Assessing inflammageing

作者:Mueller Werdan Ursula; Nuding Sebastian; Ost Mario
来源:Current Opinion in Clinical Nutrition and Metabolic Care, 2017, 20(5): 346-348.
DOI:10.1097/MCO.0000000000000391

摘要

Purpose of review Immunosenescence has been scrutinized in detail, and evidence that inflammation and ageing are interrelated is consistent. Still, a gold standard for assessing the biological age of the immune function in an individual patient is lacking, so that immunosenescence is still not a quantifiable criterion in clinical decision-making processes. Recent findings This review highlights recent (partly ongoing) studies into biomarkers of inflammation to assess immunosenescence, including large-scale studies, and quotes expert opinion statements. Markers of basal inflammation frequently used include interleukin-6, tumor necrosis factor-a and receptors p55 and p75, C-reactive protein and cytomegalovirus antibody levels. Some cellular markers are particularly advocated to reflect age-related decay of specific immunity, namely the decrease of naive T cells, especially CD8(+)cells, and accumulations of memory T cells, especially late-stage differentiated CD8(+) cells; the loss of CD28 on lymphocytes is also taken as a biomarker of immunosenescence. Summary Substantial progress has been made in both understanding and phenotyping immunosenescence and inflammageing. The diagnosis of the degree of immunosenescence in the individual patient, however, has not yet been standardized.

  • 出版日期2017-9