Impaired production of proinflammatory cytokines in response to lipopolysaccharide (LPS) stimulation in elderly humans

Ageing is associated with decreased resistance to bacterial infections and concomitant increased circulating levels of inflammatory cytokines. The purpose of the present study was to research age‐related changes in levels of early mediators of the acute‐phase response in whole blood supernatants fol...

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Veröffentlicht in:Clinical and experimental immunology 1999-11, Vol.118 (2), p.235-241
Hauptverfasser: BRUUNSGAARD, H, PEDERSEN, A. N, SCHROLL, M, SKINHØJ, P, PEDERSEN, B. K
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container_start_page 235
container_title Clinical and experimental immunology
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creator BRUUNSGAARD, H
PEDERSEN, A. N
SCHROLL, M
SKINHØJ, P
PEDERSEN, B. K
description Ageing is associated with decreased resistance to bacterial infections and concomitant increased circulating levels of inflammatory cytokines. The purpose of the present study was to research age‐related changes in levels of early mediators of the acute‐phase response in whole blood supernatants following LPS stimulation, representing an ex vivo model of sepsis. Levels of tumour necrosis factor‐alpha (TNF‐α), IL‐1β and IL‐6 in whole blood supernatants were measured after in vitro LPS stimulation for 24 h in 168 elderly humans aged 81 years from the 1914 cohort in Glostrup, Denmark and in 91 young controls aged 19–31 years. Levels of TNF‐α and IL‐1β were significantly lower in elderly humans compared with young controls, whereas no difference was detected with regard to IL‐6. Elderly humans with low body mass index had the lowest levels of IL‐1β. Young women had lower levels of proinflammatory cytokines compared with young men, but this difference was blurred by ageing. No relation was found between circulating plasma levels of TNF‐α and levels after in vitro LPS stimulation. In conclusion, decreased production of TNF‐α and IL‐1β after exposure to LPS may reflect impaired host defence against infections in the elderly and be of importance in elderly humans with underlying health disorders. However, the clinical relevance is questionable in healthy elderly people because decreased levels were found compared with young men but not compared with young women.
doi_str_mv 10.1046/j.1365-2249.1999.01045.x
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N</au><au>SCHROLL, M</au><au>SKINHØJ, P</au><au>PEDERSEN, B. K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impaired production of proinflammatory cytokines in response to lipopolysaccharide (LPS) stimulation in elderly humans</atitle><jtitle>Clinical and experimental immunology</jtitle><addtitle>Clin Exp Immunol</addtitle><date>1999-11</date><risdate>1999</risdate><volume>118</volume><issue>2</issue><spage>235</spage><epage>241</epage><pages>235-241</pages><issn>0009-9104</issn><eissn>1365-2249</eissn><coden>CEXIAL</coden><abstract>Ageing is associated with decreased resistance to bacterial infections and concomitant increased circulating levels of inflammatory cytokines. The purpose of the present study was to research age‐related changes in levels of early mediators of the acute‐phase response in whole blood supernatants following LPS stimulation, representing an ex vivo model of sepsis. 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subjects Adolescent
Adult
Aged
Aged, 80 and over
ageing
Arteriosclerosis - immunology
Arteriosclerosis - pathology
Biological and medical sciences
Body Mass Index
Cytokines - biosynthesis
Denmark
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
General aspects. Ontogeny. Phylogeny
Humans
IL‐1β
IL‐6
Immunobiology
Inflammation - immunology
interleukin 1^b
Interleukin-1 - biosynthesis
Interleukin-1 - blood
Interleukin-6 - biosynthesis
Interleukin-6 - blood
Interleukin-6 - immunology
lipopolysaccharide
lipopolysaccharides
Lipopolysaccharides - immunology
Lymphocyte Activation - immunology
Lymphocyte Subsets - immunology
Male
Original
tumor necrosis factor-^a
Tumor Necrosis Factor-alpha - biosynthesis
Tumor Necrosis Factor-alpha - metabolism
tumour necrosis factor‐alpha
title Impaired production of proinflammatory cytokines in response to lipopolysaccharide (LPS) stimulation in elderly humans
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