The interplay between immunosenescence and age-related diseases

Semin Immunopathol. 2020 Oct;42(5):545-557. doi: 10.1007/s00281-020-00806-z. Epub 2020 Aug 3.

Abstract

The aging immune system (immunosenescence) has been implicated with increased morbidity and mortality in the elderly. Of note, T cell aging and low-grade inflammation (inflammaging) are implicated with several age-related conditions. The expansion of late-differentiated T cells (CD28-), regulatory T cells, increased serum levels of autoantibodies, and pro-inflammatory cytokines were implicated with morbidities during aging. Features of accelerated immunosenescence can be identified in adults with chronic inflammatory conditions, such as rheumatoid arthritis, and are predictive of poor clinical outcomes. Therefore, there is an interplay between immunosenescence and age-related diseases. In this review, we discuss how the aging immune system may contribute to the development and clinical course of age-related diseases such as neurodegenerative diseases, rheumatoid arthritis, cancer, cardiovascular, and metabolic diseases.

Keywords: Aging; Cell senescence; Cytokines; Immunosenescence; Inflammaging; T cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Aging
  • Cellular Senescence
  • Cytokines
  • Humans
  • Immunosenescence*
  • Inflammation

Substances

  • Cytokines