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Published on: June 23, 2014
Immunity, Vascular Aging and Stroke
Anna-Maria Louka1, Dimitrios Sagris1, George Ntaios1
1Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Insights
Aging and chronic inflammation accelerate vascular aging and atherosclerosis, increasing stroke risk. This review explores how immune responses, oxidative stress, and aging mechanisms contribute to cerebrovascular damage and cognitive decline.
Area of Science:
- Cardiovascular Science
- Immunology
- Neuroscience
Background:
- Stroke is a major cardiovascular disease complication.
- Aging, hypertension, and atherosclerosis are key stroke risk factors, impacting cerebrovascular structure and function.
- Immune system activation influences atherosclerosis, vascular aging, and various stroke types.
Purpose of the Study:
- To review the pathophysiological roles of aging mechanisms in the immune system.
- To discuss the interplay between aging, immunity, and cerebrovascular dysfunction.
- To explore links between inflammation, oxidative stress, and stroke-related conditions.
Main Methods:
- Literature review of in vitro and clinical studies.
- Analysis of cellular and molecular mechanisms of aging.
- Examination of immune system involvement in vascular pathologies.
Main Results:
- Aging is associated with chronic inflammation involving immune cells like macrophages and lymphocytes.
- Oxidative stress and vascular inflammation correlate with endothelial dysfunction and blood-brain barrier disruption.
- These factors contribute to vascular stiffness, atherosclerosis, and neurodegenerative disorders.
Conclusions:
- The immune system plays a critical role in aging-related vascular dysfunction and stroke.
- Understanding these mechanisms is crucial for developing strategies against stroke and cognitive decline.
- Interplay between aging, immunity, and vascular health impacts cerebrovascular integrity.
Abstract:
Stroke is one of the most devastating manifestations of cardiovascular disease. Growing age, arterial hypertension, and atherosclerosis are identified as independent risk factors for stroke, primarily due to structural and functional alterations in the cerebrovascular tree. Recent data from in vitro and clinical studies have suggested that the immune system influences atherosclerosis, promoting vascular stiffness and vascular aging and contributing to ischemic stroke, intracranial haemorrhage and microbleeds, white matter disease, and cognitive decline. Furthermore, aging is related to a chronic low-grade inflammatory state, in which macrophage, neutrophils, natural killer (NK cells), and B and T lymphocytes act as major effectors of the immune-mediated cell responses. Moreover, oxidative stress and vascular inflammation are correlated with endothelial dysfunction, vascular aging, blood-brain barrier disruption, lacunar lesions, and neurodegenerative disorders. This review discusses the pathophysiological roles of fundamental cellular and molecular mechanisms of aging, including the complex interplay between them and innate immunity, as well as vascular dysfunction, arterial stiffness, atherosclerosis, atherothrombosis, systemic inflammation, and blood-brain barrier dysfunction.
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