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Review
. 2015 Jun 3:9:172.
doi: 10.3389/fnins.2015.00172. eCollection 2015.

Immune aging, dysmetabolism, and inflammation in neurological diseases

Affiliations
Review

Immune aging, dysmetabolism, and inflammation in neurological diseases

Michela Deleidi et al. Front Neurosci. .

Abstract

As we age, the immune system undergoes a process of senescence accompanied by the increased production of proinflammatory cytokines, a chronic subclinical condition named as "inflammaging". Emerging evidence from human and experimental models suggest that immune senescence also affects the central nervous system and promotes neuronal dysfunction, especially within susceptible neuronal populations. In this review we discuss the potential role of immune aging, inflammation and metabolic derangement in neurological diseases. The discovery of novel therapeutic strategies targeting age-linked inflammation may promote healthy brain aging and the treatment of neurodegenerative as well as neuropsychiatric disorders.

Keywords: aging; brain-immune interactions; immunosenescence; inflammation; metabolism; neurodegenerative diseases; neuropsychiatric diseases.

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Figures

Figure 1
Figure 1
Immune aging, dysmetabolism, and inflammation in neurological diseases . The aging of the immune system is accompanied by a progressive senescence of immune cells (immunosenescence) and a chronic proinflammatory environment characterized by increased levels of cytokines and adipokines (inflammaging). These immune molecules modulate neuronal function and prime microglial cells and vulnerable neuronal populations. With aging, microglial cells also become senescent, lose their neuroprotective function and become more prone to abnormal inflammatory activation. Amyloid deposition and pathogenetic forms of α-synuclein activate microglia with the subsequent release of proinflammatory mediators. Aged dysfunctional mitochondria play a fundamental role in immunosenescence and age-related inflammation by the production of ROS and DAMPs that activate the NLRP3 inflammasome and immune cells triggering inflammatory reactions. In turn, inflammatory mediators aggravate mitochondrial dysfunction. High immune risk profile, infections and metabolic syndrome promote abnormal inflammatory reactions that contribute to disease onset and progression.

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