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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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van Hilten, J. J., Middelkoop, H. A. M., Braat, E. A. M., van der Velde, E. A., KERKHOF, G. A., Ligthart, G. J., Wauquier, A., & KAMPHUISEN, H. A. C. (1993) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1993.tb06180.x · Cited by 24
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“According to a senior study protocol for the elderly immune function, Ligthart et al. (1984), 43 people were excluded because they showed conditions incompatible with admission criteria (i.”
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“Donors Forty volunteers (18 males and 22 females) older than 65 years (mean age 78 years, range 70–95 years) free of diseases affecting the immune system, cancer, or infections and taking no anti-inflammatory drugs or corticosteroids were selected according to the SENIEUR protocol (19).”
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“Screening methods, such as use of the Senior European (SENIEUR) protocol, may be useful [39], but these methods can be complicated and expensive.”
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“Fifteen volunteers over 65 years old (mean age 79, range 68–98) free of diseases affecting the immune system, cancer or infections and taking no antiinflammatory drugs or corticosteroids were selected according to SENIEUR protocol (Ligthart et al., 1990).”
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“All the normal individuals including NE were the same as examined in the previous study and met the SENIEUR criteria (17).”
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“The assessments used a modified version of the SENIEUR protocol (Ligthart et al., 1984).”
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“Elderly subjects were a consecutive mid-study cohort enlisted from the BELFASTstudy, aged 80–100 years of age (Rea 2010; Rea et al. 2009), who met SENIEUR protocol (Ligthart et al. 1984).”
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1 The limits of normality in elderly patients
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Naumova, E. J., Ivanova, M., Pawelec, G., Constantinescu, I., Bogunia‐Kubik, K., Lange, A., Qguz, F., Carin, M. N., Franceschi, C., Caruso, C., et al. (2011) · Tissue Antigens · doi:10.1111/j.1399-0039.2010.01603.x · Cited by 18
“The unrelated young controls were characterized according to JUNIEUR protocol (17).”
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“Elderly individuals participating in this and subsequent studies met the criteria of the socalled SENIEUR Protocol (Ligthart et al., 1984) i.e., could be considered perfectly healthy.”
ResultCenerelli, S., Bonazzi, P., Galeazzi, R., Testa, I., Bonfigli, A. R., Sirolla, C., Giunta, S., Galeazzi, L., Fumelli, D., & Testa, R. (2002) · European Journal of Clinical Investigation · doi:10.1046/j.1365-2362.2002.00962.x · Cited by 18
Groen, K., Horan, M. A., Roberts, N. A., Gulati, R. S., Miljković, B., Jansen, E. J., Paramsothy, V., Breimer, D. D., & van Bezooijen, C. F. A. (1993) · Clinical Pharmacokinetics · doi:10.2165/00003088-199325020-00006 · Cited by 18
Wikby, A., Johansson, B. E. A., & Ferguson, F. G. (2002) · Advances in cell aging and gerontology · doi:10.1016/s1566-3124(02)13001-x · Cited by 18
Idiopathic pulmonary fibrosis: can cell mediated immunity markers predict clinical outcome?
Melicòni, R., Lalli, E., Borzı̀, R. M., Sturani, C., Galavotti, V., Gunella, G., Miniero, R., Facchini, A., & Gasbarrini, A. (1990) · Thorax · doi:10.1136/thx.45.7.536 · Cited by 18
A Need to Study the Immune Status of Frail Older Adults
Castle, S. C., Uyemura, K., Fülöp, T., Hirokawa, K., & Makinodan, T. (2006) · Immunity & Ageing · doi:10.1186/1742-4933-3-1 · Cited by 18
“However, a review of more than 200 scientific articles that evaluated healthy older adults, who were selected on a set of rigorous criteria as defined by the SENEIUR Protocol [4], showed that the magnitude of decline in T cell-dependent immune functions with age is modest [5], relative to that of the aging mouse model…”
BackgroundEarly T Cell Activation in Elderly Humans
Rexach, J. A. S., Fernández‐Gutiérrez, B., Hernández‐García, C., VIDAN, M., Bañares, A. A., RIBERA, J. M., & Jover, J. Á. (1996) · Age and Ageing · doi:10.1093/ageing/25.6.470 · Cited by 18
Jackola, D. R., & Hallgren, H. M. (1998) · Mechanisms of Ageing and Development · doi:10.1016/s0047-6374(98)00089-x · Cited by 18
Dinh, H. C., Bautmans, I., Beyer, I., Onyema, O. O., Liberman, K., Dobbeleer, L. D., Renmans, W., Meeren, S. V., Jochmans, K., Delaere, A., et al. (2019) · Immunity & Ageing · doi:10.1186/s12979-019-0157-8 · Cited by 17
Singh, P., Száraz‐Széles, M., Mezei, Z. A., Baráth, S., & Hevessy, Z. (2022) · Journal of Leukocyte Biology · doi:10.1002/jlb.5a1121-583rr · Cited by 17
17th IHIW component “Immunogenetics of Ageing” – New NGS data
Ivanova, M., Creary, L. E., Hadra, B. A., Lukanov, T., Mazzocco, M., Sacchi, N., Ameen, R. M., Alshemmari, S., Moise, A., Ursu, L. D., et al. (2019) · Human Immunology · doi:10.1016/j.humimm.2019.07.287 · Cited by 17
Ravaglia, G., Forti, P., Biagi, F., Maioli, F., Boschi, F., & Corazza, G. R. (1998) · Gerontology · doi:10.1159/000021990 · Cited by 17
Sutherland, A. G., Cook, A., Miller, C., Duncan, L., Yuecel, R., Heys, S. D., Hutchison, J. D., & Liversidge, J. (2015) · Geriatric Orthopaedic Surgery & Rehabilitation · doi:10.1177/2151458515605564 · Cited by 18
Alteration of high-density lipoprotein functionality in Alzheimer’s disease patients
Camponova, P., Page, A. Y. L., Berrougui, H., Lamoureux, J., Pawelec, G., Witkowski, M. J., Fülöp, T., & Khalil, A. (2017) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2016-0710 · Cited by 17
“They were selected based on the SENIEUR (Senior Europeans) protocol recognized by the EURAGE Program on Aging of the European Community as the standard selection protocol for immuno-gerontological studies(Ligthart et al. 1984).”
MethodRavaglia, G., Forti, P., Maioli, F., Bianchi, G. P., Sacchetti, L., Talerico, T., Nativio, V., Mariani, E., & Macini, P. (2002) · British Journal Of Nutrition · doi:10.1079/bjn2002700 · Cited by 17
“…cut-off points (19/30 for 0 to 4 years of education, 23/30 for 5 to 8 years, 27/30 for 9 to 12 years, 29/30 for 13 or more years), functioned well in their surroundings, and fulfilled the health admission criteria of the SENIEUR protocol for gerontological studies in man (Ligthart et al. 1984).”
Zinc and the immune system of elderly
Ibs, K.-H., Gabriel, P., & Rink, L. (2002) · Advances in cell aging and gerontology · doi:10.1016/s1566-3124(02)13014-8 · Cited by 17
Pieri, C., Testa, R., Marra, M., Bonfigli, A. R., Manfrini, S., & Testa, I. (2001) · Gerontology · doi:10.1159/000052779 · Cited by 17
Étude du profil immunitaire de sujets âgés hospitalisés en unité de court séjour gériatrique
Crétel, E., Veen, I. D. G.-V., Pierrès, A., Binan, Y., Robert, P., Loundou, A., Baumstarck, K., Hubert, A., Bongrand, P., & Heim, M. (2010) · La Revue de Médecine Interne · doi:10.1016/j.revmed.2010.10.002 · Cited by 17
Rea, I. M., Maxwell, L. D., McNerlan, S., Alexander, H. D., Curran, M. D., Middleton, D., & Ross, O. A. (2013) · Immunity & Ageing · doi:10.1186/1742-4933-10-35 · Cited by 16
“Elderly and very elderly subjects enlisted into the Belfast Elderly Longitudinal Free-living Ageing STudy (BELFAST) study gave written consent, were apparently well, lived independently in the community, were mentally competent [86] and met the criteria for inclusion in immuno-gerontological studies using the Senieur…”
MethodTrinidad‐Fernández, M., Beckwée, D., Cuesta‐Vargas, A., González‐Sánchez, M., Moreno, F.-Á., González-Jiménez, J., Joos, E., & Vaes, P. (2020) · Sensors · doi:10.3390/s20030689 · Cited by 16
“In addition, they were excluded if they had a hip arthroplasty in the last 6 months, participated in a study with an experimental treatment during the recruitment or the study, had a severe cardiovascular disease (Category D) according to the Senior Europeans (SENIEUR) protocol [24], had alterations in the participant…”
MethodYasui, T., Uemura, H., Hyodo, S., Yamada, M., Yamamoto, S., Maegawa, M., Tsuchiya, N., Noguchi, M., Yuzurihara, M., Kase, Y., et al. (2008) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2008.09.014 · Cited by 16
Mood and cognition in healthy older European adults: the Zenith study
Simpson, E. E. A., Maylor, E. A., McConville, C., Stewart-Knox, B. J., Meunier, N., Andriollo-Sanchez, M., Polito, A., Intorre, F., McCormack, J. M., & Coudray, C. (2014) · BMC Psychology · doi:10.1186/2050-7283-2-11 · Cited by 20
“Exclusion criteria were adapted from the SENIEUR protocol (Ligthart et al. 1984) for demographic suitability.”
Costa, A. S., Guerini, F. R., Arosio, B., Galimberti, D., Zanzottera, M., Bianchi, A., Nemni, R., & Clerici, M. (2019) · Journal of Alzheimer s Disease · doi:10.3233/jad-190147 · Cited by 16
“HC were selected according to the SENIEUR protocol for immuno-gerontological studies of European Community’s Control Action Programme on Aging [19, 20] and their cognitive status was assessed by administration of Mini-Mental State Examination (MMSE) (score for inclusion as normal control subjects ≥…”
Age-related differences in cell-specific cytokine production by acutely ill Malawian patients
PETTIFORD, J. N., Jason, J. M., Nwanyanwu, O., Archibald, L. K., Kazembe, P. N., Dobbie, H., & Jarvis, W. R. (2002) · Clinical & Experimental Immunology · doi:10.1046/j.1365-2249.2002.01813.x · Cited by 16
Peripheral non-enzymatic antioxidant changes with human aging: A selective status report
Polidori, M. C., Cherubini, A., Senin, U., & Mecocci, P. (2001) · Biogerontology · doi:10.1023/a:1011593319127 · Cited by 16
“It is important, therefore, to evaluate all aspects of life and health when studying oxidative stress in the elderly, to carefully list inclusion and exclusion criteria ( Lightart et al. 1984 ), and to consider different dietary habits when comparing ‘normal’ plasma antioxidant concentrations in populations from diffe…”
BackgroundIs There a Role For a Mucosal Influenza Vaccine in the Elderly?
Corrigan, E. M., & Clancy, R. L. (1999) · Drugs & Aging · doi:10.2165/00002512-199915030-00001 · Cited by 16
Level of NK cytotoxic activity in the elderly aged more than 80 years
Myśliwska, J. M., Bryl, E., Chodnik, T., Foerster, J., & Myśliwski, A. (1992) · Archives of Gerontology and Geriatrics · doi:10.1016/0167-4943(92)90036-4 · Cited by 16
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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