Cited by 4,915Adipokines, Inflammation, and Metabolic DiseasesExercise and Physiological ResponsesImmune Response and Inflammation

The DOI matches its Crossref record; 180 of the 181 references it cites were found in a registry or an index; none of the 239 sources its claims cite is checked for support yet.

Chronic inflammation in the etiology of disease across the life span

Open access

Abstract

Although intermittent increases in inflammation are critical for survival during physical injury and infection, recent research has revealed that certain social, environmental and lifestyle factors can promote systemic chronic inflammation (SCI) that can, in turn, lead to several diseases that collectively represent the leading causes of disability and mortality worldwide, such as cardiovascular disease, cancer, diabetes mellitus, chronic kidney disease, non-alcoholic fatty liver disease and autoimmune and neurodegenerative disorders. In the present Perspective we describe the multi-level mechanisms underlying SCI and several risk factors that promote this health-damaging phenotype, including infections, physical inactivity, poor diet, environmental and industrial toxicants and psychological stress. Furthermore, we suggest potential strategies for advancing the early diagnosis, prevention and treatment of SCI.

Overview

Integrity signals

Registry

Crossref · 10.1038/s41591-019-0675-0

Cites

180 of 180 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

109 Not checked yet · 9 Own interpretation · 1 No basis given

Verify all 239 references — free account

Show all 50 claims

  • It may state two separate claims as one. 65
  • Probably not a substantial claim. 8
  • The quote only partly states this claim. 2
69 of 69
  • The paper relies on this without support.

    There are currently no standard biomarkers for indicating the presence of health-damaging chronic inflammation.

    “there are presently no standard biomarkers for indicating the presence of health-damaging chronic inflammation.”
  • The authors state this as an assumption.

    An evolutionary mismatch between human physiology and industrialized lifestyles is a major cause of systemic chronic inflammation.

    “This is believed to have created an evolutionary mismatch in humans—characterized by an increasing separation from their ecological niche—and this mismatch, in turn, has been hypothesized to be a major cause of SCI65,66,82,89,92.”
  • The authors state this as an assumption.

    Maternal inflammation during pregnancy passes an inflammatory code through epigenetic modifications to offspring, leading to elevated SCI risk in childhood and adulthood and intergenerational transmission of risk.

    “In this model (Fig. 2), SCI and disease risk are hypothesized to be perpetuated transgenerationally.”
    “maternal inflammation during pregnancy172,173 is believed to pass an inflammatory ‘code’ through epigenetic modifications to the offspring”
  • The paper relies on this without support.

    A majority of older adults experience down-regulation of immune response components, leading to increased susceptibility to viral infections and weakened vaccine responses.

    “Despite the observation that SCI generally increases with age, a majority of older adults experience a down-regulation of components of the immune response that leads to an increased susceptibility to viral infections and weakened responses to vaccines.”
  • The paper relies on this without support.

    No study to date has assessed the entire human exposome over the entire developmental trajectory.

    “no study to date has assessed the entire human exposome over the entire developmental trajectory”
  • The paper relies on this without support.

    Only a few studies have investigated how modifying SCI-related processes may benefit human health or longevity.

    “only a few studies have investigated how modifying SCI-related processes may benefit human health or longevity”
6 of 6

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Citations

Cites

Show all 181 references

Research works printed but not linked: 1

  1. Slavich, G. M. Psychoneuroimmunology of stress and mental health. in The Oxford Handbook of Stress and Mental Health (eds K. Harkness & E. P. Hayden) (Oxford University Press, in the press).

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Metadata

Authors
Furman, D., Campisi, J., Verdin, E., Carrera-Bastos, P., Targ, S., Franceschi, C., Ferrucci, L., Gilroy, D. W., Fasano, A., Miller, G. W., Miller, A. H., Mantovani, A., Weyand, C. M., Barzilai, N., Goronzy, J. J., Rando, T. A., Effros, R. B., Lucia, A., Kleinstreuer, N., & Slavich, G. M.
Affiliations
  • Buck Institute for Research on Aging (US)
  • University of California, San Francisco (US)
  • N. I. Lobachevsky State University of Nizhny Novgorod (RU)
  • National Institute on Aging (US)
  • University College London (GB)
  • Harvard University (US)
  • Columbia University Irving Medical Center (US)
  • Emory University (US)
  • Humanitas University (IT)
  • Stanford Medicine (US)
  • Albert Einstein College of Medicine (US)
  • VA Palo Alto Health Care System (US)
  • University of California, Los Angeles (US)
  • National Institutes of Health (US)
Corresponding author
Furman, David
Venue
Nature Medicine
Published
2019-12
Volume
25
Issue
12
Pages
1822-1832
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2993908729
Cited by
4,915
References
181
Citations by year
2026: 783 · 2025: 953 · 2024: 969 · 2023: 839 · 2022: 691 · 2021: 465 · 2020: 210 · 2019: 2
FWCI
49.98
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • ABACUS. Repositorio de Producción Científica (Universidad Europea) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
  • U.S. Department of Health & Human Services | National Institutes of Health
  • Stanford Center on Longevity
  • Buck Institute for Research on Aging
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
  • Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
Keywords
chronic systemic inflammation, lifespan, cardiovascular disease, cancer, diabetes mellitus, chronic kidney disease, non-alcoholic fatty liver disease, autoimmune disease, neurodegenerative diseases, infection, physical inactivity, unhealthy diet, environmental toxins, industrial toxicants, psychological stress, early diagnosis, prevention, treatment
MeSH terms
Autoimmune Diseases, Cardiovascular Diseases, Chronic Disease, Diabetes Mellitus, Humans, Inflammation, Life Style, Longevity, Neoplasms, Risk Factors, Neurodegenerative Diseases, Renal Insufficiency, Chronic, Non-alcoholic Fatty Liver Disease

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