Upregulated ex vivo expression of stress-responsive inflammatory pathway genes by LPS-challenged CD14(+) monocytes in frail older adults
Open accessAbstract
Frailty has been increasingly recognized as an important clinical syndrome in old age. The frailty syndrome is characterized by chronic inflammation, decreased functional and physiologic reserve, and increased vulnerability to stressors, leading to disability and mortality. However, molecular mechanisms that contribute to inflammation activation and regulation in frail older adults have not been investigated. To begin to address this, we conducted a pathway-specific gene array analysis of 367 inflammatory pathway genes by lipopolysaccharide (LPS)-challenged CD14(+) monocytes from 32 community-dwelling frail and age-, race-, and sex-paired nonfrail older adults (mean age 83 years, range 72-94). The results showed that ex vivo LPS-challenge induced average 2.0-fold or higher upregulated expression of 116 genes in frail participants and 85 genes in paired nonfrail controls. In addition, frail participants had 2-fold or higher upregulation in LPS-induced expression of 7 stress-responsive genes than nonfrail controls with validation by quantitative real time RT-PCR. These findings suggest upregulated expression of specific stress-responsive genes in monocyte-mediated inflammatory pathway in the syndrome of frailty with potential mechanistic and interventional implications.
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Several inflammatory markers-IL-6, CRP, TNFα and CXCL-10 among them-have each been independently linked to frailty.
“A range of inflammatory cytokines have been independently associated with frailty including interleukin-6 (IL-6), C-reactive protein (CRP), tumour necrosis factor-α (TNFα) and CXC chemokine ligand-10 (CXCL-10), a potent pro-inflammatory mediator (52, 54-58).”
From Frailty in elderly people (2013) · cites this paper as [56]
Inflammation appears central to frailty via an abnormal low-grade state that overreacts to stimuli and remains active long after the trigger is gone.
“There is evidence that inflammation has a key role in the pathophysiology of frailty through an abnormal, low-grade inflammatory response that is hyper-responsive to stimuli and that persists for a prolonged period following removal of the initial inflammatory stimulus (19, 52-57).”
From Frailty in elderly people (2013) · cites this paper as [56]
Classical monocytes from frail older adults show increased expression of inflammation-associated genes after LPS stimulation compared with non-frail older adults.
“Classical monocytes isolated from frail older adults had increased inflammatory associated genes in response to LPS as compared to non-frail older adults (140).”
From The impact of ageing on monocytes and macrophages (2021) · cites this paper as [140]
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- Authors
- Qu, T., Walston, J. D., Yang, H., Fedarko, N. S., Xue, Q.-L., Beamer, B. A., Ferrucci, L., Rose, N. R., & Leng, S. X.
- Affiliations
- Johns Hopkins University (US)
- National Institute on Aging (US)
- Corresponding author
- Leng, Sean X.
- ORCID
- Venue
- Mechanisms of Ageing and Development
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 130
- Issue
- 3
- Pages
- 161-166
- ISSN
- 0047-6374 (ISSN-L)
- PMC
- PMC2673566
- OpenAlex
- W2051391870
- Cited by
- 61
- References
- 41
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 5 · 2018: 1 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Mechanisms of Ageing and Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 AG999999)
- National Institute on Aging (R21AG024235, K23AG028963)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- frailty, older adults, CD14+ monocytes, lipopolysaccharide challenge, stress response genes, chronic inflammation, gene expression, monocyte activation
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Aging, Cells, Cultured, Female, Humans, Inflammation, Lipopolysaccharides, Male, Monocytes, Stress, Physiological, Reproducibility of Results, Up-Regulation, Case-Control Studies, Polymerase Chain Reaction, Frail Elderly, Inflammation Mediators, Lipopolysaccharide Receptors, Oligonucleotide Array Sequence Analysis, Gene Expression Profiling
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