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Admission criteria for immunogerontological studies in man: The senieur protocol
Abstract
Immunogerontological studies in man have often led to conflicting results. One of the main reasons is the selection of the subjects to be studied. Admission criteria such as "apparently healthy" or "without overt disease" seem insufficient to exclude underlying disease which might influence the immune system and thereby the results. In an attempt to solve this problem, the SENIEUR protocol described in this paper was developed by a working party in the framework of the EURAGE Concerted Action Programme on Ageing of the European Community. This protocol establishes strict admission criteria for immunogerontological studies in man based on clinical information and laboratory data, and it sets limits to pharmacological interference. The use of this protocol will lead to standardization between centers and also to a closer study of the influence of age as such on the immune system. These findings in the immunologically "optimally aged" can also serve as reference values for immunogerontological studies in subjects who do not meet the SENIEUR criteria. In this way the use of this protocol can contribute to the dissection of the influence of disease versus ageing on the immune system.
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BackgroundThe immune S ystem in the elderly
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“The questionnaire was adapted from the SENIEUR protocol for immunogerontological studies (Ligthart et al., 1984).”
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Extracellular and immunological actions of zinc
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“To focus specifically on the target subjects and render the results easier to understand, a healthy population was selected.(26) This also allowed confounders, such as chronic disease and medication, which could alter immune status and, consequently, mask the aging effect, to be avoided.”
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“A series of 54 elderly (median age, 78 years; range, 71-85) and 24 young adults (median age, 22; range, 18-29) were selected on health criteria according to the SENIEUR protocol [6].”
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MethodInfluentialCytokines and hormones as possible links between endocrinosenescence and immunosenescence
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“Although chronic stress is a risk factor for bad health outcomes in the elderly, some individuals may preserve their healthy status during such conditions.In the present article, we assessed the neuroendocrine and immunological correlates of chronic stress in populations judged to be ‘strictly healthy’ by the SENIEUR…”
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“Indeed, very healthy elderly individuals aged 70–80 years who have been very carefully selected using defined protocols for healthiness (Ligthart et al. 1984; Lesourd & Mazari, 1999) have levels of lymphocyte proliferation and Il-2 release that are comparable with those of young controls aged 20–30 years (Lesourd & Ma…”
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“For example, in one study, diminished T cell proliferation, IL-2 production, antigen recognition, a shift in T cell subpopulation type, and cytokine production were found to be present in a healthy elderly population [5].”
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Bagnara, G. P., Bonsi, L., Strippoli, P., Bonifazi, F., Tonelli, R., D’Addato, S., Paganelli, R., Scala, E., Fagiolo, U., Monti, D., et al. (2000) · The Journals of Gerontology Series A · doi:10.1093/gerona/55.2.b61 · Cited by 100
“The health status of young and old people was assessed according to the SENIEUR Protocol ( 8 ), whereas that of centenarians was assessed according to a protocol which included: (i) a physical examination; (ii) the assessment of current and past health status by means of a specific questionnaire; (iii) the assessment…”
MethodBiochemical changes in response to intensive resistance exercise training in the elderly
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Nutritional influences on immune response in healthy aged persons
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The immune system in aging: roles of cytokines, T cells and NK cells
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Correlation of lymphocyte lipid composition membrane microviscosity and mitogen response in the aged
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Neutrophil immunity of the elderly
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“Individuals were screened based on defined exclusion criteria, adapted from the SENIOR protocol (Ligthart et al. 1984) which included: body mass index (BMI; !”
MethodBlood Micronutrient and Thyroid Hormone Concentrations in the Oldest-Old
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“Briefly, to exclude the confounding effects of chronic or acute diseases on levels of circulating thyroid hormones, subjects were considered eligible for the study only if they fulfilled the health criteria selection of the SENIEUR protocol (18).”
Clark, R. A. F., Ashcroft, G. S., Spencer, M., Larjava, H., & Ferguson, M. W. J. (1996) · PubMed · Cited by 95
Aging and Neutrophils: There Is Still Much To Do
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Biological age—what is it and can it be measured?
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“The population was selected by Mocchegiani’s group (Ancona, Italy), within the framework of EU ZINCAGE Project, according to the SENIEUR protocol, which describes the admission criteria to immunogerontological studies based on clinical information, laboratory data and pharmacological interference (Ligthart et al. 1984…”
BackgroundMethodWick, G., & Grubeck‐Loebenstein, B. (1997) · Immunological Reviews · doi:10.1111/j.1600-065x.1997.tb01037.x · Cited by 92
Immunosenescence of Polymorphonuclear Neutrophils
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“To separate age-related changes from alterations due to nutrition, lifestyle, medications, or underlying diseases, elderly donors for the study of immunosenescence need to be recruited according to the SENIEUR protocol, which discriminates between healthy and frail elderly people[2].”
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Extracellular and immunological actions of zinc
Rink, L., & Gabriel, P. (2001) · BioMetals · doi:10.1023/a:1012986225203 · Cited by 90
“However, zinc deficient patients, like elderly and hemodialysis patients, showed a reduced response to vaccination (Fraker et al. 1986; Lighart et al. 1984; Bonomini et al. 1993; Sandstead et al. 1982; Cakman et al. 1996).”
BackgroundThe Role of Nutrition in Immunity in the Aged
Lesourd, B., Mazari, L., & Ferry, M. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.1998.tb01628.x · Cited by 92
Ligthart, G. J., Pc, V. V., Hr, S., & Hijmans, W. (1986) · PubMed Central · Cited by 90
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Dehydroepiandrosterone Sulphate (DHEAS) in the Oldest Old, Aged 85 and Overa
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Influence of menstrual cycle on NK activity
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“, 1989) when they included only individuals who were in good health as described by the SENIEUR protocol (Ligthart et al., 1984).”
MethodInfluentialRANTES and MIP-1α production by T lymphocytes, monocytes and NK cells from nonagenarian subjects
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“Subjects were considered immunologically “healthy” as defined by a modified Senieur clinical survey (20).”
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Impact of psychological and endocrine factors on cytokine production of healthy elderly people
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Nutrition, diet and immunosenescence
Maijó, M., Clements, S. J., Ivory, K., Nicoletti, C., & Carding, S. R. (2014) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2013.12.003 · Cited by 85
“Subsequently, the SENIEUR protocol was defined to better characterize ‘‘healthiness’’ (Ligthart et al., 1984) and excludes subjects who have”
MethodVon Willebrand factor in Italian centenarians.
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Age‐Related Decline in Interleukin 2 Production in Response to Influenza Vaccine
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Hemopoietic Reserve in the Older Cancer Patient: Clinical and Economic Considerations
Balducci, L., Hardy, C. L., & Lyman, G. H. (2000) · Cancer Control · doi:10.1177/107327480000700605 · Cited by 83
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“Women between the ages of 41–60 years were not included due to the potentially confounding effects of hormonal changes during menopause on immune parameters (Ligthart et al., 1984; Murasko et al., 1987).”
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“Subjects suspected of having infectious diseases, inflammatory disorders, malignancy, or autoimmune diseases, of being undernourished, or of abusing alcohol or drugs were excluded according to the SENIEUR protocol.(19) Premenopausal women with a regular menstrual cycle were classified into four categories (in their 10…”
MethodMcFarlane, D., Sellon, D. C., & Gibbs, S. A. (2001) · American Journal of Veterinary Research · doi:10.2460/ajvr.2001.62.1413 · Cited by 82
“This problem has been addressed in studies of human aging by establishing strict selection criteria, which requires results of clinical and laboratory tests be within reference range.(20) In our study, admission criteria included normal physical examination findings and CBC and serum biochemical analysis results withi…”
Postmenopausal changes in serum cytokine levels and hormone replacement therapy
Kamada, M., Irahara, M., Maegawa, M., Ohmoto, Y., Takeji, T., Yasui, T., & Aono, T. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.109940 · Cited by 82
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Self-citationComorbidity Is a Better Predictor of Impaired Immunity than Chronological Age in Older Adults
Castle, S. C., Uyemura, K., Rafi, A., Akande, O., & Makinodan, T. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53512.x · Cited by 81
“For the past 17 years, the SENIEUR protocol has been effectively used to isolate the effect of aging on changes in immunity by excluding extrinsic factors such as concomitant disease and medications to treat those diseases.(17) The findings of more than 200 papers that have applied this protocol have shown only a mode…”
MethodReibnegger, G. J., Huber, L. A., Jürgens, G., Schönitzer, D., Werner, E. R., Wächter, H., Wick, G., & Traill, K. N. (1988) · Mechanisms of Ageing and Development · doi:10.1016/0047-6374(88)90115-7 · Cited by 81
Immunological changes in the elderly
Ginaldi, L., Martinis, M. D., D’Ostilio, A., Marini, L., Loreto, M. F., & Quaglino, D. (1999) · Aging Clinical and Experimental Research · doi:10.1007/bf03339801 · Cited by 81
Immune response during disease and recovery in the elderly
Lesourd, B. (1999) · Proceedings of The Nutrition Society · doi:10.1079/pns19990013 · Cited by 81
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“Subjects were free-living, mentally competent and approximated Senieur protocol (Ligthart et al., 1984).”
MethodSpontaneous and Fas-Induced Apoptotic Cell Death in Aged Neutrophils
Tortorella, C., Piazzolla, G., Spaccavento, F., Pece, S., Jirillo, E., & Antonaci, S. (1998) · Journal of Clinical Immunology · doi:10.1023/a:1023286831246 · Cited by 80
“Twenty-five volunteers (14 males and 11 females) over 65 years old (mean age, 77; range, 72-90) free of diseases affecting the immune system, cancer, or infections and taking no antiinflammatory drugs or corticosteroids were selected according to SENIEUR protocol (31).”
MethodShen, X. P., Miao, J., Wan, Q., Wang, S., Li, M., Pu, F., Wang, G., Qian, W. P., Yu, Q., Marotta, F., et al. (2018) · Gut Pathogens · doi:10.1186/s13099-018-0231-3 · Cited by 80
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“AD patients meet the diagnosis of probable AD according to the NINCDS-ADRDA criteria [15] and to the updated guidelines for AD of the National Institute on Aging [16].”
SARCOPENIA AND FUNCTIONAL DECLINE: PATHOPHYSIOLOGY, PREVENTION AND THERAPY
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Antinuclear antibodies in healthy aging people: a prospective study
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Excessive apoptosis of mature T lymphocytes is a characteristic feature of human immune senescence
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“Healthy people above the age of 65 years conformed to the SENIEUR Protocol criteria (31).”
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“36 years, range 68-100 years), were selected according to SENIEUR protocol (18).”
MethodIL-33 and its decoy sST2 in patients with Alzheimer’s disease and mild cognitive impairment
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“In addition, subjects with pathological distribution of lymphocyte subpopulations in flow cytometric analysis ac- cording to the Senieur protocol (Ligthart et al., 1984) were rejected from the study.”
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Immunosenescence in Humans: Deterioration or Remodelling?
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Different IL-8 production by T and NK lymphocytes in elderly subjects
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Age-associated changes in CD8+ and CD16+ cell reactivity: clonal analysis
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“HCs were screened by health assessment questionnaires, physical examination and laboratory tests for past and actual morbidities and excluded when they were not healthy according to the adapted Senieur criteria.(44)”
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Metadata
- Authors
- Ligthart, G. J., Corberand, J. X., Fournier, C., Galanaud, P., Hijmans, W., Kennes, B., Müller-Hermelink, H. K., & Steinmann, G. G.
- Affiliations
- Leiden University (NL)
- Hôpital Necker-Enfants Malades (FR)
- Université Paris-Sud (FR)
- Christian-Albrechts-Universität zu Kiel (DE)
- Corresponding author
- Ligthart, Gerard J.
- ORCID
- Galanaud, Pierre
- Venue
- Mechanisms of Ageing and Development
- Publisher
- Elsevier BV
- Published
- 1984-11
- Volume
- 28
- Issue
- 1
- Pages
- 47-55
- ISSN
- 0047-6374 (ISSN-L)
- OpenAlex
- W2037412303
- Cited by
- 754
- References
- 9
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 9 · 2020: 10 · 2019: 11 · 2018: 13 · 2017: 8 · 2016: 17 · 2015: 11 · 2014: 11 · 2013: 22 · 2012: 18
- FWCI
- 13.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Mechanisms of Ageing and Development (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- healthy aging, reference values, age-related immune changes
- MeSH terms
- Adult, Aged, Aging, Cardiovascular Diseases, Humans, Immunity, Infections, Inflammation, Lymphoproliferative Disorders, Neoplasms, Research Design
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