12979-025-00512-0
Yue Liu, Man Yang, Meifeng Nie, Shuyu Wu, Rong Su, Dekui Qiu, Shouneng Lu, Hualong Xiong, Jinlei Zhang, Shengxiang Ge, Quan Yuan, Qinjian Zhao, Tianying Zhang, Yingbin Wang, Ningshao Xia

Background: Elderly individuals face heightened susceptibility to infectious diseases and diminished vaccine responses. Vaccine adjuvants offer a solution. Despite aluminum adjuvant's long history, its limitations in inducing strong cellular immunity and protecting immunocompromised individuals restrict its application. Building upon our previous development of zinc salt particle-based risedronate (Zn-RS), we systematically investigated the immunoenhancing effects of Zn-RS in aged mice and thoroughly explored the underlying mechanisms responsible for these observations in this study.

Results: Compared to formulations using aluminum adjuvant, Zn-RS combined with either varicella-zoster virus glycoprotein E (gE) or SARS-CoV-2 monovalent STFK protein (STFK) elicited significantly higher IgG and neutralization titers, as well as superior long-term humoral immunity. Moreover, Zn-RS induced greater quantities of dendritic cells (DCs), antigen-presenting cells (APCs), follicular helper T (TFH) cells, Th1/Th2/Th9/Th17 type immune cells, germinal center B cells (GCBs) and plasma cells.

Conclusions: These findings support Zn-RS as a promising adjuvant candidate for elderly populations, warranting further exploration of its mechanisms and potential applications.

背景:老年人对传染病的易感性增加,疫苗反应减弱。疫苗佐剂提供了一种解决方案。尽管铝佐剂的历史悠久,但其在诱导强细胞免疫和保护免疫功能低下个体方面的局限性限制了其应用。在我们之前开发的锌盐颗粒基利塞膦酸盐(Zn-RS)的基础上,我们系统地研究了Zn-RS对老年小鼠的免疫增强作用,并在本研究中深入探讨了这些观察结果的潜在机制。结果:与使用铝佐剂的配方相比,锌rs与水痘-带状疱疹病毒糖蛋白E (gE)或SARS-CoV-2单价STFK蛋白(STFK)联合可显著提高IgG和中和滴度,并具有较好的长期体液免疫。此外,Zn-RS诱导大量树突状细胞(dc)、抗原呈递细胞(APCs)、滤泡辅助性T细胞(TFH)、Th1/Th2/Th9/Th17型免疫细胞、生发中心B细胞(GCBs)和浆细胞。结论:这些发现支持Zn-RS作为一种有希望的老年人群佐剂候选,值得进一步探索其机制和潜在的应用。
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引用次数: 0
Pentraxin-3 and C-reactive protein plasma levels predict survival in older adults with or without metabolic syndrome - results of the PolSenior2 substudy. pentaxin -3和c -反应蛋白血浆水平预测有或无代谢综合征的老年人的生存——PolSenior2亚研究的结果
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-05-08 DOI: 10.1186/s12979-025-00509-9
Aleksander J Owczarek, Anna Ochman, Anna Chudek, Małgorzata Mossakowska, Monika Puzianowska-Kuźnicka, Hanna Kujawska-Danecka, Tomasz Zdrojewski, Andrzej Więcek, Jerzy Chudek, Magdalena Olszanecka-Glinianowicz

Objective: There are no published data on the associations between plasma concentration of pentraxin-3 (PTX-3) - a marker of vascular inflammation and mortality in older subjects with or without metabolic syndrome (MS). Therefore, we aimed to compare the prognostic significance of increased PTX-3 and CRP levels on overall survival in subjects aged 60 and older with and without MS.

Materials and methods: Study participants (N = 3534) were categorized according to the presence or absence of MS and then each of these groups was stratified into 3 subgroups based on concentrations of CRP (≤ 3 mg/dL and > 3 mg/dL) and PTX-3 (< and ≥ the sex-specific cut-off values, based on the ROC curve analysis with the Youden index): double-negative inflammatory markers (low CRP and PTX-3 plasma concentrations); single-positive inflammatory marker (increased CRP or PTX-3 plasma concentrations) and double-positive inflammatory markers subgroup (increased CRP and PTX-3 plasma concentrations). During the 4.19-year follow-up, 678 (19.2% of the entire cohort) individuals died including 401 men (22.9%) and 277 women (15.5% ).

Results: The optimal cut-off for PTX-3 plasma concentration associated with an increased risk of death was 2.07 ng/mL for men and 2.23 ng/mL for women. The death rates were increased for single-positive and were highest in double-positive subgroups both for men and women, with or without MS. Kaplan-Meier analysis showed no effect of MS on survival in men and women in subgroups within specific inflammatory marker categories. Of note, the inflammatory markers class effect on survival was already significant in the single-positive subgroups (34% and 44% higher risk for death for men and women), and even more pronounced for the double-positive subgroup (more than two and almost three times higher risk of death for men and women, respectively). In the entire study group, a weak correlation was found between plasma concentrations of PTX-3 and hs-CRP (ρ = 0.11, p < 0.001) and slightly higher in undernourished subjects with hs-CRP > 3 mg/dL (ρ = 0.28, p < 0.001).

Conclusion: Our study suggests that in the age-advanced Caucasian population, the inflammatory status with increased plasma levels of both PTX-3 and CRP is associated with a higher risk of all-cause mortality, regardless of the occurrence of MS. However, due to the retrospective study design, these results require confirmation in prospective studies with an analysis of the underlying causes of death.

目的:在有或没有代谢综合征(MS)的老年受试者中,血管炎症和死亡率的标志物-戊曲霉素-3 (PTX-3)的血浆浓度之间没有已发表的数据。因此,我们的目的是比较PTX-3和CRP水平升高对60岁及以上伴有和不伴有MS的受试者总体生存的预后意义。材料和方法:研究参与者(N = 3534)根据是否存在MS进行分类,然后根据CRP(≤3mg /dL和> 3mg /dL)和PTX-3浓度分为3个亚组。与死亡风险增加相关的PTX-3血浆浓度的最佳临界值男性为2.07 ng/mL,女性为2.23 ng/mL。无论有无MS,单阳性患者的死亡率均增加,双阳性亚组中男性和女性的死亡率最高,Kaplan-Meier分析显示,在特定炎症标志物类别的亚组中,MS对男性和女性的生存率没有影响。值得注意的是,炎症标志物类别对生存的影响在单阳性亚组中已经很显著(男性和女性的死亡风险分别高出34%和44%),在双阳性亚组中甚至更为明显(男性和女性的死亡风险分别高出两倍和近三倍)。在整个研究组中,发现血浆PTX-3浓度与hs-CRP之间存在弱相关性(ρ = 0.11, p 3 mg/dL) (ρ = 0.28, p)。我们的研究表明,在高龄高加索人群中,炎症状态与血浆PTX-3和CRP水平升高有关,与ms的发生无关,但由于是回顾性研究设计,这些结果需要通过分析潜在死亡原因的前瞻性研究来证实。
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引用次数: 0
Chronic IL-21 drives neuroinflammation and promotes lipid accumulation in microglia. 慢性IL-21驱动神经炎症,促进小胶质细胞脂质积累。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-29 DOI: 10.1186/s12979-025-00510-2
Hugo Oyamada, Yinzhi Ying, Sudhanshu Agrawal, Aizhu Liu, Veedamali S Subramanian, Cleonice Alves de Melo Bento, Anshu Agrawal

Neuroinflammation is a key contributor to the onset and progression of neurodegenerative diseases, driven by factors such as viral infections, autoimmune disorders, and peripheral inflammation. However, the mechanisms linking peripheral inflammation or viral infections to neuroinflammation remain poorly understood, limiting the development of effective therapies. Proinflammatory cytokines are implicated in these processes but their effects on brain cells, including microglia, remain insufficiently characterized. Here, we demonstrate that IL-21, a proinflammatory cytokine elevated in autoimmune disorders, chronic viral infections, and Alzheimer's disease, activates microglia and promotes lipid accumulation within these cells. Young, healthy mice injected with IL-21 to mimic chronic exposure exhibited increased proinflammatory cytokine levels and microglial activation in the brain. Notably, microglia in these mice displayed enhanced lipid accumulation, accompanied by upregulation of lipid uptake receptors such as CD36 and TREM-2. These findings were corroborated using the human microglial cell line HMC-3, where IL-21 exposure similarly induced lipid accumulation and increased expression of CD36 and ApoE. Mechanistic investigations revealed that IL-21 upregulates HIF-1α, a transcription factor critical for lipid metabolism and lipid droplet formation. Additionally, we observed elevated IL-21 levels in the circulation of elderly individuals compared to younger counterparts, with IL-21 increases associated with CMV seropositivity. Aged mouse brains mirrored the microglial lipid accumulation and activation patterns seen in IL-21-injected mice. In summary, we identify a novel IL-21-driven mechanism involving lipid accumulation in microglia that contributes to neuroinflammation.

神经炎症是神经退行性疾病发生和发展的关键因素,由病毒感染、自身免疫性疾病和外周炎症等因素驱动。然而,将外周炎症或病毒感染与神经炎症联系起来的机制仍然知之甚少,限制了有效治疗方法的发展。促炎细胞因子与这些过程有关,但其对包括小胶质细胞在内的脑细胞的影响尚未充分表征。在这里,我们证明了IL-21,一种在自身免疫性疾病、慢性病毒感染和阿尔茨海默病中升高的促炎细胞因子,激活小胶质细胞并促进这些细胞内的脂质积累。年轻、健康的小鼠注射IL-21来模拟慢性暴露,显示出促炎细胞因子水平和大脑小胶质细胞激活的增加。值得注意的是,这些小鼠的小胶质细胞表现出增强的脂质积累,伴随着CD36和TREM-2等脂质摄取受体的上调。这些发现在人类小胶质细胞系HMC-3中得到证实,IL-21暴露同样诱导脂质积累,增加CD36和ApoE的表达。机制研究表明,IL-21上调HIF-1α, HIF-1α是脂质代谢和脂滴形成的关键转录因子。此外,我们观察到与年轻人相比,老年人循环中IL-21水平升高,IL-21升高与巨细胞病毒血清阳性相关。老年小鼠的大脑反映了注射il -21小鼠的小胶质细胞脂质积累和激活模式。总之,我们确定了一种新的il -21驱动机制,涉及小胶质细胞中的脂质积累,有助于神经炎症。
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引用次数: 0
Old hematopoietic stem cells retain competence to reconstitute a youthful B cell system that is highly responsive to protein-based vaccination. 老的造血干细胞保留了重建年轻的B细胞系统的能力,对基于蛋白质的疫苗接种有高度反应。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-05 DOI: 10.1186/s12979-025-00507-x
Paul Kunath, Dominik Pflumm, Bettina Moehrle, Vadim Sakk, Alina Seidel, Jan Münch, Hartmut Geiger, Reinhold Schirmbeck

Background: Ageing-associated remodeling of the murine B cell system is accompanied with a reduction of CD19+ B cells such as follicular B cells (FOB) and an accumulation of age-associated B cells (ABC) or activated B cell subsets. This remodeling is thought to confer an attenuated antibody response, such as to SARS-CoV-2 spike (S) vaccines in both aged mice and humans. To gain insight into the de novo development and function of an old B cell system, we reconstituted young and old immune systems by transferring hematopoietic stem cells (HSCs) from immune-competent young (2-3 months) CD45.1+ donors (DY-HSC) or old (20-24 months) donors (DO-HSC) into T and B cell-deficient young recipient CD45.2+ RAG1-/- mice, followed by protein-based vaccination.

Results: In the same environment of young RAG1-/- mice, transplanted DO-HSCs compared to DY-HSCs reconstituted lower numbers of CD19+ B cells and CD45.1+ cells, though the engraftment of donor-derived HSCs in the young bone marrow (BM) was very similar. Furthermore, indicative for youthful and unchallenged B cell systems, and in contrast to aged mice, very low levels of antigen-experienced memory B cells or age-associated B cells (ABC) developed in both DY-HSC and DO-HSC hosts. The commercially available recombinant SARS-CoV-2 S vaccine (NVX-CoV2373) induced lower IgG+ S-antibody titers and pseudovirus neutralization activity in old compared to young mice. In contrast, very similar high IgG+ S-antibody titers were induced in DO-HSC and DY-HSC hosts, and pseudovirus neutralization activity was even enhanced in DO-HSC compared with DY-HSC hosts.

Conclusions: Both DO-HSCs and DY-HSCs established in the young recipient BM to a similar extend, suggesting that the concomitant reduction in the de novo reconstitution of CD19+ B cells in DO-HSC vs. DY-HSC transplanted animals is specifically related to old HSCs. DO-HSCs and DY-HSCs reconstitute very similar unchallenged B cell systems that efficiently elicit antigen-specific IgG antibodies by protein-based vaccination. Old HSCs thus retain competence to reconstitute a youthful and functional B cell system, at least in the young environment of transplanted RAG1-/- mice. This suggests that it is primarily age-related factors, and not HSCs per se, that influence the composition and functionality of the old B cell system.

背景:小鼠B细胞系统的衰老相关重塑伴随着CD19+ B细胞(如滤泡B细胞(FOB))的减少和衰老相关B细胞(ABC)或活化B细胞亚群的积累。这种重塑被认为赋予了一种减弱的抗体反应,例如在老年小鼠和人类中对SARS-CoV-2刺突(S)疫苗的反应。为了深入了解老年B细胞系统的新生发育和功能,我们通过将具有免疫能力的年轻(2-3个月)CD45.1+供体(DY-HSC)或年老(20-24个月)供体(DO-HSC)的造血干细胞(hsc)移植到T和B细胞缺陷的年轻受体CD45.2+ RAG1-/-小鼠中,然后进行基于蛋白质的疫苗接种,重建了年轻和年老的免疫系统。结果:在相同的年轻RAG1-/-小鼠环境下,移植的do - hsc与dy - hsc相比,重建的CD19+ B细胞和CD45.1+细胞数量较少,尽管供体来源的hsc在年轻骨髓(BM)中的移植非常相似。此外,对于年轻和未挑战的B细胞系统,与老年小鼠相比,在DY-HSC和DO-HSC宿主中都出现了非常低水平的抗原经历记忆B细胞或年龄相关B细胞(ABC)。市售重组sars - cov - 2s疫苗(NVX-CoV2373)在老年小鼠中诱导的IgG+ S抗体滴度和假病毒中和活性低于年轻小鼠。相比之下,DO-HSC和DY-HSC宿主的IgG+ s抗体滴度非常相似,DO-HSC的假病毒中和活性甚至比DY-HSC宿主的假病毒中和活性更高。结论:DO-HSC和DY-HSC在年轻BM受体中建立的程度相似,这表明DO-HSC与DY-HSC移植动物中CD19+ B细胞新生重建的减少与老年hsc特异性相关。do - hsc和dy - hsc重建了非常相似的无挑战B细胞系统,通过基于蛋白质的疫苗接种有效地诱导抗原特异性IgG抗体。因此,至少在移植RAG1-/-小鼠的年轻环境中,年老的hsc保留了重建年轻和功能性B细胞系统的能力。这表明主要是与年龄相关的因素,而不是造血干细胞本身,影响老B细胞系统的组成和功能。
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引用次数: 0
Enhancing flu vaccine responses in older adults: preliminary insights from the ISOLDA study on immunosenescence and antioxidant and anti-inflammatory approaches. 增强老年人的流感疫苗反应:ISOLDA研究对免疫衰老和抗氧化和抗炎方法的初步见解
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-03-26 DOI: 10.1186/s12979-025-00506-y
Anna Aiello, Anna Calabrò, Mattia Emanuela Ligotti, Giulia Accardi, Mojtaba Shekarkar Azgomi, Nadia Caccamo, Calogero Caruso, Francesco Dieli, Marco Pio La Manna, Antonio Procopio, Giuseppina Candore

Aging is frequently characterized by an inadequate primary vaccine response, likely due to immunosenescence and inflamm-aging, a low-level, chronic inflammatory state. Both aspects increase the susceptibility of older adults to viral and bacterial infections, resulting in a higher frequency and severity of infectious diseases. In this preliminary study, a cohort of 52 individuals was recruited and divided into two groups: young (age range 21-35) and older adults (> 60 years old). Peripheral blood mononuclear cells (PBMCs) were collected before (time 0, T0) and after (time 1, T1) the immunization with a tetravalent influenza vaccine. Then, T cell immunophenotyping analysis was conducted to investigate how aging and influenza vaccination influence T cell responses. Additionally, the anti-inflammatory and antioxidant effects of oleuropein (OLE), a secoiridoid extracted from extra virgin olive oil, alone or in combination with BIRB 796, a potent inhibitor of p38 MAPK, were explored to enhancing the impact of influenza virus on T cell activation, aiming to identify potential alternatives or complementary strategies to improve traditional flu-vaccine formulations. Statistically significant observations were noted for a decrement in CD8 + T naïve and an increase of effector memory between the young and older adults after flu-vaccination. Moreover, preliminary findings indicate anti-inflammatory and antioxidant properties of OLE and BIRB 796 on T cell responses, particularly regarding Reactive Oxygen Species/Reactive Nitrogen Species modulation, with a trend toward the decrease of pro-inflammatory cytokines (i.e., Interferon-γ (INF-γ), Tumor Necrosis Factor-α (TNF-α)), αalthough without statistical significance.

衰老通常以初级疫苗反应不足为特征,可能是由于免疫衰老和炎症老化(一种低水平的慢性炎症状态)。这两个方面都增加了老年人对病毒和细菌感染的易感性,导致传染病的频率和严重程度更高。在这项初步研究中,招募了52人,并将其分为两组:年轻人(21-35岁)和老年人(60 - 60岁)。采集四价流感疫苗免疫前(时间0、T0)和免疫后(时间1、T1)外周血单个核细胞(PBMCs)。然后,进行T细胞免疫表型分析,研究衰老和流感疫苗接种如何影响T细胞反应。此外,研究人员还探索了橄榄欧苷(oleuin,一种从特级初榨橄榄油中提取的二环烯醚萜类化合物)单独或与强效p38 MAPK抑制剂BIRB 796联合使用时的抗炎和抗氧化作用,以增强流感病毒对T细胞活化的影响,旨在确定改进传统流感疫苗配方的潜在替代品或补充策略。在流感疫苗接种后,年轻人和老年人之间的CD8 + T naïve下降和效应记忆增加,在统计上有显著的观察结果。此外,初步研究结果表明,OLE和BIRB 796对T细胞反应具有抗炎和抗氧化特性,特别是在活性氧/活性氮调节方面,具有降低促炎细胞因子(即干扰素-γ (INF-γ),肿瘤坏死因子-α (TNF-α)), α的趋势,尽管没有统计学意义。
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引用次数: 0
Delayed viral clearance and altered inflammatory responses affect severity of SARS-CoV-2 infection in aged mice. 延迟病毒清除和改变炎症反应影响老年小鼠SARS-CoV-2感染的严重程度。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-03-12 DOI: 10.1186/s12979-025-00503-1
Émile Lacasse, Isabelle Dubuc, Leslie Gudimard, Ana Claudia Dos S P Andrade, Annie Gravel, Karine Greffard, Alexandre Chamberland, Camille Oger, Jean-Marie Galano, Thierry Durand, Éric Philipe, Marie-Renée Blanchet, Jean-François Bilodeau, Louis Flamand

Epidemiological investigations consistently demonstrate an overrepresentation of the elderly in COVID-19 hospitalizations and fatalities, making the advanced age as a major predictor of disease severity. Despite this, a comprehensive understanding of the cellular and molecular mechanisms explaining how old age represents a major risk factor remain elusive. To investigate this, we compared SARS-CoV-2 infection outcomes in young adults (2 months) and geriatric (15-22 months) mice. Both groups of K18-ACE2 mice were intranasally infected with 500 TCID50 of SARS-CoV-2 Delta variant with analyses performed on days 3, 5, and 7 post-infection (DPI). Analyses included pulmonary cytokines, lung RNA-seq, viral loads, lipidomic profiles, and histological assessments, with a concurrent evaluation of the percentage of mice reaching humane endpoints. The findings unveiled notable differences, with aged mice exhibiting impaired viral clearance, reduced survival, and failure to recover weight loss due to infection. RNA-seq data suggested greater lung damage and reduced respiratory function in infected aged mice. Additionally, elderly-infected mice exhibited a deficient antiviral response characterized by reduced Th1-associated mediators (IFNγ, CCL2, CCL3, CXCL9) and diminished number of macrophages, NK cells, and T cells. Furthermore, mass-spectrometry analysis of the lung lipidome indicated altered expression of several lipids with immunomodulatory and pro-resolution effects in aged mice such as Resolvin, HOTrEs, and NeuroP, but also DiHOMEs-related ARDS. These findings indicate that aging affects antiviral immunity, leading to prolonged infection, greater lung damage, and poorer clinical outcomes. This underscores the potential efficacy of immunomodulatory treatments for elderly subjects experiencing symptoms of severe COVID-19.

流行病学调查一致表明,在COVID-19住院治疗和死亡人数中,老年人的比例过高,这使得高龄成为疾病严重程度的主要预测指标。尽管如此,对细胞和分子机制的全面理解仍然难以解释老年是一个主要的危险因素。为了研究这一点,我们比较了年轻成年小鼠(2个月)和老年小鼠(15-22个月)的SARS-CoV-2感染结果。两组K18-ACE2小鼠鼻内感染500 TCID50 SARS-CoV-2 Delta变体,并在感染后第3、5和7天(DPI)进行分析。分析包括肺细胞因子、肺RNA-seq、病毒载量、脂质组学特征和组织学评估,同时评估达到人类终点的小鼠百分比。研究结果揭示了显著的差异,老年小鼠表现出病毒清除能力受损,存活率降低,并且无法恢复因感染而减轻的体重。RNA-seq数据显示,受感染的老年小鼠肺损伤更大,呼吸功能下降。此外,老年感染小鼠表现出抗病毒反应不足,其特征是th1相关介质(IFNγ、CCL2、CCL3、CXCL9)减少,巨噬细胞、NK细胞和T细胞数量减少。此外,肺脂质组的质谱分析表明,衰老小鼠中具有免疫调节和促分解作用的几种脂质表达改变,如Resolvin、HOTrEs和NeuroP,以及与dihomes相关的ARDS。这些发现表明,衰老会影响抗病毒免疫,导致感染时间延长,肺损伤更大,临床结果更差。这强调了免疫调节治疗对出现严重COVID-19症状的老年人的潜在疗效。
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引用次数: 0
Compositional analysis of lymphocytes and their relationship with health outcomes: findings from the health and retirement study. 淋巴细胞的组成分析及其与健康结果的关系:来自健康和退休研究的结果。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-03-12 DOI: 10.1186/s12979-025-00505-z
Lantian Xu, Chihua Li, Allison E Aiello, Kenneth M Langa, Jennifer B Dowd, Rebecca C Stebbins, Helen C S Meier, Ziman Jiang, Grace A Noppert, Gen Li

Background: Immunosenescence, the gradual deterioration of the immune system, is critical for aging-related diseases. However, the lack of detailed population-level immune data has limited our understanding, underscoring the need for innovative analytical approaches. The Health and Retirement Study (HRS) in the United States provides a unique opportunity to examine T and B lymphocyte subsets using compositional data analysis and dimension reduction techniques.

Methods: We constructed a hierarchical tree structure to map relationships among T and B subset cells in HRS. Network analysis examined conditional dependence across 16 immune subset cells, while stepwise redundancy analysis (SRDA) identified a subset of pairwise logratio measures that capture main variance in immune composition. We conducted two sets of supervised learning analyses: first, linear penalized log-contrast models to examine the associations between subset cells and three health outcomes (chronic disease index, self-reported health, and frailty level); second, linear regressions to examine the associations between the top selected logratios and health outcomes.

Findings: Our study included 6,250 participants from the HRS with a median age of 68. Network analysis showed some dependence among 16 immune subset cells, including associations between central memory CD4 + T cells and both other CD4 + T cells and other lymphocytes, as well as between central memory CD8 + T cells and other CD8 + T cells. SRDA identified nine key log-ratio measures, explaining over 90% of the variance in immune composition. Linear penalized log-contrast models showed that a lower proportion of naïve CD4 + T cells and higher proportions of other CD4 + and central memory CD8 + T cells were significantly associated with greater chronic disease burden, poorer self-reported health, and higher frailty levels. Linear regression models using log-ratios reinforced these patterns, showing that a higher ratio of other lymphocytes over naïve CD4 + T cells and terminally differentiated effector memory CD4 + T cells over other CD8 + T cells were associated with greater chronic disease burden, poorer self-reported health, and higher frailty levels. In contrast, a higher ratio of other lymphocytes over central memory CD4 + T cells was associated with better health outcomes.

Interpretation: Our findings highlight the value of a systems-based approach and compositional analysis in understanding immunosenescence and its impact on health. The identified subset cells and logratio measures provide meaningful insights into immune aging and warrant further investigation to explore their long-term relationships with health outcomes.

背景:免疫衰老,即免疫系统的逐渐退化,是衰老相关疾病的关键。然而,缺乏详细的人群免疫数据限制了我们的理解,强调需要创新的分析方法。美国的健康和退休研究(HRS)提供了一个独特的机会,使用成分数据分析和降维技术来检查T和B淋巴细胞亚群。方法:我们构建了一个层次树结构来映射HRS中T亚细胞和B亚细胞之间的关系。网络分析检查了16个免疫亚群细胞的条件依赖性,而逐步冗余分析(SRDA)确定了捕获免疫组成主要方差的两两logratio措施子集。我们进行了两组监督学习分析:第一,线性惩罚对数对比模型,以检查亚细胞与三种健康结果(慢性疾病指数、自我报告的健康状况和虚弱水平)之间的关联;其次,采用线性回归来检验最受欢迎的地理位置与健康结果之间的关联。研究结果:我们的研究包括来自HRS的6250名参与者,他们的中位年龄为68岁。网络分析显示16个免疫亚群细胞之间存在一定的依赖性,包括中枢记忆CD4 + T细胞与其他CD4 + T细胞和其他淋巴细胞之间的相关性,以及中枢记忆CD8 + T细胞与其他CD8 + T细胞之间的相关性。SRDA确定了9个关键的对数比测量,解释了90%以上的免疫成分差异。线性惩罚对数对比模型显示,较低比例的naïve CD4 + T细胞和较高比例的其他CD4 +和中枢记忆CD8 + T细胞与更大的慢性疾病负担、更差的自我报告健康状况和更高的虚弱水平显著相关。使用对数比的线性回归模型强化了这些模式,表明其他淋巴细胞高于naïve CD4 + T细胞和终末分化效应记忆CD4 + T细胞高于其他CD8 + T细胞的比例与更大的慢性疾病负担、更差的自我报告健康状况和更高的虚弱水平相关。相比之下,其他淋巴细胞高于中枢记忆CD4 + T细胞的比例较高与更好的健康结果相关。解释:我们的研究结果强调了基于系统的方法和成分分析在理解免疫衰老及其对健康的影响方面的价值。确定的亚细胞和logratio测量为免疫衰老提供了有意义的见解,并值得进一步研究以探索它们与健康结果的长期关系。
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引用次数: 0
CD31 + naïve T cells associate with immunosenescence and responsiveness to multiple vaccines in older adults. CD31 + naïve T细胞与老年人免疫衰老和对多种疫苗的反应有关。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-03-08 DOI: 10.1186/s12979-025-00504-0
Alper Cevirgel, Martijn Vos, Elske Bijvank, Josine van Beek, Marieke van der Heiden, Anne-Marie Buisman, Debbie van Baarle

Background: The T cell compartment undergoes significant age-related changes, contributing to the decline of the adaptive immune system and increasing the risk of suboptimal antibody responses to vaccines in older adults. To better understand the association between T cell phenotypes and vaccine responsiveness, we conducted an in-depth analysis of CD4+, CD8+, and γδ + T cells on VITAL cohort participants who are low or high responders to multiple vaccines (influenza, pneumococcal, and SARS-CoV-2).

Results: Using spectral cytometry and FlowSOM, we identified detailed phenotypes of naïve, regulatory, and terminally differentiated T cells. We observed that the percentages of CD31 + naïve CD4+, CD31 + naïve CD8+, and CD38 + naïve CD8 + T cells were significantly lower in low vaccine responders. Notably, CD31 + naïve T cell subsets showed a stronger correlation with immune entropy, a measure of cumulative immune system perturbations, than with age itself.

Conclusions: These findings suggest that subsets of naïve cells could be associated with weak vaccine responsiveness and immunosenescence. Furthermore, these naive T cell signatures could help predict weak vaccine responses, potentially informing targeted vaccination strategies in older adults.

Clinical trial number: EudraCT: 2019-000836-24.

背景:在老年人中,T细胞区室经历了显著的年龄相关变化,导致适应性免疫系统的下降,并增加了对疫苗产生次优抗体反应的风险。为了更好地了解T细胞表型与疫苗反应性之间的关系,我们对多种疫苗(流感、肺炎球菌和SARS-CoV-2)低应答或高应答的VITAL队列参与者的CD4+、CD8+和γδ + T细胞进行了深入分析。结果:使用光谱细胞术和FlowSOM,我们确定了naïve、调节性和终末分化T细胞的详细表型。我们观察到,在低疫苗应答者中,CD31 + naïve CD4+、CD31 + naïve CD8+和CD38 + naïve CD8+ T细胞的百分比显著降低。值得注意的是,CD31 + naïve T细胞亚群与免疫熵(一种累积免疫系统扰动的度量)的相关性强于年龄本身。结论:这些发现提示naïve细胞亚群可能与弱疫苗反应性和免疫衰老有关。此外,这些幼稚T细胞特征可以帮助预测弱疫苗反应,潜在地为老年人的靶向疫苗接种策略提供信息。临床试验号:edract: 2019-000836-24。
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引用次数: 0
Secreted IgM deficiency alters the retinal landscape enhancing neurodegeneration associated with aging. 分泌性IgM缺乏改变视网膜景观,增强与衰老相关的神经变性。
IF 5.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-02-24 DOI: 10.1186/s12979-025-00502-2
Sarah E Webster, Sydney M Les, Nico Deleon, Daken M Heck, Naomi L Tsuj, Michael J Clemente, Prentiss Jones, Nichol E Holodick

Background: Maintenance of the retina, part of the central nervous system, and other structures in the eye is critical for vision preservation. Aging increases the prevalence of vision impairment, including glaucoma, macular degeneration, and diabetic retinopathy. The retina is primarily maintained by glial cells; however, recent literature suggests that lymphocytes may play a role in the homeostasis of central nervous system tissues. Natural antibodies are produced by B cells without infection or immunization and maintain tissue homeostasis. Here, we explored the potential role of natural immunoglobulin M (IgM) produced by B lymphocytes in maintaining retinal health during aging in mice.

Results: Our results indicate that the vitreous humor of both mice and humans contains IgM and IgG, suggesting that these immunoglobulins may play a role in ocular function. Furthermore, we observed that aged mice lacking secreted IgM (µs-/-) exhibited pronounced retinal degeneration, accompanied by reactive gliosis, and a proinflammatory cytokine environment. This contrasts with the aged wild-type counterparts, which retain their ability to secrete IgM and maintain a better retinal structure and anti-inflammatory environment. In addition to these findings, the absence of secreted IgM was associated with significant alterations in the retinal pigment epithelium, including disruptions to its morphology and signs of increased stress. This was further observed in changes to the blood-retinal-barrier, which is critical for regulation of retinal homeostasis.

Conclusions: These data suggest a previously unrecognized association between a lack of secreted IgM and alterations in the retinal microenvironment, leading to enhanced retinal degeneration during aging. Although the precise mechanism remains unclear, these findings highlight the potential importance of secreted IgM in processes that support retinal health over time. By increasing our understanding of ocular aging, these results show that there is a broader role for the immune system in retinal function and integrity in advanced age, opening new areas for the exploration of immune-related interventions in age-associated retinal conditions.

背景:视网膜作为中枢神经系统的一部分,以及眼内其他结构的维护对于视力的保护至关重要。衰老增加了视力损害的患病率,包括青光眼、黄斑变性和糖尿病视网膜病变。视网膜主要由神经胶质细胞维持;然而,最近的文献表明淋巴细胞可能在中枢神经系统组织的稳态中发挥作用。天然抗体由B细胞产生,无需感染或免疫,维持组织稳态。在这里,我们探讨了B淋巴细胞产生的天然免疫球蛋白M (IgM)在小鼠衰老过程中维持视网膜健康的潜在作用。结果:我们的研究结果表明,小鼠和人的玻璃体中都含有IgM和IgG,提示这些免疫球蛋白可能在眼功能中起作用。此外,我们观察到缺乏分泌IgM(µs-/-)的老年小鼠表现出明显的视网膜变性,伴有反应性胶质细胞增生和促炎细胞因子环境。这与衰老的野生型形成对比,后者保留了分泌IgM的能力,并维持了更好的视网膜结构和抗炎环境。除了这些发现之外,分泌IgM的缺失与视网膜色素上皮的显著改变有关,包括其形态的破坏和应激增加的迹象。这在血液-视网膜屏障的变化中进一步观察到,这对视网膜稳态的调节至关重要。结论:这些数据表明,缺乏分泌的IgM与视网膜微环境的改变之间存在一种以前未被认识到的关联,从而导致衰老过程中视网膜变性的加剧。虽然确切的机制尚不清楚,但这些发现强调了分泌IgM在长期支持视网膜健康的过程中的潜在重要性。通过增加我们对眼老化的理解,这些结果表明免疫系统在老年视网膜功能和完整性中具有更广泛的作用,为探索年龄相关视网膜疾病的免疫相关干预开辟了新的领域。
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引用次数: 0
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Immunity & Ageing
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