Laboratory of Integrated Physiology, Department of Health and Human Performance, University of Houston, 3855 Holman Street, Houston, TX 77204, USA.
Maturitas. 2013 Sep;76(1):51-6. doi: 10.1016/j.maturitas.2013.06.010. Epub 2013 Jul 17.
Cancer incidence increases with advancing age. Over 60% of new cancers and 70% of cancer deaths occur in individuals aged 65 years or older. One factor that may contribute to this is immunosenescence - a canopy term that is used to describe age-related declines in the normal functioning of the immune system. There are multiple age-related deficits in both the innate and adaptive systems that may play a role in the increased incidence of cancer. These include decreased NK-cell function, impaired antigen uptake and presentation by monocytes and dendritic cells, an increase in 'inflammaging', a decline in the number of naïve T-cells able to respond to evolving tumor cells, and an increase in functionally exhausted senescent cells. There is consensus that habitual physical exercise can offer protection against certain types of cancer; however the evidence linking immunological mechanisms, exercise, and reduced cancer risk remain tentative. Multiple studies published over the last two decades suggest that exercise can mitigate the deleterious effects of age on immune function, thus increasing anti-cancer immunity. The potential ameliorative effect of exercise on these mechanisms include evidence that physical activity is able to stimulate greater NK-cell activity, enhance antigen-presentation, reduce inflammation, and prevent senescent cell accumulation in the elderly. Here we discuss the role played by the immune system in preventing and controlling cancer and how aging may retard these anti-cancer mechanisms. We also propose a pathway by which exercise-induced alterations in immunosenescence may decrease the incidence of cancer and help improve prognosis in cancer patients.
癌症发病率随年龄增长而增加。超过 60%的新发癌症和 70%的癌症死亡发生在 65 岁或以上的人群中。导致这种情况的一个因素可能是免疫衰老——这是一个用来描述免疫系统随着年龄增长而正常功能下降的总称。在先天和适应性免疫系统中,有多种与年龄相关的缺陷,这些缺陷可能在癌症发病率增加中发挥作用。这些缺陷包括 NK 细胞功能下降、单核细胞和树突状细胞摄取和呈递抗原的能力受损、“炎症衰老”增加、能够响应不断演变的肿瘤细胞的幼稚 T 细胞数量减少,以及功能耗尽的衰老细胞增加。人们普遍认为习惯性体育锻炼可以提供对某些类型癌症的保护;然而,将免疫学机制、运动与降低癌症风险联系起来的证据仍然是初步的。过去二十年发表的多项研究表明,运动可以减轻年龄对免疫功能的有害影响,从而增强抗癌免疫力。运动对这些机制的潜在改善作用包括有证据表明,体育活动能够刺激更大的 NK 细胞活性,增强抗原呈递,减少炎症,并防止老年人衰老细胞的积累。在这里,我们讨论免疫系统在预防和控制癌症中的作用,以及衰老如何减缓这些抗癌机制。我们还提出了一个途径,即运动引起的免疫衰老改变可能会降低癌症的发病率,并有助于改善癌症患者的预后。