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From inflammaging to healthy aging by dietary lifestyle choices: is epigenetics the key to personalized nutrition?
Open accessAbstract
The progressively older population in developed countries is reflected in an increase in the number of people suffering from age-related chronic inflammatory diseases such as metabolic syndrome, diabetes, heart and lung diseases, cancer, osteoporosis, arthritis, and dementia. The heterogeneity in biological aging, chronological age, and aging-associated disorders in humans have been ascribed to different genetic and environmental factors (i.e., diet, pollution, stress) that are closely linked to socioeconomic factors. The common denominator of these factors is the inflammatory response. Chronic low-grade systemic inflammation during physiological aging and immunosenescence are intertwined in the pathogenesis of premature aging also defined as 'inflammaging.' The latter has been associated with frailty, morbidity, and mortality in elderly subjects. However, it is unknown to what extent inflammaging or longevity is controlled by epigenetic events in early life. Today, human diet is believed to have a major influence on both the development and prevention of age-related diseases. Most plant-derived dietary phytochemicals and macro- and micronutrients modulate oxidative stress and inflammatory signaling and regulate metabolic pathways and bioenergetics that can be translated into stable epigenetic patterns of gene expression. Therefore, diet interventions designed for healthy aging have become a hot topic in nutritional epigenomic research. Increasing evidence has revealed that complex interactions between food components and histone modifications, DNA methylation, non-coding RNA expression, and chromatin remodeling factors influence the inflammaging phenotype and as such may protect or predispose an individual to many age-related diseases. Remarkably, humans present a broad range of responses to similar dietary challenges due to both genetic and epigenetic modulations of the expression of target proteins and key genes involved in the metabolism and distribution of the dietary constituents. Here, we will summarize the epigenetic actions of dietary components, including phytochemicals, and macro- and micronutrients as well as metabolites, that can attenuate inflammaging. We will discuss the challenges facing personalized nutrition to translate highly variable interindividual epigenetic diet responses to potential individual health benefits/risks related to aging disease.
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![Figure 2 Plant phytochemicals achieve hormesis through multifocal pathway inhibition. Our health strongly benefits from interactions of a large number of plant molecules in our diet with key regulators of mammalian physiology (adapted from [288]). Various plant-derived molecules are synthesized as secondary metabolites in response to stress. During adversity in the context of particular environmental stresses, animals have retained the ability to sense these stress signaling molecules synthesized by their distant ancestors, through enzymes and receptors which regulate inflammation-energy-metabolism pathways to protect and to increase the survival of the organism. Abbreviations used: PKC, protein kinase C; PKD, protein kinase D, IKK2, inhibitor of IkB kinase 2; ROS/RNS, reactive oxygen/nitrogen species; NR, nuclear receptor; AMPK, AMP-activated protein kinase; TSC, tuberous sclerosis complex mTOR, mammalian target of rapamycin; R6SK ribosomal S6 kinase; PI3K, phosphoinositide 3-kinase; PDK, pyruvate dehydrogenase kinase; AKT/PKB, protein kinase B; PGC1, peroxisome proliferator-activated receptor c coactivator 1; SIRT, sirtuin; FOXO, forkhead box O.](/paper-figures/a3ee1e49e66249d497037e1a88b3c77c/from-inflammaging-to-healthy-aging-by-dietary-lifestyle-choices-is-epigenetics-figure-2.jpg)
![Figure 3 Activity of chromatin modifying writer-eraser enzymes depends on available concentrations of cofactor metabolites and environmental signals. (A) Schematic representation of a nucleosome with extruding histone tails with residues that can be modified by various chromatin writer (i.e., DNA methyltransferase (DNMT), histone methyltransferase (HMT), histone acetylase (HAT), ubiquitin ligase (L), kinase (K), glycosylase (G)) or chromatin eraser enzymes (i.e., DNA hydroxymethylase (TET), demethylase (HDMT), deacetylase (HDAC), proteasome (Pr), phosphatase (PP)), resulting in dynamic histone methylation (Me), acetylation (Ac), ubiquitination (Ub), phosphorylation (P), and glycosylation (Gly). These histone modifications have been associated with changes in chromatin organization, gene activation, silencing, and several other nuclear functions (adapted from [338]). (B) Hypothetical model of a glycolytic-oxidative metabolic switch and its possible influence on epigenetic modifiers and the epigenetic landscape (adapted from [339]).](/paper-figures/eb6ecf825da2458ab70779329b30e306/from-inflammaging-to-healthy-aging-by-dietary-lifestyle-choices-is-epigenetics-figure-3.jpg)

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“Other procedures such as healthy diets, wine consumption, and flavonoid supplements are able to modify activity of certain genes, and various types of mediation and anti-stress methods are recommended to improve gene expression [65,66].”
From Regenerative and Protective Actions of the GHK-Cu Peptide in the Light of the New Gene Data (2018) · cites this paper as [65]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“It is now known that some age-related changes in gene expression are not permanent and can be reversed.”
From Regenerative and Protective Actions of the GHK-Cu Peptide in the Light of the New Gene Data (2018) · cites this paper as [65]
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In the citing paper
“Studies show that regular physical exercise of older humans, as little as 30 min daily three times a week, can reset mitochondrial human DNA to a gene expression more like that of a younger person.”
From Regenerative and Protective Actions of the GHK-Cu Peptide in the Light of the New Gene Data (2018) · cites this paper as [65]
Experimental — accuracy not yet measuredIn the citing paper
“Potential influences of diet on epigenetic changes (e.g., DNA methylation) and subsequent cardiometabolic risk pathways are also of considerable interest,88 but relevant between-individual variation in these diet-epigenetic responses has yet to be identified.”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [88]
In the citing paper
“Other studies showed positive effects of diet, moderate wine consumption, and meditation [14,15].”
From Skin Regenerative and Anti-Cancer Actions of Copper Peptides (2018) · cites this paper as [15]
In the citing paper
“The fact that GHK has gene-modulating effects is important, because as science has now demonstrated, age-related changes in gene expression are not permanent and can be reversed.”
From Skin Regenerative and Anti-Cancer Actions of Copper Peptides (2018) · cites this paper as [15]
In the citing paper
“Recent studies have demonstrated that physical exercise for 30 min a day, three times a week can revert gene expression in mitochondrial human DNA in older humans to a gene expression that is more like that of a younger person.”
From Skin Regenerative and Anti-Cancer Actions of Copper Peptides (2018) · cites this paper as [15]
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Metadata
- Authors
- vel Szic, K. S., Declerck, K., Vidaković, M., & Vanden Berghe, W.
- Affiliations
- University of Antwerp (BE)
- University of Belgrade (RS)
- Corresponding author
- Declerck, Ken
- Vidaković, Melita
- Venue
- Clinical Epigenetics
- Published
- 2015-03-25
- Volume
- 7
- Issue
- 1
- Pages
- 33-33
- ISSN
- 1868-7075 (ISSN-L)
- 1868-7083
- PMC
- PMC4389409
- OpenAlex
- W2062149404
- Cited by
- 192
- References
- 343
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 11 · 2023: 8 · 2022: 12 · 2021: 20 · 2020: 14 · 2019: 23 · 2018: 20 · 2017: 21 · 2016: 31 · 2015: 9
- FWCI
- 11.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Clinical Epigenetics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Fonds Wetenschappelijk Onderzoek
- Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja (173020)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Keywords
- inflammaging, healthy aging, epigenetics, personalized nutrition, dietary phytochemicals, macro and micronutrients, DNA methylation, histone modifications, non-coding RNA, chromatin remodeling, immunosenescence, dietary metabolites, oxidative stress
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