Department of Internal Medicine II, Center for Medical Research, University of Tübingen, Tübingen, Germany.
J Immunol. 2010 Oct 15;185(8):4618-24. doi: 10.4049/jimmunol.1001629. Epub 2010 Sep 20.
Seropositivity for CMV is one of the parameters of the "immune risk profile" associated with mortality in longitudinal studies of the very elderly and may accelerate immunosenescence. Thus, any genetic factors influencing human longevity may be associated with susceptibility to CMV and CMV-accelerated immunosenescence. To test this, we analyzed long-lived families in the Leiden Longevity Study (LLS) in which offspring enjoy a 30% reduced standardized mortality rate, possibly owing to genetic enrichment. Serum C-reactive protein levels and the frequency of different T cell subsets were compared between 97 LLS offspring and 97 controls (their partners, representing the normal population). We also determined the capacity of T cells to respond against immunodominant Ags from CMV in a smaller group of LLS subjects and controls. CMV infection was strongly associated with an age-related reduction in the frequency of naive T cells and an accumulation of CD45RA-re-expressing and late-differentiated effector memory T cells in the general population, but not in members of long-lived families. The latter also had significantly lower C-reactive protein levels, indicating a lower proinflammatory status compared with CMV-infected controls. Finally, T cells from a higher proportion of offspring mounted a proliferative response against CMV Ags, which was also of greater magnitude and broader specificity than controls. Our data suggest that these rare individuals genetically enriched for longevity are less susceptible to the characteristic CMV-associated age-driven immune alterations commonly considered to be hallmarks of immunosenescence, which might reflect better immunological control of the virus and contribute to their decreased mortality rate.
巨细胞病毒(CMV)血清阳性是与非常老年人群体纵向研究中死亡率相关的“免疫风险特征”的参数之一,并且可能加速免疫衰老。因此,任何影响人类长寿的遗传因素都可能与 CMV 易感性和 CMV 加速免疫衰老有关。为了验证这一点,我们分析了莱顿长寿研究(LLS)中的长寿家族,其中后代的标准化死亡率降低了 30%,这可能是由于遗传富集。我们比较了 97 名 LLS 后代和 97 名对照者(他们的配偶,代表正常人群)之间的血清 C 反应蛋白水平和不同 T 细胞亚群的频率。我们还在较小的 LLS 受试者和对照者群体中确定了 T 细胞对 CMV 免疫显性抗原的反应能力。CMV 感染与在一般人群中与年龄相关的幼稚 T 细胞频率降低以及 CD45RA 再表达和晚期分化效应记忆 T 细胞积累强烈相关,但在长寿家族成员中则没有相关性。后者的 C 反应蛋白水平也明显较低,表明与 CMV 感染对照者相比,其炎症前状态较低。最后,更高比例的后代 T 细胞对 CMV 抗原产生了增殖反应,其幅度和特异性也比对照者更大。我们的数据表明,这些在遗传上丰富长寿的罕见个体对通常被认为是免疫衰老标志的 CMV 相关年龄驱动的免疫改变的易感性较低,这可能反映了对病毒更好的免疫控制,并有助于降低其死亡率。