Chronic Infection and Cardiac Aging: a New Perspective on Pathogen-Associated Cardiomyopathy

Noah Walsh1,2, Sophia DeCesare1, Kavisha Patel3

  • 1Department of Biological Sciences, Binghamton University, Binghamton, NY, USA.

Insights

Chronic infections accelerate cardiovascular aging and disease by promoting inflammation and cellular damage. Targeting infections is key to enhancing heart health and longevity in older adults.

Area of Science:

  • Cardiovascular Science
  • Gerontology
  • Immunology

Background:

  • Cardiovascular diseases (CVDs) are a leading cause of death globally, with aging as a primary risk factor.
  • Chronic infections are increasingly recognized as contributors to accelerated aging and cardiac dysfunction.
  • Inflammaging, a chronic inflammatory state, is exacerbated by persistent infections, mimicking natural senescence.

Purpose of the Study:

  • To investigate the role of chronic infections in premature cardiovascular aging.
  • To elucidate the mechanisms by which infections induce cardiac senescence and dysfunction.
  • To highlight anti-infective strategies for cardiovascular longevity.

Main Methods:

  • Review of emerging evidence on infection-induced aging phenotypes in the heart.
  • Analysis of molecular pathways including mTOR signaling, autophagy, and oxidative stress.
  • Examination of structural cardiac changes associated with chronic infection and immune dysregulation.

Main Results:

  • Chronic infections induce inflammaging, characterized by cytokine signaling and leukocyte infiltration.
  • Infections trigger cardiomyocyte senescence via mTOR dysregulation and impaired autophagy.
  • Mitochondrial dysfunction, ROS overproduction, and DNA damage contribute to myocardial exhaustion.
  • Immune subversion accelerates cardiac remodeling, hypertrophy, and fibrosis.

Conclusions:

  • Chronic infection is a modifiable driver of biological aging and cardiovascular disease.
  • Anti-infective strategies are crucial for promoting cardiovascular longevity.
  • Integrating anti-infective approaches into geriatric care is essential for heart health.

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