Bischof J, Gärtner F, Zeiser K, Kunz R, Schreiner C, Hoffer E, Burster T, Knippschild U, Zimecki M
Department of General Visceral Surgery, Surgery Center, Ulm University Medical Center, Ulm, Germany.
Department of Biology, School of Science and Technology, Nazarbayev University, Astana, Kazakhstan Republic.
Folia Biol (Praha). 2019;65(2):53-63. doi: 10.14712/fb2019065020053.
Aging is associated with progressive loss of physiological integrity, leading to impaired physical and mental functions as well as increased morbidity and mortality. With advancing age, the immune system is no longer able to adequately control autoimmunity, infections, or cancer. The abilities of the elderly to slow down undesirable effects of aging may depend on the genetic background, lifestyle, geographic region, and other presently unknown factors. Although most aspects of the immunity are constantly declining in relation to age, some features are retained, while e.g. the ability to produce high levels of cytokines, response to pathogens by increased inflammation, and imbalanced proteolytic activity are found in the elderly, and might eventually cause harm. In this context, it is important to differentiate between the effect of immunosenescence that is contributing to this decline and adaptations of the immune system that can be quickly reversed if necessary.
衰老与生理完整性的逐渐丧失相关,导致身体和心理功能受损,以及发病率和死亡率增加。随着年龄的增长,免疫系统不再能够充分控制自身免疫、感染或癌症。老年人减缓衰老不良影响的能力可能取决于遗传背景、生活方式、地理区域和其他目前未知的因素。尽管免疫的大多数方面会随着年龄的增长而持续下降,但仍保留了一些特征,而例如老年人会出现产生高水平细胞因子的能力、因炎症增加而对病原体产生反应以及蛋白水解活性失衡的情况,这些最终可能会造成损害。在这种情况下,区分导致这种衰退的免疫衰老效应和必要时可迅速逆转的免疫系统适应性非常重要。