细胞衰老对老年肺炎及增加呼吸道感染风险的年龄相关性肺部疾病的影响。

The Impacts of Cellular Senescence in Elderly Pneumonia and in Age-Related Lung Diseases That Increase the Risk of Respiratory Infections.

作者信息

Yanagi Shigehisa, Tsubouchi Hironobu, Miura Ayako, Matsuo Ayako, Matsumoto Nobuhiro, Nakazato Masamitsu

机构信息

Division of Neurology, Respirology, Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki; Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.

出版信息

Int J Mol Sci. 2017 Feb 25;18(3):503. doi: 10.3390/ijms18030503.

Abstract

Pneumonia generates considerable negative impacts on the elderly. Despite the widespread uses of vaccines and appropriate antibiotics, the morbidity and mortality of elderly pneumonia are significantly higher compared to the counterparts of young populations. The definitive mechanisms of high vulnerability in the elderly against pathogen threats are unclear. Age-associated, chronic low-grade inflammation augments the susceptibility and severity of pneumonia in the elderly. Cellular senescence, one of the hallmarks of aging, has its own characteristics, cell growth arrest and senescence-associated secretory phenotype (SASP). These properties are beneficial if the sequence of senescence-clearance-regeneration is transient in manner. However, persisting senescent cell accumulation and excessive SASP might induce sustained low-grade inflammation and disruption of normal tissue microenvironments in aged tissue. Emerging evidence indicates that cellular senescence is a key component in the pathogenesis of chronic obstructive pulmonary disease (COPD) and idiopathic pulmonary fibrosis (IPF), which are known to be age-related and increase the risk of pneumonia. In addition to their structural collapses, COPD and IPF might increase the vulnerability to pathogen insults through SASP. Here, we discuss the current advances in understanding of the impacts of cellular senescence in elderly pneumonia and in these chronic lung disorders that heighten the risk of respiratory infections.

摘要

肺炎对老年人产生了相当大的负面影响。尽管疫苗和适当的抗生素已广泛使用,但与年轻人群相比,老年肺炎的发病率和死亡率仍显著更高。老年人对病原体威胁高度易感性的确切机制尚不清楚。与年龄相关的慢性低度炎症会增加老年人患肺炎的易感性和严重程度。细胞衰老作为衰老的标志之一,有其自身的特征,即细胞生长停滞和衰老相关分泌表型(SASP)。如果衰老 - 清除 - 再生的过程是短暂的,这些特性是有益的。然而,持续的衰老细胞积累和过度的SASP可能会在老年组织中诱导持续的低度炎症并破坏正常组织微环境。新出现的证据表明,细胞衰老在慢性阻塞性肺疾病(COPD)和特发性肺纤维化(IPF)的发病机制中是一个关键因素,已知这两种疾病与年龄相关,并增加了肺炎的风险。除了结构破坏外,COPD和IPF可能通过SASP增加对病原体攻击的易感性。在此,我们讨论了目前在理解细胞衰老对老年肺炎以及这些增加呼吸道感染风险的慢性肺部疾病的影响方面的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dce6/5372519/9aa122bd7973/ijms-18-00503-g001.jpg

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