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A Mouse Model for Pathogen-induced Chronic Inflammation at Local and Systemic Sites
Published on: August 8, 2014
The origins of age-related proinflammatory state
Luigi Ferrucci1, Annamaria Corsi, Fulvio Lauretani
1Intramural Research Program, National Institute on Aging, Longitudinal Studies Section, Clinical Research Branch, ASTRA Unit, Harbor Hospital 5th Floor, 3001 S Hanover St, Baltimore, MD, USA. ferruccilu@grc.nia.nih.gov
Insights
Aging increases inflammatory markers like IL-6 and CRP. Cardiovascular risk factors and diseases contribute significantly to this age-related "proinflammatory state" in older adults.
Area of Science:
- Gerontology
- Immunology
- Cardiovascular Medicine
Background:
- Aging is associated with increased systemic inflammation, termed the
- proinflammatory state.
- The contribution of cardiovascular risk factors and morbidity to age-related inflammation is not fully understood.
Purpose of the Study:
- To investigate the relationship between aging, inflammatory markers, and cardiovascular factors.
- To determine if cardiovascular risk factors and morbidity explain the rise in inflammatory markers with age.
Main Methods:
- Cross-sectional study of 595 men and 748 women (aged 20-102 years).
- Measured inflammatory markers (IL-6, IL-1ra, IL-18, CRP, fibrinogen, sIL-6r).
- Assessed cardiovascular risk factors and morbidity, with adjustments in statistical models.
Main Results:
- Older age correlated with higher levels of IL-6, IL-1ra, IL-18, CRP, and fibrinogen.
- Adjusting for cardiovascular factors reduced the age association for most inflammatory markers.
- Cardiovascular morbidity significantly attenuated the age effect on CRP in men.
Conclusions:
- A portion of the age-related increase in inflammatory markers is linked to the prevalence of cardiovascular risk factors and morbidity.
- Cardiovascular health plays a role in modulating the inflammatory response during aging.
Abstract:
We hypothesized that the rising levels of inflammatory markers with aging is explained by cardiovascular risk factors and morbidity becoming progressively more prevalent in older persons. Information on inflammatory markers, cardiovascular risk factors, and diseases was collected in 595 men and 748 women sampled from the general population (age, 20-102 years). In both men and women, older age was associated with higher levels of interleukin-6 (IL-6), IL-1 receptor antagonist (IL-1ra), IL-18, C-reactive protein (CRP), and fibrinogen, while soluble IL-6 receptor (sIL-6r) increased significantly with age only in men. Adjusting for cardiovascular risk factors and morbidity, the age regression coefficients became substantially smaller in models predicting IL-6, IL-1ra, IL-18, and fibrinogen and larger in the model predicting sIL6r. Adjustment for cardiovascular morbidity substantially reduced the effect of age on CRP in men but not in women. Findings were confirmed in a subgroup of 51 men and 45 women with low risk profile and no cardiovascular morbidity. Part of the "proinflammatory state" in older persons is related to the high prevalence of cardiovascular risk factor and morbidity.
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