Frailty in old age is associated with decreased interleukin-12/23 production in response to toll-like receptor ligation

Autor: Karim Zouaoui Boudjeltia, Michel Vanhaeverbeek, Joel Tassignon, Nathalie Compte, Stanislas Goriely, Sandra De Breucker, Thierry Pepersack, Anne Trelcat
Přispěvatelé: Gerontology, Geriatrics
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Lipopolysaccharides
Male
Aging
Anatomy and Physiology
Interleukin-23/biosynthesis
lcsh:Medicine
Ligands
Interleukin-23
Monocytes
Toll-Like Receptors -- agonists -- metabolism
Immunologie
Interleukin 23
Medicine
Young adult
lcsh:Science
Immune Response
Cells
Cultured

Imidazoles/pharmacology
Aged
80 and over

Toll-like receptor
education.field_of_study
Multidisciplinary
Toll-Like Receptors
Imidazoles
Aging and Immunity
Interleukin
Intercellular Adhesion Molecule-1/metabolism
Middle Aged
Intercellular Adhesion Molecule-1
Interleukin-12/biosynthesis
Interleukin-12
Innate Immunity
Dendritic Cells -- immunology -- metabolism
Lipopolysaccharides -- pharmacology
Cytokines
Female
Research Article
Signal Transduction
Adult
Immune Cells
Frail Elderly
Population
Interleukin-12 -- biosynthesis
Nutritional Status
Young Adult
Immune system
Nutritional Status -- immunology
Toll-Like Receptors/agonists
Intercellular Adhesion Molecule-1 -- metabolism
Imidazoles -- pharmacology
Humans
Nutritional Status/immunology
education
Aged
Innate immune system
Interleukin-23 -- biosynthesis
business.industry
lcsh:R
Immunity
Dendritic Cells
Lipopolysaccharides/pharmacology
Immunity
Innate

Dendritic Cells/immunology
Geriatrics
Immune System
Immunology
TLR4
lcsh:Q
Clinical Immunology
Physiological Processes
business
Zdroj: PloS one, 8 (6
PLoS ONE
PLoS ONE, Vol 8, Iss 6, p e65325 (2013)
Popis: Aging is associated with progressive alterations of immune functions, leading to higher susceptibility to bacterial and viral infections and reduced vaccine responses. Data concerning cytokine production in response to Toll-like receptor (TLR) ligands are highly variable in old people, reflecting the heterogeneity of the geriatric population. The aim of our study was to define the relative contribution of age and clinical status on TLR-induced interleukin (IL)-12p70 and IL-23 production as these cytokines play an important role in the protection against intracellular and extracellular pathogens, respectively. For this purpose, we recruited 100 subjects (aged 23-96 years) in the general population or hospitalized for chronic diseases. We collected information on clinical status (medical history, ongoing comorbidities, treatments and geriatric scales), biological parameters (biochemical and hematological tests, telomere length determination, cytomegalovirus serology). Whole blood samples were stimulated with a combination of TLR4 and TLR7/8 ligands. We performed univariate and stepwise backward multivariate analyses regression to define which set of clinical variables could be predictive for IL-12p70 and IL-23 production in these conditions. Our results indicated that age was not correlated with TLR-mediated IL-12p70 and IL-23 production. In contrast, poor nutritional status and frailty in subjects >75 years were associated with decreased IL-12p70 and IL-23 production. By intracytoplasmic staining, we confirmed that production of IL-12/23p40 by conventional dendritic cells (DCs) upon TLR ligation was decreased in frail patients. However, proportion of DCs and monocytes subsets, phenotypic maturation and proximal signaling events were found to be comparable in frail and healthy old subjects. These results suggest the importance of age-associated clinical parameters and not age by itself in the alteration of innate immune responses in old individuals and emphasis the importance of innate immune responses in the susceptibility of frail geriatric patients to infections.
Journal Article
SCOPUS: ar.j
info:eu-repo/semantics/published
Databáze: OpenAIRE