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人类炎症衰老。

Human Inflammaging.

机构信息

Research Center on Aging, Graduate Program in Immunology, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Québec, Canada,

Singapore Immunology Network (SIgN), Agency for Science Technology and Research (A*STAR), Singapore, Singapore.

出版信息

Gerontology. 2019;65(5):495-504. doi: 10.1159/000497375. Epub 2019 May 3.

Abstract

Human aging is a very complex process that occurs in an intricate biological and physiological setting. Many changes occur with aging and among the most important are changes in immune reactivity associated with cell differentiation stages and the phenomenon of inflammaging, understood as subclinical inflammatory readiness, manifested by elevated levels of proinflammatory factors. It was stated for a long time that this tandem occurs in parallel or eventually sequentially. However, recent evidence points to the fact that, as both originate from chronic antigen stimulation, they mutually drive each other. In this context, inflammaging is considered the basis of most age-related diseases (ARD). In this review concerning human inflammaging, we argue that inflammatory diseases develop during whole life as a diverted (excessive) normal immune reaction to specific stressors. Thus, inflammaging may not be the cause of these diseases; however, it can be the trigger of clinical manifestation of ARD. In this context, the best intervention should aim to regulate the balance between pro- and anti-inflammatory signals and the more appropriate reaction to chronic stimulations to avoid/delay the appearance of associated diseases.

摘要

人类衰老过程非常复杂,发生在复杂的生物学和生理学环境中。衰老伴随着许多变化,其中最重要的变化与细胞分化阶段相关的免疫反应变化以及炎症老化现象有关,炎症老化被理解为亚临床炎症准备状态,表现为促炎因子水平升高。长期以来,人们一直认为这两个过程是平行发生的,或者最终是按顺序发生的。然而,最近的证据表明,由于它们都源于慢性抗原刺激,它们相互驱动。在这种情况下,炎症老化被认为是大多数与年龄相关的疾病(ARD)的基础。在这篇关于人类炎症老化的综述中,我们认为炎症性疾病在整个生命过程中都是由于对特定应激源的正常免疫反应发生偏差(过度)而发展起来的。因此,炎症老化可能不是这些疾病的原因;然而,它可能是 ARD 临床症状表现的触发因素。在这种情况下,最佳干预措施应该旨在调节促炎和抗炎信号之间的平衡,以及对慢性刺激更适当的反应,以避免/延迟相关疾病的出现。

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