Frailty and the role of inflammation, immunosenescence and cellular ageing in the very old: Cross-sectional findings from the Newcastle 85+ Study
Open accessAbstract
Age-related frailty is an increasing societal challenge with growing emphasis on identifying its underlying pathophysiology and prospects for intervention. We report findings from the first comprehensive study of frailty and biomarkers of inflammation, immunosenescence and cellular ageing in the very old. Using cross-sectional data from the Newcastle 85+ Study (n=845, aged 85), frailty was operationalized by the Fried and Rockwood models and biomarker associations explored using regression analysis. We confirmed the importance of inflammatory markers (IL-6, TNF-alpha, CRP, neutrophils) in frailty in the very old, previously established only in younger-old populations. Limited evidence was found for immunosenescence in frailty; although total lymphocyte count was inversely related, no association was found with the immune risk profile and the inverse associations observed with memory/naïve CD8 T and B cell ratios were in the opposite direction to that expected. We found no association with frailty in the very old for CMV sero-positivity, telomere length, markers of oxidative stress or DNA damage and repair. The Fried and Rockwood frailty models measure different albeit overlapping concepts yet biomarker associations were generally consistent between models. Difficulties in operationalizing the Fried model, due to high levels of co-morbidity, limit its utility in the very old.
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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 [58]
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- Authors
- Collerton, J., Martin-Ruiz, C., Davies, K., Hilkens, C. M., Isaacs, J., Kolenda, C., Parker, C., Dunn, M., Catt, M., Jagger, C., von Zglinicki, T., & Kirkwood, T. B. L.
- Affiliations
- Newcastle University (GB)
- Newcastle upon Tyne Hospitals NHS Foundation Trust (GB)
- Corresponding author
- Collerton, Joanna
- ORCID
- Venue
- Mechanisms of Ageing and Development
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 133
- Issue
- 6
- Pages
- 456-466
- ISSN
- 0047-6374 (ISSN-L)
- OpenAlex
- W1988354245
- Cited by
- 420
- References
- 92
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 23 · 2023: 24 · 2022: 31 · 2021: 31 · 2020: 34 · 2019: 42 · 2018: 39 · 2017: 35 · 2016: 34 · 2015: 34 · 2014: 32 · 2013: 21 · 2012: 4
- FWCI
- 14.31
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Mechanisms of Ageing and Development (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Institute for Health and Care Research (NF-SI-0508-10260, IS-BRC-0211-10046)
- Directorate for Biological Sciences
- Medical Research Council (G0601333, G0500997, MR/J50001X/1)
- Biotechnology and Biological Sciences Research Council (G0500997)
- NIHR Newcastle Biomedical Research Centre (BH120307)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Keywords
- frailty, oldest old, inflammation, immunosenescence, cellular aging, inflammatory markers, interleukin-6, TNF-α, C-reactive protein, neutrophils, total lymphocyte count, CD8+ T cells, B cells, CMV serostatus, telomere length, oxidative stress, DNA damage and repair, Fried frailty phenotype, Newcastle 85+ Study
- MeSH terms
- Aged, 80 and over, Cross-Sectional Studies, Cytomegalovirus Infections, DNA Damage, DNA Repair, England, Female, Humans, Inflammation, Male, Biomarkers, Prevalence, Frail Elderly, CD4-CD8 Ratio, Cellular Senescence, Oxidative Stress, Inflammation Mediators, Telomere Homeostasis
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