Department of Microbiology, Infectious Diseases, and Immunology, Charité - University Medical Center, Berlin,
Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité - University Medical Center, Berlin, Germany.
Gerontology. 2019;65(2):145-154. doi: 10.1159/000492972. Epub 2018 Oct 26.
Aging is a multifactorial process driven by several conditions. Among them, inflamm-aging is characterized by chronic low-grade inflammation driving aging-related diseases. The aged immune system is characterized by the senescence-associated secretory phenotype, resulting in the release of proinflammatory cytokines contributing to inflamm-aging. Another possible mechanism resulting in inflamm-aging could be the increased release of danger- associated molecular patterns (DAMPs) by increased cell death in the elderly, leading to a chronic low-grade inflammatory response. Several pattern recognition receptors of the innate immune system are involved in recognition of DAMPs. The DNA-sensing cGAS-STING pathway plays a pivotal role in combating viral and bacterial infections and recognizes DNA released by cell death during the process of aging, which in turn may result in increased inflamm-aging.
The aim of this study was to investigate whether a variation within the STING gene with known impaired function may be associated with protection from aging-related diseases by decreasing the process of inflamm-aging.
STING (Tmem173) R293Q was genotyped in a cohort of 3,397 aged subjects (65-103 years). The distribution of the variant allele in healthy subjects and subjects suffering from aging-associated diseases was compared by logistic regression analysis.
We show here that STING 293Q allele carriers were protected from aging-associated diseases (OR = 0.823, p = 0.038). This effect was much stronger in the subgroup of subjects suffering from chronic lung diseases (OR = 0.730, p = 0.009).
Our results indicate that decreased sensitivity of the innate immune receptors is associated with healthy aging, most likely due to a decreased process of inflamm-aging.
衰老 是一个由多种因素驱动的多因素过程。其中,炎性衰老的特征是慢性低度炎症导致与衰老相关的疾病。衰老的免疫系统的特征是与衰老相关的分泌表型,导致促炎细胞因子的释放,从而导致炎性衰老。导致炎性衰老的另一个可能机制可能是由于老年人细胞死亡增加导致危险相关分子模式(DAMPs)的释放增加,从而导致慢性低度炎症反应。先天免疫系统的几种模式识别受体参与 DAMPs 的识别。DNA 感应 cGAS-STING 途径在对抗病毒和细菌感染中起着至关重要的作用,并识别细胞死亡过程中释放的 DNA,这反过来可能导致炎性衰老增加。
本研究旨在探讨具有已知功能障碍的 STING 基因变异是否可以通过减少炎性衰老过程来预防与衰老相关的疾病。
在一个由 3397 名老年受试者(65-103 岁)组成的队列中对 STING(Tmem173)R293Q 进行基因分型。通过逻辑回归分析比较健康受试者和患有与衰老相关疾病的受试者中变异等位基因的分布。
我们在这里表明,STING 293Q 等位基因携带者可预防与衰老相关的疾病(OR = 0.823,p = 0.038)。在患有慢性肺部疾病的受试者亚组中,这种效果更强(OR = 0.730,p = 0.009)。
我们的结果表明,先天免疫受体的敏感性降低与健康衰老有关,这很可能是由于炎性衰老过程减少所致。