Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
J Mol Med (Berl). 2021 Nov;99(11):1553-1569. doi: 10.1007/s00109-021-02123-w. Epub 2021 Aug 25.
The functional competence of the immune system gradually declines with aging, a process called immunosenescence. The age-related remodelling of the immune system affects both adaptive and innate immunity. In particular, a chronic low-grade inflammation, termed inflammaging, is associated with the aging process. Immunosenescence not only is present in inflammaging state, but it also occurs in several pathological conditions in conjunction with chronic inflammation. It is known that persistent inflammation stimulates a counteracting compensatory immunosuppression intended to protect host tissues. Inflammatory mediators enhance myelopoiesis and induce the generation of immature myeloid-derived suppressor cells (MDSC) which in mutual cooperation stimulates the immunosuppressive network. Immunosuppressive cells, especially MDSCs, regulatory T cells (Treg), and M2 macrophages produce immunosuppressive factors, e.g., TGF-β, IL-10, ROS, arginase-1 (ARG1), and indoleamine 2,3-dioxygenase (IDO), which suppress the functions of CD4/CD8T and B cells as well as macrophages, natural killer (NK) cells, and dendritic cells. The immunosuppressive armament (i) inhibits the development and proliferation of immune cells, (ii) decreases the cytotoxic activity of CD8T and NK cells, (iii) prevents antigen presentation and antibody production, and (iv) suppresses responsiveness to inflammatory mediators. These phenotypes are the hallmarks of immunosenescence. Immunosuppressive factors are able to control the chromatin landscape, and thus, it seems that the immunosenescence state is epigenetically regulated.
免疫系统的功能随着年龄的增长而逐渐下降,这个过程被称为免疫衰老。免疫系统的年龄相关重塑会影响适应性免疫和固有免疫。特别是,一种被称为炎症衰老的慢性低度炎症与衰老过程有关。免疫衰老不仅存在于炎症衰老状态,而且还与慢性炎症合并的几种病理状况同时发生。众所周知,持续的炎症会刺激一种对抗性的代偿性免疫抑制作用,旨在保护宿主组织。炎症介质增强髓样细胞生成,并诱导未成熟髓系来源的抑制性细胞(MDSC)的产生,这些细胞相互合作刺激免疫抑制网络。免疫抑制细胞,特别是 MDSC、调节性 T 细胞(Treg)和 M2 巨噬细胞,会产生免疫抑制因子,如 TGF-β、IL-10、ROS、精氨酸酶-1(ARG1)和吲哚胺 2,3-双加氧酶(IDO),它们抑制 CD4/CD8T 和 B 细胞以及巨噬细胞、自然杀伤(NK)细胞和树突状细胞的功能。免疫抑制作用(i)抑制免疫细胞的发育和增殖,(ii)降低 CD8T 和 NK 细胞的细胞毒性活性,(iii)防止抗原呈递和抗体产生,以及(iv)抑制对炎症介质的反应性。这些表型是免疫衰老的特征。免疫抑制因子能够控制染色质景观,因此,免疫衰老状态似乎受到表观遗传调控。
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