Schulz Michael Tobias, Rink Lothar
Institute of Immunology, Faculty of Medicine, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany.
Immun Ageing. 2025 May 19;22(1):19. doi: 10.1186/s12979-025-00511-1.
As global life expectancy increases, research reveals a critical challenge in aging: the progressive deterioration of immune function, termed immunosenescence. This age-related immune decline is characterized by a complex dysregulation of immune responses, which leaves older adults increasingly vulnerable to infections, chronic inflammatory states, and various degenerative diseases. Without intervention, immunosenescence significantly contributes to morbidity and mortality among the elderly, intensifying healthcare burdens and diminishing quality of life on both individual and societal levels. This review explores the essential role of zinc, a trace element critical for immune health, in mitigating the impact of immunosenescence and slowing the cascade of immunological dysfunctions associated with aging. By modulating the activity of key immune cells and pathways, zinc supplementation emerges as a promising approach to strengthen immunity, reduce oxidative stress, and counteract "inflammaging," a state of chronic, low-grade inflammation that accelerates tissue damage and drives disease progression. Zinc's involvement in cellular defense and repair mechanisms across the immune system highlights its ability to enhance immune cell functionality, resilience, and adaptability, strengthening the body's resistance to infection and its ability to manage stressors that contribute to diseases of aging. Indeed, zinc has demonstrated potential to improve immune responses, decrease inflammation, and mitigate the risk of age-related conditions including diabetes, depression, cardiovascular disease, and vision loss. Given the prevalent barriers to adequate zinc intake among older adults, including dietary limitations, decreased absorption, and interactions with medications, this review underscores the urgent need to address zinc deficiency in aging populations. Recent findings on zinc's cellular and molecular effects on immune health present zinc supplementation as a practical, accessible intervention for supporting healthier aging and improving quality of life. By integrating zinc into targeted strategies, public health efforts may not only sustain immunity in the elderly but also extend healthy longevity, reduce healthcare costs, and potentially mitigate the incidence and impact of chronic diseases that strain healthcare systems worldwide.
随着全球预期寿命的增加,研究揭示了衰老过程中的一个关键挑战:免疫功能的逐渐衰退,即免疫衰老。这种与年龄相关的免疫下降的特征是免疫反应的复杂失调,这使得老年人越来越容易受到感染、慢性炎症状态和各种退行性疾病的影响。如果不进行干预,免疫衰老会显著导致老年人的发病率和死亡率增加,加重医疗负担,并在个人和社会层面降低生活质量。本综述探讨了锌(一种对免疫健康至关重要的微量元素)在减轻免疫衰老影响和减缓与衰老相关的免疫功能障碍级联反应方面的重要作用。通过调节关键免疫细胞和途径的活性,补充锌成为一种有前景的方法,可增强免疫力、减少氧化应激,并对抗“炎症衰老”,即一种加速组织损伤并推动疾病进展的慢性低度炎症状态。锌参与整个免疫系统的细胞防御和修复机制,凸显了其增强免疫细胞功能、恢复力和适应性的能力,从而增强身体对感染的抵抗力以及应对导致衰老相关疾病的应激源的能力。事实上,锌已显示出改善免疫反应、减轻炎症以及降低包括糖尿病、抑郁症、心血管疾病和视力丧失在内的与年龄相关疾病风险的潜力。鉴于老年人中锌摄入不足的普遍障碍,包括饮食限制、吸收减少以及与药物的相互作用,本综述强调迫切需要解决老年人群中的锌缺乏问题。近期关于锌对免疫健康的细胞和分子影响的研究结果表明,补充锌是一种支持更健康衰老和提高生活质量的实用、可及的干预措施。通过将锌纳入有针对性的策略中,公共卫生努力不仅可以维持老年人的免疫力,还可以延长健康寿命、降低医疗成本,并有可能减轻给全球医疗系统带来压力的慢性病的发病率和影响。