Immunosenescence is the complex, gradual deterioration of the immune system’s function that occurs with advancing age, characterized by a decline in both innate and adaptive immunity. This age-related change leads to a decreased ability to mount an effective response to new infections and vaccines, alongside an increase in chronic low-grade inflammation, often termed “inflammaging.” In the hormonal context, immunosenescence is intrinsically linked to the decline of key hormones, such as DHEA and growth hormone, which normally exert protective, anti-inflammatory effects. This decline compromises overall physiological resilience and is a significant contributor to age-related morbidity and mortality.
Origin
The term is a compound of “immuno,” referring to the immune system, and “senescence,” the biological process of aging or deterioration. The concept was formally established in the field of gerontology and immunology as researchers observed the predictable, adverse changes in immune cell populations and function in older individuals. This system belongs to the intersection of immunology, endocrinology, and the biology of aging.
Mechanism
The mechanism involves multiple cellular and molecular changes, including the involution of the thymus, which reduces the production of new T cells, leading to a restricted T-cell repertoire. There is also an accumulation of senescent, poorly functioning immune cells and a shift toward a pro-inflammatory cytokine profile, often involving elevated TNF-alpha and IL-6. This chronic inflammatory state, exacerbated by hormonal decline, contributes to tissue damage and metabolic dysfunction, impairing the body’s ability to maintain homeostasis and increasing susceptibility to chronic diseases.
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