Understanding Inflamm-aging: Age and Inflammation | Purovitalis

Understanding inflamm-aging: Age and Inflammation

man inflamnation in knee on the running track

Age and inflammation are deeply intertwined, with processes like inflamm-aging playing a key role in how our bodies change over time. In this article, we’ll explore what this means for your health and share how understanding this connection can help you manage inflammation and support healthy aging.

The Dual Role of Inflammation: Healing and Harm

Inflammation is a complex biological response that plays a crucial role in the body’s defense mechanism[1,2]. It is often described as a double-edged sword due to its ability to both heal and harm. Understanding the dual nature of inflammation is essential for appreciating its role in health and disease.

How Inflammation Supports the Healing Process

Inflammation is a natural and essential part of the body’s healing process. When an injury or infection occurs, the body responds with acute inflammation, characterized by redness, warmth, swelling, and pain[3]. This response is crucial for fighting infections and initiating the healing process. Acute inflammation helps to isolate the affected area, preventing the spread of harmful agents, and facilitates the repair of damaged tissues[4]. The immune system’s response to injury involves a series of complex interactions that promote tissue repair and recovery. This process is vital for survival, as it protects the body from bacteria, viruses, and toxins[5]. Once the healing is complete, the body typically turns off the inflammatory response, allowing tissues to return to their normal state[6].

The Negative Impact of Chronic Inflammation

While acute inflammation is beneficial, chronic inflammation can be detrimental[7]. Chronic inflammation is a persistent, low-grade inflammatory response that can last for months or even years[8]. Unlike acute inflammation, which resolves after healing, chronic inflammation does not switch off and can lead to tissue damage[9]. This prolonged inflammatory state is associated with a wide range of diseases, including cardiovascular disease, diabetes, cancer, and autoimmune disorders[10]. Chronic inflammation can silently progress, causing symptoms such as fatigue, joint pain, and mental health issues[11]. It is often linked to lifestyle factors such as poor diet, physical inactivity, and stress, which can exacerbate the inflammatory response[12]. Managing chronic inflammation involves lifestyle changes, including a healthy diet, regular exercise, and stress management[13].

Resolvable vs. Unresolvable Regeneration

The transition from acute to chronic inflammation can be influenced by the body’s ability to resolve inflammation[14]. Resolvable regeneration occurs when the body successfully repairs tissue damage and turns off the inflammatory response[15]. However, when the body fails to resolve inflammation, it can lead to unresolvable regeneration, contributing to chronic inflammation[16]. Unresolvable regeneration may occur due to persistent infections, environmental stressors, or an overactive immune response that mistakenly targets healthy tissues[17]. This can result in a continuous cycle of inflammation and tissue damage, increasing the risk of chronic diseases[18].

Does Inflammation (inflamm-aging) Cause Aging?

Research shows that chronic inflammation plays a major role in speeding up the aging process[23]. This ongoing, low-level inflammation, known as “inflamm-aging,” contributes significantly to aging and increases the risk of age-related diseases[24]. Inflamm-aging refers to a state of persistent, systemic inflammation that occurs as we age, even in the absence of an infection or obvious injury.

This process is driven by various factors, such as cellular damage, immune system dysregulation, and the accumulation of harmful molecules in the body. Inflamm-aging not only accelerates biological aging but also creates a vicious cycle where aging cells release more inflammatory signals, further fueling the process[25]. Understanding and addressing inflamm-aging is crucial because it plays a key role in the development of conditions like heart disease, diabetes, and neurodegenerative disorders.

Does Inflammation Increase with Age?

Research consistently shows that inflammation and aging are closely connected, with inflammation naturally increasing as we get older[26]. This rise in inflammation, a hallmark of both inflammation and aging, happens even when there’s no infection or injury[27]. It is marked by:

  • Higher levels of inflammation-promoting proteins (pro-inflammatory cytokines)
  • Changes in how immune cells work
  • Ongoing activation of the body’s basic immune defenses (the innate immune system)[28]

How Does Inflammation Speed Up Aging?

Chronic inflammation accelerates the aging process through multiple mechanisms, highlighting the complex relationship between age and inflammation[29]:

  • DNA damage and cellular senescence
  • Mitochondrial dysfunction
  • Telomere shortening
  • Tissue degeneration
  • Impaired stem cell function[30]

These processes contribute to the hallmarks of aging and age-related diseases[31]. The persistent inflammatory state disrupts normal tissue homeostasis and repair mechanisms, leading to progressive deterioration of organ systems[32].

How to Reduce Inflammation in Older Age

Managing inflammation in older adults requires a comprehensive approach, as inflammation and aging are intricately linked[33]:

Lifestyle Interventions

  • Mediterranean-style diet rich in anti-inflammatory foods
  • Regular physical activity
  • Adequate sleep
  • Stress management[34]

Environmental Modifications

  • Reduction of exposure to environmental toxins
  • Maintenance of healthy gut microbiota
  • Management of chronic conditions[35]

Therapeutic Approaches

  • Anti-inflammatory supplements
  • Targeted medications when appropriate
  • Regular health monitoring[36]

Incorporating anti-inflammatory foods, beverages, and supplements into daily life can provide significant health benefits. Below are practical options to help manage inflammation effectively.

SourceAnti-Inflammatory BenefitsDaily Integration
Vitamin D3Helps regulate the immune system and lower CRP levels¹Obtain through sunlight exposure or supplementation
CurcuminReduces inflammatory responses in the body²Consume as a supplement or incorporate turmeric into meals
QuercetinLowers markers of inflammation and oxidative stress³Obtain from fruits like apples and berries, or use supplements
GingerSupports immune function and reduces inflammationIncorporate fresh ginger in teas or meals, or take as a supplement
Green Tea (EGCG)Decreases inflammation and supports cardiovascular healthConsume green tea regularly or take an EGCG supplement
Fish Oil (Omega-3)Reduces inflammatory markers and supports overall healthConsume fatty fish like salmon or use a high-quality supplement
ResveratrolProtects against inflammation-related tissue damageConsume through red grapes, berries, or as a supplement

You might also find this article interesting: Quercetin and Inflammation – Exploring the Possibilities.

Conclusion

Inflammation is a vital component of the body’s immune response, essential for healing injuries and fighting infections[19]. However, when inflammation becomes chronic, it can lead to significant health issues and is closely tied to the processes of age, inflammation, and inflamm-aging[20]. Understanding the balance between resolvable and unresolvable regeneration is key to preventing chronic inflammation and its associated diseases[21]. By adopting a healthy lifestyle and addressing environmental and lifestyle factors, individuals can help manage inflammation, reduce the effects of inflamm-aging, support healthy aging, and promote overall well-being[22].

References

1. Medzhitov R. Origin and physiological roles of inflammation. Nature. 2008;454(7203):428-35.

2. Rock KL, Kono H. The inflammatory response to cell death. Annu Rev Pathol. 2008;3:99-126.

3. Chen L, Deng H, Cui H, et al. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget. 2018;9(6):7204-7218.

4. Hunter P. The inflammation theory of disease. EMBO Rep. 2012;13(11):968-70.

5. Nathan C, Ding A. Nonresolving inflammation. Cell. 2010;140(2):871-882.

6. Buckley CD, Gilroy DW, Serhan CN. Proresolving lipid mediators and mechanisms in the resolution of acute inflammation. Immunity. 2014;40(3):315-27.

7. Hunter P. The inflammation theory of disease. EMBO Rep. 2012;13(11):968-70.

8. Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014;69 Suppl 1(Suppl 1):S4-9.

9. Nathan C, Ding A. Nonresolving inflammation. Cell. 2010;140(2):871-882.

10. Mantovani A, Allavena P, Sica A, Balkwill F. Cancer-related inflammation. Nature. 2008;454(7203):436-44.

11. Furman D, Campisi J, Verdin E, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822-1832.

12. Furman D, Campisi J, Verdin E, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822-1832.

13. Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014;69 Suppl 1(Suppl 1):S4-9.

14. Buckley CD, Gilroy DW, Serhan CN. Proresolving lipid mediators and mechanisms in the resolution of acute inflammation. Immunity. 2014;40(3):315-27.

15. Nathan C, Ding A. Nonresolving inflammation. Cell. 2010;140(2):871-882.

16. Nathan C, Ding A. Nonresolving inflammation. Cell. 2010;140(2):871-882.

17. Buckley CD, Gilroy DW, Serhan CN. Proresolving lipid mediators and mechanisms in the resolution of acute inflammation. Immunity. 2014;40(3):315-27.

18.Nathan C, Ding A. Nonresolving inflammation. Cell. 2010;140(2):871-882.

19. Medzhitov R. Origin and physiological roles of inflammation. Nature. 2008;454(7203):428-35.

20. Furman D, Campisi J, Verdin E, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822-1832.

21. Nathan C, Ding A. Nonresolving inflammation. Cell. 2010;140(2):871-882.

22. Furman D, Campisi J, Verdin E, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822-1832.

23. Franceschi C, et al. Inflammaging: a new immune-metabolic viewpoint for age-related diseases. Nat Rev Endocrinol. 2018;14(10):576-590. 

24. López-Otín C, et al. The hallmarks of aging. Cell. 2013;153(6):1194-1217. 

25. Ferrucci L, Fabbri E. Inflammaging: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol. 2018;15(9):505-522. 

26. Kennedy BK, et al. Geroscience: linking aging to chronic disease. Cell. 2014;159(4):709-713. 

27. Goldberg EL, Dixit VD. Drivers of age-related inflammation and strategies for healthspan extension. Immunol Rev. 2015;265(1):63-74. 

28. Fulop T, et al. Immunosenescence and inflamm-aging as two sides of the same coin: friends or foes? Front Immunol. 2018;8:1960. 

29. Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014;69(Suppl 1):S4-9. 30. Prattichizzo F, et al. Inflammaging and metaflammation: The yin and yang of type 2 diabetes. Ageing Res Rev. 2018;41:1-17. 

31. López-Otín C, et al. The hallmarks of aging. Cell. 2013;153(6):1194-1217. 

32. Furman D, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822-1832. 

33. Calder PC, et al. Health relevance of the modification of low grade inflammation in ageing (inflammaging) and the role of nutrition. Ageing Res Rev. 2017;40:95-119. 

34. Minihane AM, et al. Low-grade inflammation, diet composition and health: current research evidence and its translation. Br J Nutr. 2015;114(7):999-1012. 

35. Clements SJ, Carding SR. Diet, the intestinal microbiota, and immune health in aging. Crit Rev Food Sci Nutr. 2018;58(4):651-661. 

36. Ferrucci L, Fabbri E. Inflammaging: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol. 2018;15(9):505-522.

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Samo Borko

Samo Borko is a biochemist specialized in medical biochemistry with more than 20 years experience in biotechnology, stem cell research and nutraceutical formulator for different world recognized brands. He lead few human absorption and pharmacokinetic trials for liposomal formulations of cannabinoids which has become his field of expertise.
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