Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.
Ageing Res Rev. 2021 May;67:101280. doi: 10.1016/j.arr.2021.101280. Epub 2021 Feb 10.
Aging is a progressive degenerative process involving a chronic low-grade inflammation and the accumulation of senescent cells. One major issue is to reveal the mechanisms which promote the deposition of pro-inflammatory senescent cells within tissues. The accumulation involves mechanisms which increase cellular senescence as well as those inhibiting the clearance of senescent cells from tissues. It is known that a persistent inflammatory state evokes a compensatory immunosuppression which inhibits pro-inflammatory processes by impairing the functions of effector immune cells, e.g., macrophages, T cells and natural killer (NK) cells. Unfortunately, these cells are indispensable for immune surveillance and the subsequent clearance of senescent cells, i.e., the inflammation-induced counteracting immunosuppression prevents the cleansing of host tissues. Moreover, senescent cells can also repress their own clearance by expressing inhibitors of immune surveillance and releasing the ligands of NKG2D receptors which impair their surveillance by NK and cytotoxic CD8 T cells. It seems that cellular senescence and immunosuppression establish a feed-forward process which promotes the aging process and age-related diseases. I will examine in detail the immunosuppressive mechanisms which impair the surveillance and clearance of pro-inflammatory senescent cells with aging. In addition, I will discuss several therapeutic strategies to halt the degenerative feed-forward circuit associated with the aging process and age-related diseases.
衰老是一个渐进的退行性过程,涉及慢性低度炎症和衰老细胞的积累。一个主要问题是揭示促进组织内促炎衰老细胞沉积的机制。这种积累涉及增加细胞衰老的机制以及抑制衰老细胞从组织中清除的机制。已知持续的炎症状态会引发代偿性免疫抑制,通过损害效应免疫细胞(如巨噬细胞、T 细胞和自然杀伤 (NK) 细胞)的功能来抑制促炎过程。不幸的是,这些细胞对于免疫监视和随后衰老细胞的清除是必不可少的,即炎症诱导的免疫抑制会阻止宿主组织的清除。此外,衰老细胞还可以通过表达免疫监视抑制剂和释放 NKG2D 受体配体来抑制自身的清除,从而损害 NK 和细胞毒性 CD8 T 细胞对其的监视。似乎细胞衰老和免疫抑制建立了一个正反馈过程,促进了衰老过程和与衰老相关的疾病。我将详细研究免疫抑制机制,这些机制会损害衰老过程中促炎衰老细胞的监视和清除。此外,我将讨论几种治疗策略,以阻止与衰老过程和与衰老相关的疾病相关的退行性正反馈回路。
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