Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes

As highlighted by the COVID-19 global pandemic, elderly individuals comprise the majority of cases of severe viral infection outcomes and death. A combined inability to control viral replication and exacerbated inflammatory immune activation in elderly patients causes irreparable immune-mediated tis...

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Main Authors: Emily Feng, Elizabeth Balint, Sophie M. Poznanski, Ali A. Ashkar, Mark Loeb
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/3/708
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author Emily Feng
Elizabeth Balint
Sophie M. Poznanski
Ali A. Ashkar
Mark Loeb
author_facet Emily Feng
Elizabeth Balint
Sophie M. Poznanski
Ali A. Ashkar
Mark Loeb
author_sort Emily Feng
collection DOAJ
description As highlighted by the COVID-19 global pandemic, elderly individuals comprise the majority of cases of severe viral infection outcomes and death. A combined inability to control viral replication and exacerbated inflammatory immune activation in elderly patients causes irreparable immune-mediated tissue pathology in response to infection. Key to these responses are type I, II, and III interferons (IFNs), which are involved in inducing an antiviral response, as well as controlling and suppressing inflammation and immunopathology. IFNs support monocyte/macrophage-stimulated immune responses that clear infection and promote their immunosuppressive functions that prevent excess inflammation and immune-mediated pathology. The timing and magnitude of IFN responses to infection are critical towards their immunoregulatory functions and ability to prevent immunopathology. Aging is associated with multiple defects in the ability of macrophages and dendritic cells to produce IFNs in response to viral infection, leading to a dysregulation of inflammatory immune responses. Understanding the implications of aging on IFN-regulated inflammation will give critical insights on how to treat and prevent severe infection in vulnerable individuals. In this review, we describe the causes of impaired IFN production in aging, and the evidence to suggest that these impairments impact the regulation of the innate and adaptive immune response to infection, thereby causing disease pathology.
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spelling doaj.art-c4ad4557cb8d47fa8cae2850865f71642023-11-21T11:37:43ZengMDPI AGCells2073-44092021-03-0110370810.3390/cells10030708Aging and Interferons: Impacts on Inflammation and Viral Disease OutcomesEmily Feng0Elizabeth Balint1Sophie M. Poznanski2Ali A. Ashkar3Mark Loeb4Department of Medicine, McMaster University, Hamilton, ON L8S 4L8, CanadaDepartment of Medicine, McMaster University, Hamilton, ON L8S 4L8, CanadaDepartment of Medicine, McMaster University, Hamilton, ON L8S 4L8, CanadaDepartment of Medicine, McMaster University, Hamilton, ON L8S 4L8, CanadaDepartment of Medicine, McMaster University, Hamilton, ON L8S 4L8, CanadaAs highlighted by the COVID-19 global pandemic, elderly individuals comprise the majority of cases of severe viral infection outcomes and death. A combined inability to control viral replication and exacerbated inflammatory immune activation in elderly patients causes irreparable immune-mediated tissue pathology in response to infection. Key to these responses are type I, II, and III interferons (IFNs), which are involved in inducing an antiviral response, as well as controlling and suppressing inflammation and immunopathology. IFNs support monocyte/macrophage-stimulated immune responses that clear infection and promote their immunosuppressive functions that prevent excess inflammation and immune-mediated pathology. The timing and magnitude of IFN responses to infection are critical towards their immunoregulatory functions and ability to prevent immunopathology. Aging is associated with multiple defects in the ability of macrophages and dendritic cells to produce IFNs in response to viral infection, leading to a dysregulation of inflammatory immune responses. Understanding the implications of aging on IFN-regulated inflammation will give critical insights on how to treat and prevent severe infection in vulnerable individuals. In this review, we describe the causes of impaired IFN production in aging, and the evidence to suggest that these impairments impact the regulation of the innate and adaptive immune response to infection, thereby causing disease pathology.https://www.mdpi.com/2073-4409/10/3/708type I IFNtype II IFNtype III IFNaginginflammationimmunopathology
spellingShingle Emily Feng
Elizabeth Balint
Sophie M. Poznanski
Ali A. Ashkar
Mark Loeb
Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes
Cells
type I IFN
type II IFN
type III IFN
aging
inflammation
immunopathology
title Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes
title_full Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes
title_fullStr Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes
title_full_unstemmed Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes
title_short Aging and Interferons: Impacts on Inflammation and Viral Disease Outcomes
title_sort aging and interferons impacts on inflammation and viral disease outcomes
topic type I IFN
type II IFN
type III IFN
aging
inflammation
immunopathology
url https://www.mdpi.com/2073-4409/10/3/708
work_keys_str_mv AT emilyfeng agingandinterferonsimpactsoninflammationandviraldiseaseoutcomes
AT elizabethbalint agingandinterferonsimpactsoninflammationandviraldiseaseoutcomes
AT sophiempoznanski agingandinterferonsimpactsoninflammationandviraldiseaseoutcomes
AT aliaashkar agingandinterferonsimpactsoninflammationandviraldiseaseoutcomes
AT markloeb agingandinterferonsimpactsoninflammationandviraldiseaseoutcomes