Inflammaging: Age and Systemic, Cellular, and Nuclear Inflammatory Biology in Older Adults
Open accessAbstract
Systemic inflammation is associated with increasing age. Yet, there are limited data about the association between age and systemic inflammation within older adults, and whether older age is also associated with cellular and nuclear signaling markers of inflammation. In community-dwelling older adults (N = 262, 60–88 years), systemic levels of C-reactive protein, interleukin-6, and soluble tumor necrosis factor receptor II; levels of toll-like receptor-4–stimulated monocytic production of interleukin-6 and tumor necrosis factor α; and resting nuclear levels of activated nuclear factor kappa B and signal transducer and activator of transcription (STAT1, STAT3, STAT5) were evaluated. Adjusting for demographic and clinical factors, multivariate linear regression tested the association between age and each inflammatory marker. Age was positively associated with increased levels of interleukin-6 and soluble tumor necrosis factor receptor II (p’s < .05) and with increases in STAT1, STAT3, and STAT5 activation (p’s < .05). However, no relationship was found between age and C-reactive protein, toll-like receptor-4–stimulated interleukin-6/tumor necrosis factor alpha α production, or nuclear factor kappa B. Within a community-dwelling sample of older adults, older age is associated with increases in STAT activation, along with increases of systemic inflammatory cytokines. In older adults, heterogeneity in age-related increases in inflammatory disease risk may be related to individual variability in inflammation.
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Aging is associated with increased inflammation.
“Aging itself is associated with increased inflammation (Piber et al., 2019)”
From Chronic infection drives Dnmt3a-loss-of-function clonal hematopoiesis via IFNγ signaling (2021) · cites this paper as Piber et al., 2019
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Cites
Aging, Cellular Senescence, and Cancer
Campisi, J. (2013) · Annual Review of Physiology · doi:10.1146/annurev-physiol-030212-183653 · Cited by 2,954 · see citing works
Geroscience: Linking Aging to Chronic Disease
Kennedy, B. K., Berger, S. L., Brunet, A., Campisi, J., Cuervo, A. M., Epel, E. S., Franceschi, C., Lithgow, G. J., Morimoto, R. I., Pessin, J. E., et al. (2014) · Cell · doi:10.1016/j.cell.2014.10.039 · Cited by 2,764 · see citing works
The transcriptional landscape of age in human peripheral blood
Peters, M. J., Joehanes, R., Pilling, L. C., Schurmann, C., Conneely, K. N., Powell, J., Reinmaa, E., Sutphin, G. L., Zhernakova, A., Schramm, K., et al. (2015) · Nature Communications · doi:10.1038/ncomms9570 · Cited by 725 · see citing works
O’Connor, M.-F., Bower, J. E., Cho, H. J., Creswell, J. D., Dimitrov, S., Hamby, M. E., Hoyt, M. A., Martin, J. L., Robles, T. F., Sloan, E. K., et al. (2009) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2009.04.005 · Cited by 500 · cited 3× · see citing works
“To evaluate whether age was associated with markers of systemic (ie, CRP, IL-6, and sTNFRII), cellular (ie, TLR-4-stimulated monocytic production of IL-6 and/or TNFα), or nuclear (ie, spontaneous levels of NF-κB, STAT1, STAT3, and STAT5 in total PBMC, monocytes only, and lymphocytes only) inflammation, multivariate li…”
BackgroundMethodInfluentialSelf-citationKhaodhiar, L., Ling, P., Blackburn, G. L., & Bistrian, B. R. (2004) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607104028006410 · Cited by 243 · see citing works
O’Brown, Z. K., Van Nostrand, E. L., Higgins, J. P., & Kim, S. K. (2015) · PLOS Genetics · doi:10.1371/journal.pgen.1005734 · Cited by 90 · see citing works
Age-associated alterations in inducible gene transcription in human CD4+ T lymphocytes
Bektas, A., Zhang, Y., Wood, W. H., Becker, K. G., Madara, K., Ferrucci, L., & Sen, R. (2013) · Aging · doi:10.18632/aging.100522 · Cited by 31 · see citing works
Flagged first, then by citations
Research works printed but not linked: 54
- Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its po- tential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014;69(Suppl. 1):S4-S9. doi:10.1093/gerona/glu057 · DOI · Paper page
- Franceschi C, Bonafè M, Valensin S, et al. Inflamm-aging. An evolutionary perspective on immunosenescence. Ann N Y Acad Sci. 2000;908:244-254. doi:10.1111/j.1749-6632.2000.tb06651.x · DOI · Paper page
- Ridker PM, Buring JE, Cook NR, Rifai N. C-reactive protein, the metabolic syndrome, and risk of incident cardiovascular events: an 8-year follow-up of 14 719 initially healthy American women. Circulation. 2003;107:391- 397. doi:10.1161/01.CIR.0000055014.62083. · DOI
- Vasto S, Carruba G, Lio D, et al. Inflammation, ageing and cancer. Mech Ageing Dev. 2009;130:40-45. doi:10.1016/j.mad.2008.06.003 · DOI
- Pierce BL, Ballard-Barbash R, Bernstein L, et al. Elevated biomarkers of in- flammation are associated with reduced survival among breast cancer pa- tients. J Clin Oncol. 2009;27:3437-3444. doi:10.1200/JCO.2008.18.9068 · DOI
- Mantovani A, Allavena P, Sica A, Balkwill F. Cancer-related inflammation. Nature. 2008;454:436-444. doi:10.1038/nature07205 · DOI · Paper page
- Volpato S, Guralnik JM, Ferrucci L, et al. Cardiovascular disease, inter- leukin-6, and risk of mortality in older women: the women's health and aging study. Circulation. 2001;103:947-953. doi:10.1161/01. CIR.103.7.947 · DOI
- Harris TB, Ferrucci L, Tracy RP, et al. Associations of elevated inter- leukin-6 and C-reactive protein levels with mortality in the elderly. Am J Med. 1999;106:506-512. doi:10.1016/S0002-9343(99)00066-2 · DOI · Paper page
- Ershler WB, Keller ET. Age-associated increased interleukin-6 gene ex- pression, late-life diseases, and frailty. Annu Rev Med. 2000;51:245-270. doi:10.1146/annurev.med.51.1.245 · DOI · Paper page
- Gerli R, Monti D, Bistoni O, et al. Chemokines, sTNF-Rs and sCD30 serum levels in healthy aged people and centenarians. Mech Ageing Dev. 2000;121:37-46. doi:10.1016/S0047-6374(00)00195-0 · DOI · Paper page
- Murasko DM, Nelson BJ, Matour D, Goonewardene IM, Kaye D. Heterogeneity of changes in lymphoproliferative ability with increasing age. Exp Gerontol. 1991;26:269-279.
- Salminen A, Huuskonen J, Ojala J, Kauppinen A, Kaarniranta K, Suuronen T. Activation of innate immunity system during aging: NF-kB signaling is the molecular culprit of inflammaging. Ageing Res Rev. 2008;7:83-105. doi:10.1016/j.arr.2007.09.002 · DOI · Paper page
- O'Shea JJ, Schwartz DM, Villarino AV, Gadina M, McInnes IB, Laurence A. The JAK-STAT pathway: impact on human disease and thera- peutic intervention. Annu Rev Med. 2015;66:311-328. doi:10.1146/ annurev-med-051113-024537 · DOI
- Cho JH, Olmstead R, Choi H, Carrillo C, Seeman TE, Irwin MR. Associations of objective versus subjective social isolation with sleep dis- turbance, depression, and fatigue in community-dwelling older adults. Aging & Ment Health. 2018:1-9. doi:10.1080/13607863.2018.1481928 · DOI
- Von Korff M, Wagner EH, Saunders K. A chronic disease score from automated pharmacy data. J Clin Epidemiol. 1992;45:197-203. doi:10.1016/0895-4356(92)90016-G · DOI
- Irwin MR, Wang M, Campomayor CO, Collado-Hidalgo A, Cole S. Sleep deprivation and activation of morning levels of cellular and gen- omic markers of inflammation. Arch Intern Med. 2006;166:1756-1762. doi:10.1001/archinte.166.16.1756 · DOI · Paper page
- Irwin MR, Witarama T, Caudill M, Olmstead R, Breen EC. Sleep loss activates cellular inflammation and signal transducer and activator of transcription (STAT) family proteins in humans. Brain Behav Immun. 2015;47:86-92. doi:10.1016/j.bbi.2014.09.017 · DOI
- Glejser H. A new test for heteroskedasticity. J Am Stat Assoc. 1969;64:315-323.
- Woloshin S, Schwartz LM. Distribution of C-reactive protein values in the United States. N Engl J Med. 2005;352:1611-1613. doi:10.1056/ NEJM200504143521525 · DOI
- Cho HJ, Kivimäki M, Bower JE, Irwin MR. Association of C-reactive protein and interleukin-6 with new-onset fatigue in the Whitehall II pro- spective cohort study. Psychol Med. 2013;43:1773-1783. doi:10.1017/ S0033291712002437 · DOI
- Marcos-Pérez D, Sánchez-Flores M, Maseda A, et al. Frailty in older adults is associated with plasma concentrations of inflammatory mediators but not with lymphocyte subpopulations. Front Immunol. 2018;9:1056. doi:10.3389/fimmu.2018.01056 · DOI
- Visser M, Bouter LM, McQuillan GM, Wener MH, Harris TB. Elevated C-reactive protein levels in overweight and obese adults. JAMA. 1999;282:2131-2135. doi:10.1001/jama.282.22.2131 · DOI · Paper page
- Chazaud B, Mouchiroud G. Inflamm-aging: STAT3 signaling pushes muscle stem cells off balance. Cell Stem Cell. 2014;15:401-402. doi:10.1016/j.stem.2014.09.010 · DOI
- Albright JW, Bream JH, Bere EW, Young HA, Winkler-Pickett R, Ortaldo JR. Aging of innate immunity: functional comparisons of NK/LAK cells obtained from bulk cultures of young and aged mouse spleen cells in high concentrations of interleukin-2. Exp Gerontology. 2004;39:73-82. doi:10.1016/j.exger.2003.09.017 · DOI
- McLoughlin RM, Jenkins BJ, Grail D, et al. IL-6 trans-signaling via STAT3 directs T cell infiltration in acute inflammation. Proc Natl Acad Sci USA. 2005;102:9589-9594. doi:10.1073/pnas.0501794102 · DOI
- Fielding CA, McLoughlin RM, McLeod L, et al. IL-6 regulates neu- trophil trafficking during acute inflammation via STAT3. J Immunol. 2008;181:2189-2195. doi:10.4049/jimmunol.181.3.2189 · DOI
- Takeda K, Clausen BE, Kaisho T, et al. Enhanced Th1 activity and de- velopment of chronic enterocolitis in mice devoid of Stat3 in macro- phages and neutrophils. Immunity. 1999;10:39-49. doi:10.1016/ S1074-7613(00)80005-9 · DOI · Paper page
- Majoros A, Platanitis E, Szappanos D, et al. Response to interferons and antibacterial innate immunity in the absence of tyrosine-phosphorylated STAT1. EMBO Rep. 2016;17:367-382. doi:10.15252/embr.201540726 · DOI
- Durbin JE, Hackenmiller R, Simon MC, Levy DE. Targeted disruption of the mouse Stat1 gene results in compromised innate immunity to viral disease. Cell. 1996;84:443-450. doi:10.1016/S0092-8674(00)81289-1 · DOI
- Shuai K, Liao J, Song MM. Enhancement of antiproliferative activity of gamma interferon by the specific inhibition of tyrosine dephosphorylation of Stat1. Mol Cell Biol. 1996;16:4932-4941. doi:10.1128/mcb.16.9.4932 · DOI
- Lin JX, Leonard WJ. The role of Stat5a and Stat5b in signaling by IL-2 family cytokines. Oncogene. 2000;19:2566-2576. doi:10.1038/ sj.onc.1203523 · DOI
- Imada K, Bloom ET, Nakajima H, et al. Stat5b is essential for nat- ural killer cell-mediated proliferation and cytolytic activity. J Exp Med. 1998;188:2067-2074. doi:10.1084/jem.188.11.2067 · DOI
- Nakajima H, Liu XW, Wynshaw-Boris A, et al. An indirect effect of Stat5a in IL-2-induced proliferation: a critical role for Stat5a in IL-2-mediated IL-2 receptor alpha chain induction. Immunity. 1997;7:691-701. doi:10.1016/S1074-7613(00)80389-1 · DOI
- Vogel TP, Milner JD, Cooper MA. The Ying and Yang of STAT3 in human disease. J Clin Immunol. 2015;35:615-623. doi:10.1007/ s10875-015-0187-8 · DOI
- Salminen A, Kauppinen A, Kaarniranta K. Emerging role of NF-κB signaling in the induction of senescence-associated secretory phenotype (SASP). Cell Signal. 2012;24:835-845. doi:10.1016/j. cellsig.2011.12.006 · DOI · Paper page
- Gupta S, Bi R, Kim C, Chiplunkar S, Yel L, Gollapudi S. Role of NF-kappaB signaling pathway in increased tumor necrosis factor-alpha- induced apoptosis of lymphocytes in aged humans. Cell Death Differ. 2005;12:177-183. doi:10.1038/sj.cdd.4401557 · DOI
- Bektas A, Zhang Y, Lehmann E, et al. Age-associated changes in basal NF-κB function in human CD4+ T lymphocytes via dysregulation of PI3 kinase. Aging (Albany, NY). 2014;6:957-974. doi:10.18632/aging.100705 · DOI
- Bektas A, Schurman SH, Sen R, Ferrucci L. Human T cell immunosenescence and inflammation in aging. J Leukoc Biol. 2017;102:977-988. doi:10.1189/jlb.3RI0716-335R · DOI
- Bektas A, Schurman SH, Sen R, Ferrucci L. Aging, inflammation and the environment. Exp Gerontol. 2018;105:10-18. doi:10.1016/j. exger.2017.12.015 · DOI
- Harries LW, Hernandez D, Henley W, et al. Human aging is characterized by focused changes in gene expression and deregulation of alternative splicing. Aging Cell. 2011;10:868-878. doi:10.1111/j.1474-9726.2011.00726.x · DOI
- Holly AC, Melzer D, Pilling LC, et al. Towards a gene expression bio- marker set for human biological age. Aging Cell. 2013;12:324-326. doi:10.1111/acel.12044 · DOI
- Jylhävä J, Raitanen J, Marttila S, Hervonen A, Jylhä M, Hurme M. Identification of a prognostic signature for old-age mortality by integrating genome-wide transcriptomic data with the conventional predictors: the Vitality 90+ Study. BMC Med Genomics. 2014;7:54. doi:10.1186/1755-8794-7-54 · DOI
- Reynolds LM, Ding J, Taylor JR, et al. Transcriptomic profiles of aging in purified human immune cells. BMC Genomics. 2015;16:333. doi:10.1186/ s12864-015-1522-4 · DOI · Paper page
- de Magalhães JP, Curado J, Church GM. Meta-analysis of age-related gene expression profiles identifies common signatures of aging. Bioinformatics. 2009;25:875-881. doi:10.1093/bioinformatics/btp073 · DOI · Paper page
- Carroll JE, Carrillo C, Olmstead R, et al. Sleep deprivation and diver- gent toll-like receptor-4 activation of cellular inflammation in aging. Sleep. 2015;38:205-211. doi:10.5665/sleep.4398 · DOI · Paper page
- Giuliani N, Sansoni P, Girasole G, et al. Serum interleukin-6, sol- uble interleukin-6 receptor and soluble gp130 exhibit different patterns of age-and menopause-related changes. Exp Gerontol. 2001;36:547-557.
- Paik JK, Chae JS, Kang R, Kwon N, Lee SH, Lee JH. Effect of age on atherogenicity of LDL and inflammatory markers in healthy women. Nutr Metab Cardiovasc Dis. 2013;23:967-972. doi:10.1016/j. numecd.2012.08.002 · DOI
- Hager K, Machein U, Krieger S, Platt D, Seefried G, Bauer J. Interleukin-6 and selected plasma proteins in healthy persons of different ages. Neurobiol Aging. 1994;15:771-772. doi:10.1016/0197-4580(94)90066-3. · DOI
- Ferrucci L, Corsi A, Lauretani F, et al. The origins of age-related proinflammatory state. Blood. 2005;105:2294-2299. doi:10.1182/ blood-2004-07-2599 · DOI · Paper page
- Anderson AE, Pratt AG, Sedhom MA, et al. IL-6-driven STAT signalling in circulating CD4 + lymphocytes is a marker for early anticitrullinated peptide antibody-negative rheumatoid arthritis. Ann Rheum Dis. 2016;75:466-473. doi:10.1136/annrheumdis-2014-205850 · DOI
- Isomäki P, Junttila I, Vidqvist KL, Korpela M, Silvennoinen O. The activity of JAK-STAT pathways in rheumatoid arthritis: constitutive activation of STAT3 correlates with interleukin 6 levels. Rheumatology (Oxford). 2015;54:1103-1113. doi:10.1093/rheumatology/keu430 · DOI
- Zhang D, Sun M, Samols D, Kushner I. STAT3 participates in transcrip- tional activation of the C-reactive protein gene by interleukin-6. J Biol Chem. 1996;271:9503-9509. doi:10.1074/jbc.271.16.9503 · DOI · Paper page
- Miscia S, Marchisio M, Grilli A, et al. Tumor necrosis factor alpha (TNF- alpha) activates Jak1/Stat3-Stat5B signaling through TNFR-1 in human B cells. Cell Growth Differ. 2002;13:13-18.
- Grech AP, Gardam S, Chan T, et al. Tumor necrosis factor receptor 2 (TNFR2) signaling is negatively regulated by a novel, carboxyl- terminal TNFR-associated factor 2 (TRAF2)-binding site. J Biol Chem. 2005;280:31572-31581. doi:10.1074/jbc. · DOI
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Chronic infection drives Dnmt3a-loss-of-function clonal hematopoiesis via IFNγ signaling
Hormaechea-Agulla, D., Matatall, K. A., Le, D. T., Kain, B., Long, X., Kus, P., Jaksik, R., Challen, G. A., Kimmel, M., & King, K. Y. (2021) · Cell Stem Cell · doi:10.1016/j.stem.2021.03.002 · Cited by 329 · see citing works
- Authors
- Piber, D., Olmstead, R., Cho, J. H.-J., Witarama, T., Perez, C., Dietz, N., Seeman, T. E., Breen, E. C., Cole, S. W., & Irwin, M. R.
- Affiliations
- University of California, Los Angeles (US)
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles
- Corresponding author
- Irwin, Michael R
- ORCID
- Venue
- The Journals of Gerontology: Series A
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-05-20
- Volume
- 74
- Issue
- 11
- Pages
- 1716-1724
- ISSN
- 1079-5006 (ISSN-L)
- 1758-535X
- PMC
- PMC6777092
- OpenAlex
- W2945803920
- Cited by
- 62
- References
- 7
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 11 · 2022: 11 · 2021: 11 · 2020: 11 · 2019: 2
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journals of Gerontology Series A (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Max Kade Foundation
- National Institutes of Health (R01AG034588)
- UCLA Cousins Center for Psychoneuroimmunology
- Semel Institute for Neurosciences
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- inflammaging, systemic inflammation, aging, older adults, interleukin-6, C-reactive protein, soluble tumor necrosis factor receptor II, TLR4, nuclear factor-kappaB, STAT activation, STAT1, STAT3, STAT5, inflammatory cytokines, community-dwelling older adults
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Aging, C-Reactive Protein, Cross-Sectional Studies, Female, Gene Expression Regulation, Humans, Inflammation, Male, Middle Aged, Tumor Necrosis Factor-alpha, Signal Transduction, Multivariate Analysis, Linear Models, Cytokines, Risk Assessment, Inflammation Mediators, Tumor Suppressor Proteins, STAT1 Transcription Factor, STAT3 Transcription Factor, STAT5 Transcription Factor, Independent Living
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