Camille Vellas, INSERM UMR1043 - CNRS UMR5282 Centre de Physiopathologie Toulouse-Purpan (CPTP), Toulouse, France,
J Nutr Health Aging. 2020;24(7):685-691. doi: 10.1007/s12603-020-1416-2.
A new coronavirus, called SARS-CoV-2, was identified in Wuhan, China, in December 2019. The SARS-CoV-2 spread very rapidly, causing a global pandemic, Coronavirus Disease 2019 (COVID-19). Older adults have higher peak of viral load and, especially those with comorbidities, had higher COVID-19-related fatality rates than younger adults. In this Perspective paper, we summarize current knowledge about SARS-CoV-2 and aging, in order to understand why older people are more affected by COVID-19. We discuss about the possibility that the so-called "immunosenescence" and "inflammaging" processes, already present in a fraction of frail older adults, could allow the immune escape of SARS-CoV-2 leading to COVID-19 serious complications. Finally, we propose to use geroscience approaches to the field of COVID-19.
一种新型冠状病毒,称为 SARS-CoV-2,于 2019 年 12 月在中国武汉被发现。SARS-CoV-2 传播非常迅速,导致了全球大流行,即 2019 年冠状病毒病(COVID-19)。老年人的病毒载量峰值更高,尤其是有合并症的老年人,COVID-19 相关死亡率高于年轻人。在这篇观点文章中,我们总结了目前关于 SARS-CoV-2 和衰老的知识,以了解为什么老年人更容易受到 COVID-19 的影响。我们讨论了所谓的“免疫衰老”和“炎症衰老”过程的可能性,这些过程已经在一部分脆弱的老年人中存在,可能会使 SARS-CoV-2 逃脱免疫,导致 COVID-19 的严重并发症。最后,我们建议将老年科学方法应用于 COVID-19 领域。