[en] Immunosenescence as complex modifications of immunity with age could be related to the so-called frailty syndrome of elderly leading to an inadequate response to minimal aggression. Functional decline, the loss of ability to perform activities of daily living, is related to the decrease in physiological reserves and frailty and is a frequent outcome of hospitalization in older patients. Links between immunosenescence and frailty were explored and 20 immunological parameters were affected in seniors with functional decline. IGF-1, thymopoeisis and telomere length were part of these markers. A strong relationship between insulin-like growth factor-1 (IGF-1) and thymic ouput was evidenced. IGF-1, mediator of GH, was subsequently shown to induce IL-7 secretion in cultured primary human thymic epithelial cells (TECs). We are also exploring the ‘stress hypothesis’ according which an acute stress is the discriminator revealing a frailty susceptility. GH can counteract the deleterious immunosuppressive effect of stress-induced steroids. Under non-stressing conditions, the immunosenescent system preserves physiological responses, while in stressing conditions, the combination of immunosenescence and a defect in somatotrope axis might lead to functional decline.
Research Center/Unit :
GIGA-I3 - Giga-Infection, Immunity and Inflammation - ULiège
Somatotrope GHRH/GH/IGF-1 axis at the crossroad between immunosenescence and elder frailty
Publication date :
2015
Journal title :
Annals of the New York Academy of Sciences
ISSN :
0077-8923
eISSN :
1749-6632
Publisher :
New York Academy of Sciences, New York, United States - New York
Special issue title :
Neuroimmunomodulation in Health and Disease
Volume :
1351
Pages :
61-67
Peer reviewed :
Peer Reviewed verified by ORBi
Name of the research project :
Caregiver
Funders :
DGTRE - Région wallonne. Direction générale des Technologies, de la Recherche et de l'Énergie F.R.S.-FNRS - Fonds de la Recherche Scientifique Fonds Léon Fredericq
Kovaiou, R.D., D. Herndler-Brandstetter & B. Grubeck-Loebenstein 2007. Age-related changes in immunity: implications for vaccination in the elderly. Expert Rev. Mol. Med. 9: 1-17.
Hakim, F.T. & R.E. Gress 2007. Immunosenescence: deficits in adaptive immunity in the elderly. Tissue Antigens 70: 179-189.
Gruver, A.L., L.L. Hudson & G.D. Sempowski 2007. Immunosenescence of ageing. J. Pathol. 211: 144-156.
Goronzy, J.J. et al. 2001. Value of immunological markers in predicting responsiveness to influenza vaccination in elderly individuals. J. Virol. 75: 12182-12187.
Vacante, M. et al. Centenarians and supercentenarians: a black swan. Emerging social, medical and surgical problems. BMC Surg. 12(Suppl 1): S36.
Castle, S.C., K. Uyemura & T. Makinodan 2001. The SENIEUR Protocol after 16 years: a need for a paradigm shift? Mech. Ageing Dev. 122: 127-130.
Haynes, B.F. et al. 2000. The human thymus during aging. Immunol. Res. 22: 253-261.
Naylor, K. et al. 2005. The influence of age on T cell generation and TCR diversity. J. Immunol. 174: 7446-7452.
Lazuardi, L. et al. 2005. Age-related loss of naive T cells and dysregulation of T-cell/B-cell interactions in human lymph nodes. Immunology 114: 37-43.
Pawelec, G. et al. 2005. Human immunosenescence: is it infectious? Immunol. Rev. 205: 257-268.
Wikby, A. et al. 1998. Changes in CD8 and CD4 lymphocyte subsets, T cell proliferation responses and non-survival in the very old: the Swedish longitudinal OCTO-immune study. Mech. Ageing Dev. 102: 187-198.
Vallejo, A.N. 2005. CD28 extinction in human T cells: altered functions and the program of T-cell senescence. Immunol. Rev. 205: 158-169.
Sandmand, M. et al. 2002. Is ageing associated with a shift in the balance between Type 1 and Type 2 cytokines in humans? Clin. Exp. Immunol. 127: 107-114.
Rink, L., I. Cakman & H. Kirchner 1998. Altered cytokine production in the elderly. Mech. Ageing Dev. 102: 199-209.
Roubenoff, R. et al. 1998. Monocyte cytokine production in an elderly population: effect of age and inflammation. J. Gerontol. A Biol. Sci. Med. Sci. 53: M20-26.
Bruunsgaard, H. & B.K. Pedersen 2003. Age-related inflammatory cytokines and disease. Immunol. Allergy Clin. North Am. 23: 15-39.
Franceschi, C. et al. 2000. Inflamm-aging. An evolutionary perspective on immunosenescence. Ann. N.Y. Acad. Sci. 908: 244-254.
Franceschi, C. & J. Campisi 2014. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J. Gerontol. A Biol. Sci. Med. Sci. 69(Suppl 1): S4-S9.
DeBenedetti, F. et al. 1997. Interleukin 6 causes growth impairment in transgenic mice through a decrease in insulin-like growth factor-I. A model for stunted growth in children with chronic inflammation. J. Clin. Invest. 99: 643-650.
Sukhanov, S. et al. 2007. IGF-1 reduces inflammatory responses, suppresses oxidative stress, and decreases atherosclerosis progression in ApoE-deficient mice. Arterioscler. Thromb. Vasc. Biol. 27: 2684-2690.
Inouye, S.K. et al. 1993. A predictive index for functional decline in hospitalized elderly medical patients. J. Gen. Intern. Med. 8: 645-652.
Sager, M.A. et al. 1996. Functional outcomes of acute medical illness and hospitalization in older persons. Arch. Intern. Med. 156: 645-652.
Carlson, J.E. et al. 1998. Measuring frailty in the hospitalized elderly: concept of functional homeostasis. Am. J. Phys. Med. Rehabil. 77: 252-257.
Sager, M.A. et al. 1996. Hospital admission risk profile (HARP): identifying older patients at risk for functional decline following acute medical illness and hospitalization. J. Am. Geriatr. Soc. 44: 251-257.
Fried, L.P. et al. 2001. Frailty in older adults: evidence for a phenotype. J. Gerontol. A Biol. Sci. Med. Sci. 56: M146-M156.
Cornette, P. et al. 2006. Early evaluation of the risk of functional decline following hospitalization of older patients: development of a predictive tool. Eur. J. Public Health 16: 203-208.
deSaint-Hubert, M. et al. 2010. Comparison of three tools predicting functional decline after hospitalization of older patients. J. Am. Geriatr. Soc. 58: 1003-1005.
Wu, A.W. et al. 2000. Predicting functional status outcomes in hospitalized patients aged 80 years and older. J. Am. Geriatr. Soc. 48: S6-S15.
Walston, J. et al. 2006. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J. Am. Geriatr. Soc. 54: 991-1001.
Vo, T.K. et al. 2010. Transcriptomic biomarkers of the response of hospitalized geriatric patients with infectious diseases. Immun. Ageing 7: 9.
Vo, T.K. et al. 2010. Differentially abundant transcripts in PBMC of hospitalized geriatric patients with hip fracture compared to healthy aged controls. Exp. Gerontol. 46: 257-264.
Vo, T.K. et al. 2009. Transcriptomic biomarkers of human ageing in peripheral blood mononuclear cell total RNA. Exp. Gerontol. 45: 188-194.
Vo, T.K. et al. 2011. Transcriptomic biomarkers of the response of hospitalized geriatric patients admitted with heart failure. Comparison to hospitalized geriatric patients with infectious diseases or hip fracture. Mech. Ageing Dev. 132: 131-139.
de Saint-Hubert, M. et al. 2010. Serum IL-6 and IGF-1 improve clinical prediction of functional decline after hospitalization in older patients. Aging Clin. Exp. Res. 23: 106-111.
Katz, S. et al. 1963. Studies of illness in the aged. The index of Adl: a standardized measure of biological and psychosocial function. JAMA 185: 914-919.
Douek, D.C. et al. 1998. Changes in thymic function with age and during the treatment of HIV infection. Nature 396: 690-695.
Morrhaye, G. et al. 2009. Impact of growth hormone (GH) deficiency and GH replacement upon thymus function in adult patients. PLoS One 4: e5668.
Geenen, V. et al. 2003. Quantification of T cell receptor rearrangement excision circles to estimate thymic function: an important new tool for endocrine-immune physiology. J. Endocrinol. 176: 305-311.
Dion, M.L., R.P. Sekaly & R. Cheynier 2007. Estimating thymic function through quantification of T-cell receptor excision circles. Methods Mol. Biol. 380: 197-213.
Lord, J.M., A.N. Akbar & D. Kipling 2002. Telomere-based therapy for immunosenescence. Trends Immunol. 23: 175-176.
Hodes, R.J., K.S. Hathcock & N.P. Weng 2002. Telomeres in T and B cells. Nat. Rev. Immunol. 2: 699-706.
Woo, J. et al. 2008. Telomeres and frailty. Mech. Ageing Dev. 129: 642-648.
Valdes, A.M. et al. 2008. Leukocyte telomere length is associated with cognitive performance in healthy women. Neurobiol. Aging 31: 986-992.
Benetos, A. et al. 2004. Short telomeres are associated with increased carotid atherosclerosis in hypertensive subjects. Hypertension 43: 182-185.
Damjanovic, A.K. et al. 2007. Accelerated telomere erosion is associated with a declining immune function of caregivers of Alzheimer's disease patients. J. Immunol. 179: 4249-4254.
Stewart, C.E. & P. Rotwein 1996. Growth, differentiation, and survival: multiple physiological functions for insulin-like growth factors. Physiol. Rev. 76: 1005-1026.
Goffinet, L. et al. 2011. Impact of the somatotrope growth hormone (GH)/insuline-like growth factor 1 axis upon thymus function: pharmacological implications in regeneration of immune functions. Immun. Endocr. Metab. Agents Med. Chem. 11: 10-20.
Goya, R.G. et al. 1992. In vivo effects of growth hormone on thymus function in aging mice. Brain Behav. Immun. 6: 341-354.
Smith, P. 1930. Effects of hypophysectomy upon involution of the thymus in the rat. Anat. Rec. 47: 119-129.
Pierpaoli, W. & E. Sorkin 1968. Hormones and immunologic capacity. I. Effect of heterologous anti-growth hormone (ASTH) antiserum on thymus and peripheral lymphatic tissue in mice. Induction of a wasting syndrome. J. Immunol. 101: 1036-1043.
Kelley, K.W. et al. 1986. GH3 pituitary adenoma cells can reverse thymic aging in rats. Proc. Natl. Acad. Sci. USA 83: 5663-5667.
Murphy, W.J., S.K. Durum & D.L. Longo 1993. Differential effects of growth hormone and prolactin on murine T cell development and function. J. Exp. Med. 178: 231-236.
Savino, W. et al. 2002. The thymus gland: a target organ for growth hormone. Scand. J. Immunol. 55: 442-452.
Savino, W. & M. Dardenne 2000. Neuroendocrine control of thymus physiology. Endocr. Rev. 21: 412-443.
Montecino-Rodriguez, E., R. Clark & K. Dorshkind 1998. Effects of insulin-like growth factor administration and bone marrow transplantation on thymopoiesis in aged mice. Endocrinology 139: 4120-4126.
Clark, R. 1997. The somatogenic hormones and insulin-like growth factor-1: stimulators of lymphopoiesis and immune function. Endocr. Rev. 18: 157-179.
Dixit, V.D. et al. 2007. Ghrelin promotes thymopoiesis during aging. J. Clin. Invest. 117: 2778-2790.
Napolitano, L.A. et al. 2002. Increased thymic mass and circulating naive CD4 T cells in HIV-1-infected adults treated with growth hormone. AIDS 16: 1103-1111.
Napolitano, L.A. et al. 2008. Growth hormone enhances thymic function in HIV-1-infected adults. J. Clin. Invest. 118: 1085-1098.
Goffinet, L. et al. 2011. IGF-1 promotes interleukin 7 (IL-7) synthesis and secretion by primary cultures of human thymic epithelial cells. Scand. J. Immunol. 73: 351.
Kermani, H. et al. 2012. Expression of the growth hormone/insulin-like growth factor axis during Balb/c thymus ontogeny and effects of growth hormone upon ex vivo T cell differentiation. Neuroimmunomodulation 19: 137-147.
Dorshkind, K. & N.D. Horseman 2001. Anterior pituitary hormones, stress, and immune system homeostasis. Bioessays 23: 288-294.
Dorshkind, K. et al. 2003. Effects of housing on the thymic deficiency in dwarf mice and its reversal by growth hormone administration. Clin. Immunol. 109: 197-202.
Alba, M. & R. Salvatori 2004. A mouse with targeted ablation of the growth hormone-releasing hormone gene: a new model of isolated growth hormone deficiency. Endocrinology 145: 4134-4143.
Bodart, G. et al. 2014. Thymic and immunological phenotype of growth hormone releasing hormone (GHRH)-deficient mice in basal conditions. Presented at 9th Congress of the International Society for NeuroImmunoModulation, Liege, Belgium.
Alba, M., D. Fintini & R. Salvatori 2005. Effects of recombinant mouse growth hormone treatment on growth and body composition in GHRH knock out mice. Growth Horm. IGF Res. 15: 275-282.
Shohreh, R. et al. 2011. GH, but not GHRH, plays a role in the development of experimental autoimmune encephalomyelitis. Endocrinology 152: 3803-3810.