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As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
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Intravenous Endotoxin Challenge in Healthy Humans: An Experimental Platform to Investigate and Modulate Systemic Inflammation
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Changes in endotoxin sensitivity in ageing. Absorption, elimination and mortality.

M A Horan1, A Brouwer, R J Barelds

  • 1Institute for Experimental Gerontology, TNO, Rijswijk, The Netherlands.

Mechanisms of Ageing and Development
|February 1, 1991
PubMed
Summary

Aging significantly increases sensitivity to endotoxin toxicity in rats, leading to higher mortality rates and hypothermia. Aged rats showed slower endotoxin removal but this did not fully explain their increased vulnerability.

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Area of Science:

  • Gerontology
  • Toxicology
  • Immunology

Background:

  • Endotoxin exposure can lead to severe physiological responses.
  • The impact of aging on endotoxin sensitivity is not fully understood.

Purpose of the Study:

  • To investigate the influence of aging on the toxic effects of intravenously injected endotoxin in rats.

Main Methods:

  • Two rat strains were used, comparing young and aged animals.
  • 51Cr-labelled endotoxin was administered intravenously.
  • Mortality, body temperature, and post-mortem findings were assessed.

Main Results:

  • Aging did not affect endotoxin absorption from the jejunum or colon.
  • Aged rats exhibited significantly higher mortality (nearly 100%) compared to young rats.
  • Dying aged animals developed profound hypothermia, liver (leukocyte infiltrates, hepatocellular necrosis), and kidney (acute tubular necrosis) damage.
  • Slower endotoxin clearance was observed in aged animals, but not sufficient to explain the enhanced toxicity.

Conclusions:

  • Aging enhances sensitivity to the lethal effects of endotoxin.
  • Hypothermia and specific organ damage are key features of endotoxin toxicity in aged rats.
  • While altered clearance plays a role, other age-related factors likely contribute to increased endotoxin vulnerability.