Geroprotective and senoremediative strategies to reduce the comorbidity, infection rates, severity, and lethality in gerophilic and gerolavic infections
Open Access
- 31 March 2020
- journal article
- research article
- Published by Impact Journals, LLC in Aging
- Vol. 12 (8), 6492-6510
- https://doi.org/10.18632/aging.102988
Abstract
The recently identified SARS-CoV-2 betacoronavirus responsible for the COVID-19 pandemic has uncovered the age-associated vulnerability in the burden of disease and put aging research in the spotlight. The limited data available indicates that COVID-19 should be referred to as a gerolavic (from Greek, Oros "old man" and epilavis, "harmful") infection because the infection rates, severity, and lethality are substantially higher in the population aged 60 and older. This is primarily due to comorbidity but may be partially due to immunosenescence, decreased immune function in the elderly, and general loss of function, fitness, and increased frailty associated with aging. Immunosenescence is a major factor affecting vaccination response, as well as the severity and lethality of infectious diseases. While vaccination reduces infection rates, and therapeutic interventions reduce the severity and lethality of infections, these interventions have limitations. Previous studies showed that postulated geroprotectors, such as sirolimus (rapamycin) and its close derivative rapalog everolimus (RAD001), decreased infection rates in a small sample of elderly patients. This article presents a review of the limited literature available on geroprotective and senoremediative interventions that may be investigated to decrease the disease burden of gerolavic infections. This article also highlights a need for rigorous clinical validation of deep aging clocks as surrogate markers of biological age. These could be used to assess the need for, and efficacy of, geroprotective and senoremediative interventions and provide better protection for elderly populations from gerolavic infections. This article does not represent medical advice and the medications described are not yet licensed or recommended as immune system boosters, as they have not undergone clinical evaluation for this purpose.Keywords
This publication has 106 references indexed in Scilit:
- The Hallmarks of AgingCell, 2013
- TOR Signaling and Rapamycin Influence Longevity by Regulating SKN-1/Nrf and DAF-16/FoxOCell Metabolism, 2012
- Regulatory T cells and Foxp3Immunological Reviews, 2011
- Paradoxical Aspects of Rapamycin Immunobiology in TransplantationAmerican Journal of Transplantation, 2011
- Sirtuin-1 Targeting Promotes Foxp3+ T-Regulatory Cell Function and Prolongs Allograft SurvivalMolecular and Cellular Biology, 2011
- Sirolimus Enhances the Magnitude and Quality of Viral-Specific CD8+ T-Cell Responses to Vaccinia Virus Vaccination in Rhesus MacaquesAmerican Journal of Transplantation, 2011
- Inhibition of HDAC9 Increases T Regulatory Cell Function and Prevents Colitis in MiceGastroenterology, 2010
- Rapamycin fed late in life extends lifespan in genetically heterogeneous miceNature, 2009
- SARS coronavirus and innate immunityVirus Research, 2008
- Immunosenescence of ageingThe Journal of Pathology, 2007