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Age-associated Changes in the Respiratory Epithelial Response to Influenza Infection

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  • Age-associated Changes in the Respiratory Epithelial Response to Influenza Infection

    J Gerontol A Biol Sci Med Sci. 2018 Jun 7. doi: 10.1093/gerona/gly126. [Epub ahead of print]
    Age-associated Changes in the Respiratory Epithelial Response to Influenza Infection.

    Chason KD1, Jaspers I2,3, Parker J4, Sellers S1, Brighton LE2, Hunsucker SA4, Armistead PM4, Fischer WA 2nd1,3.
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    Abstract

    Older adults suffer a disproportionate burden of influenza-related morbidity and mortality typically attributed to defects in the aging immune system collectively known as immunosenescence. While the age-related decline in the adaptive immune system has been well characterized, little is known about how aging affects the principal site of influenza infection - the nasal epithelium. In human nasal epithelial cell cultures (hNECs) from older adults, we found similar or increased levels of cytokines during influenza infection compared with hNECs from younger individuals. However, hNECs from older individuals demonstrated decreased mRNA expression for several key proteins that affect clearance of infected cells, including MHC-I and TAP. These findings were confirmed at the level of protein expression. In vivo studies corroborated the in vitro differences in MHC-I and TAP gene expression and also revealed important decreases in the expression of key influenza-specific antiviral mediators MX1 and IFITM1. Furthermore, epithelial cell-cytotoxic T lymphocyte co-cultures demonstrate that CTL cytotoxic activity is dose-dependent on MHC-I antigen presentation. Taken together, these results indicate that aging is associated with important changes in the nasal epithelium, including antigen presentation and antiviral pathways, which may contribute to increased severity of disease in older adults through impaired clearance of infected cells.


    PMID: 29878083 DOI: 10.1093/gerona/gly126
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