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Role of Aging and the Immune Response to Respiratory Viral Infections: Potential Implications for COVID-19.
J Immunol. 2020 Jul 15; 205(2):313-320.JI

Abstract

Aging impairs immunity to promote diseases, especially respiratory viral infections. The current COVID-19 pandemic, resulting from SARS-CoV-2, induces acute pneumonia, a phenotype that is alarmingly increased with aging. In this article, we review findings of how aging alters immunity to respiratory viral infections to identify age-impacted pathways common to several viral pathogens, permitting us to speculate about potential mechanisms of age-enhanced mortality to COVID-19. Aging generally leads to exaggerated innate immunity, particularly in the form of elevated neutrophil accumulation across murine and large animal studies of influenza infection. COVID-19 patients who succumb exhibit a 2-fold increase in neutrophilia, suggesting that exaggerated innate immunity contributes to age-enhanced mortality to SARS-CoV-2 infection. Further investigation in relevant experimental models will elucidate the mechanisms by which aging impacts respiratory viral infections, including SARS-CoV-2. Such investigation could identify therapies to reduce the suffering of the population at large, but especially among older people, infected with respiratory viruses.

Authors+Show Affiliations

Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109. Program in Immunology, University of Michigan, Ann Arbor, MI 48109; and.Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109.Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109; drgoldst@umich.edu. Program in Immunology, University of Michigan, Ann Arbor, MI 48109; and. Department of Microbiology and Immunology, University of Michigan, Ann Arbor, MI 48109.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

32493812

Citation

Chen, Judy, et al. "Role of Aging and the Immune Response to Respiratory Viral Infections: Potential Implications for COVID-19." Journal of Immunology (Baltimore, Md. : 1950), vol. 205, no. 2, 2020, pp. 313-320.
Chen J, Kelley WJ, Goldstein DR. Role of Aging and the Immune Response to Respiratory Viral Infections: Potential Implications for COVID-19. J Immunol. 2020;205(2):313-320.
Chen, J., Kelley, W. J., & Goldstein, D. R. (2020). Role of Aging and the Immune Response to Respiratory Viral Infections: Potential Implications for COVID-19. Journal of Immunology (Baltimore, Md. : 1950), 205(2), 313-320. https://doi.org/10.4049/jimmunol.2000380
Chen J, Kelley WJ, Goldstein DR. Role of Aging and the Immune Response to Respiratory Viral Infections: Potential Implications for COVID-19. J Immunol. 2020 Jul 15;205(2):313-320. PubMed PMID: 32493812.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of Aging and the Immune Response to Respiratory Viral Infections: Potential Implications for COVID-19. AU - Chen,Judy, AU - Kelley,William J, AU - Goldstein,Daniel R, Y1 - 2020/06/03/ PY - 2020/4/6/received PY - 2020/5/15/accepted PY - 2020/6/5/pubmed PY - 2020/7/15/medline PY - 2020/6/5/entrez SP - 313 EP - 320 JF - Journal of immunology (Baltimore, Md. : 1950) JO - J Immunol VL - 205 IS - 2 N2 - Aging impairs immunity to promote diseases, especially respiratory viral infections. The current COVID-19 pandemic, resulting from SARS-CoV-2, induces acute pneumonia, a phenotype that is alarmingly increased with aging. In this article, we review findings of how aging alters immunity to respiratory viral infections to identify age-impacted pathways common to several viral pathogens, permitting us to speculate about potential mechanisms of age-enhanced mortality to COVID-19. Aging generally leads to exaggerated innate immunity, particularly in the form of elevated neutrophil accumulation across murine and large animal studies of influenza infection. COVID-19 patients who succumb exhibit a 2-fold increase in neutrophilia, suggesting that exaggerated innate immunity contributes to age-enhanced mortality to SARS-CoV-2 infection. Further investigation in relevant experimental models will elucidate the mechanisms by which aging impacts respiratory viral infections, including SARS-CoV-2. Such investigation could identify therapies to reduce the suffering of the population at large, but especially among older people, infected with respiratory viruses. SN - 1550-6606 UR - https://www.unboundmedicine.com/medline/citation/32493812/Role_of_Aging_and_the_Immune_Response_to_Respiratory_Viral_Infections:_Potential_Implications_for_COVID_19_ DB - PRIME DP - Unbound Medicine ER -