Maruyama Mitsuo
Department of Mechanisms of Aging, Research Institute, National Center for Geriatrics and Gerontology.
Nihon Rinsho. 2013 Jun;71(6):993-8.
Most countries in the world, led by Japan are recently burdened with a tremendous growth of elderly population. Unfortunately, to continue this trend is to guarantee the increase the number of age-related diseases such as infection or cancer in the very elderly, since our various biological functions are getting fragile and dysfunction with advancing age. Especially, immunological responses, such as susceptibility to infection or reduced response to vaccination linked to immunological memory, are also gradually impaired and reached in 'immunosenescence', although its defined molecular mechanism remains veiled. This article first summarizes the alterations in the quantity and quality such as numbers and functions as well as lymphocyte development and homeostasis in adaptive immunity, known to be primarily affected by immunosenescence. Continuously, another age-related alterations of innate immunity recognized as the first defense barrier with some inflammatory mediators and phagocytosis are also introduced.
世界上大多数国家,以日本为首,最近都面临着老年人口的巨大增长。不幸的是,继续这种趋势将确保老年人群中与年龄相关的疾病数量增加,如感染或癌症,因为随着年龄的增长,我们的各种生物学功能会变得脆弱和功能失调。特别是,免疫反应,如对感染的易感性或与免疫记忆相关的疫苗接种反应降低,也会逐渐受损并进入“免疫衰老”状态,尽管其明确的分子机制仍不明确。本文首先总结了适应性免疫中数量和质量的变化,如数量和功能以及淋巴细胞发育和稳态,已知这些主要受免疫衰老影响。接着,还介绍了先天免疫的另一些与年龄相关的变化,先天免疫被认为是第一道防御屏障,涉及一些炎症介质和吞噬作用。