Pinti Marcello, Appay Victor, Campisi Judith, Frasca Daniela, Fülöp Tamas, Sauce Delphine, Larbi Anis, Weinberger Birgit, Cossarizza Andrea
Department of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Sorbonne Universités, UPMC Univ. Paris 06, DHU FAST, CR7, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), Paris, France.
Eur J Immunol. 2016 Oct;46(10):2286-2301. doi: 10.1002/eji.201546178.
Major advances in preventing, delaying, or curing individual pathologies are responsible for an increasingly long life span in the developed parts of our planet, and indeed reaching eight to nine decades of life is nowadays extremely frequent. However, medical and sanitary advances have not prevented or delayed the underlying cause of the disparate pathologies occurring in the elderly: aging itself. The identification of the basis of the aging processes that drives the multiple pathologies and loss of function typical of older individuals is a major challenge in current aging research. Among the possible causes, an impairment of the immune system plays a major role, and indeed numerous studies have described immunological changes which occur with age. Far from the intention of being exhaustive, this review will focus on recent advances and views on the role that modifications of cell signalling and remodelling of the immune response play during human aging and longevity, paying particular attention to phenomena which are linked to the so called inflammaging process, such as dysregulation of innate immunity, altered T-cell or B-cell maturation and differentiation, as well as to the implications of immune aging for vaccination strategies in the elderly.
在预防、延缓或治愈个体疾病方面取得的重大进展,使得地球上发达地区的人们寿命越来越长,如今活到八九十岁已极为常见。然而,医学和卫生方面的进步并未预防或延缓老年人出现各种不同疾病的根本原因:衰老本身。确定驱动老年人典型的多种疾病和功能丧失的衰老过程的基础,是当前衰老研究中的一项重大挑战。在可能的原因中,免疫系统受损起着主要作用,事实上,大量研究已经描述了随着年龄增长而发生的免疫变化。本综述并非旨在详尽无遗,而是将重点关注细胞信号传导改变和免疫反应重塑在人类衰老和长寿过程中所起作用的最新进展和观点,特别关注与所谓炎症衰老过程相关的现象,如先天免疫失调、T细胞或B细胞成熟及分化改变,以及免疫衰老对老年人疫苗接种策略的影响。