Aktuelle Rheumatologie,
Journal Year:
2024,
Volume and Issue:
49(05), P. 291 - 300
Published: Aug. 9, 2024
Zusammenfassung
Aufgrund
der
erhöhten
Lebenserwartung
und
anhand
epidemiologischer
Daten
zeigt
sich
eine
Zunahme
rheumatische
Erkrankungen
älterer
Menschen.
Diese
Population
ist
durch
ein
erhöhtes
Risiko
für
kardiovaskuläre,
infektiöse,
neoplastische
iatrogene
Komplikationen
betroffen.
Multimorbidität
in
Verbindung
mit
Polypharmazie
progredienten
funktionellen
Defiziten
haben
erheblichen
Einfluss
auf
den
klinischen
Verlauf
die
Therapieentscheidungen
bei
Altersvarianten
rheumatischer
Erkrankungen.
Der
Altersprozess
des
Immunsystems
geprägt
von
Immunseneszenz
„Inflammaging“
Folge
eines
Risikos
Infektionen
Tumorerkrankungen,
verringerten
regenerativen
Potentials
einer
verstärkten
unspezifischen
Entzündungskonstellation.
Neben
wenigen
alterstypischen
rheumatischen
wie
Polymyalgia
rheumatica
gibt
es
Altersformen
Erkrankungen,
hinsichtlich
Symptomatik,
Pathophysiologie,
Labordiagnostik
Prognose
Besonderheiten
aufweisen.
Atypische
Krankheitsverläufe
Mischbilder
degenerativen
oder
anderen
entzündlichen
sind
nicht
ungewöhnlich.
In
Übersichtsarbeit
werden
speziellen
verschiedener
vorgestellt.
Ältere
Patienten
derzeitige
Studienlage
adäquat
erfasst.
Ein
wesentlicher
Schwerpunkt
künftiger
klinisch-rheumatologischer
Forschung
sollte
stärkere
Einbeziehung
dieser
sein,
um
angepasste
integrative
Therapiekonzepte
Morbidität
Mortalität
zu
reduzieren.
Journal of Inflammation Research,
Journal Year:
2024,
Volume and Issue:
Volume 17, P. 1147 - 1160
Published: Feb. 1, 2024
Vitamin
K
(VK)
comprises
a
group
of
substances
with
chlorophyll
quinone
bioactivity
and
exists
in
nature
the
form
VK1
VK2.As
its
initial
recognition
originated
from
ability
to
promote
blood
coagulation,
it
is
known
as
coagulation
vitamin.However,
based
on
extensive
research,
VK
has
shown
potential
for
prevention
treatment
various
diseases.Studies
demonstrating
beneficial
effects
immunity,
antioxidant
capacity,
intestinal
microbiota
regulation,
epithelial
development,
bone
protection
have
drawn
growing
interest
recent
years.This
review
article
focuses
mechanism
action
preventive
therapeutic
infections
(eg,
asthma,
COVID-19),
inflammation
type
2
diabetes
mellitus,
Alzheimer's
disease,
Parkinson's
cancer,
aging,
atherosclerosis)
autoimmune
disorders
inflammatory
bowel
1
multiple
sclerosis,
rheumatoid
arthritis).In
addition,
VK-dependent
proteins
(VKDPs)
are
another
crucial
by
which
exerts
anti-inflammatory
immunomodulatory
effects.This
explores
role
preventing
combating
neurological
abnormalities,
treating
diseases
such
cancer
diabetes.Although
current
research
appoints
tool
practical
clinical
applications
infections,
inflammation,
diseases,
future
necessary
elucidate
more
detail
overcome
limitations.
Aging Cell,
Journal Year:
2024,
Volume and Issue:
23(6)
Published: March 17, 2024
Abstract
Aging
is
intricately
linked
to
immune
system
dysfunction.
Recent
studies
have
highlighted
the
biological
function
of
microRNA‐7
(miR‐7)
as
a
novel
regulator
cell
and
related
diseases.
However,
potential
role
miR‐7
in
aging
remains
unexplored.
Here,
we
investigated
contribution
d
‐gal‐induced
mice,
focusing
on
its
regulation
senescent
Kupffer
cells.
Our
findings
revealed
that
deficiency
significantly
ameliorated
process,
characterized
by
enhanced
CD4
+
T‐cell
activation.
adoptive
transfer
miR‐7‐deficient
T
cells
failed
improve
age‐related
phenotype.
Further
analysis
showed
reduced
IL‐1β
production
liver
tissue,
inhibiting
vivo
slowed
down
process
mice.
Notably,
mainly
produced
tissue
expression
was
up‐regulated
these
Mechanistically,
KLF4,
target
miR‐7,
down‐regulated
mouse
model.
Furthermore,
also
modulated
NF‐κB
activation
through
KLF4.
In
conclusion,
our
unveil
highlighting
KLF4/NF‐κB/IL‐1β
pathways
This
research
may
enhance
understanding
miRNA‐based
offer
new
avenues
for
intervention
strategies
process.
Immunological Reviews,
Journal Year:
2024,
Volume and Issue:
325(1), P. 90 - 106
Published: June 12, 2024
Rheumatoid
arthritis
(RA)
is
considered
a
multifactorial
condition
where
interaction
between
the
genetic
and
environmental
factors
lead
to
immune
dysregulation
causing
autoreactivity.
While
among
various
factors,
HLA-DR4
DQ8,
have
been
reported
be
strongest
risk
role
of
has
unclear.
Though
events
initiating
autoreactivity
remain
unknown,
mucosal
origin
RA
gained
attention
based
on
recent
observations
with
gut
dysbiosis
in
patients.
However,
causality
difficult
prove
humans.
Mouse
models,
especially
mice
expressing
RA-susceptible
-resistant
HLA
class
II
genes
helped
unravel
complex
interactions
microbiome.
This
review
describes
sex-biased
preclinical
discusses
potential
use
endogenous
commensals
as
indicators
treatment
efficacy
well
therapeutic
tool
suppress
pro-inflammatory
response
rheumatoid
arthritis.
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: Feb. 17, 2025
Human
longevity
is
a
sex-biased
process
in
which
sex
chromosomes
and
sex-specific
immunity
may
play
crucial
role
the
health
lifespan
disparities
between
men
women.
Generally,
women
have
higher
life
expectancy
than
men,
exhibiting
lower
infection
rates
for
broad
range
of
pathogens,
results
prevalence
female
centenarians
compared
to
males.
Investigation
immunological
changes
that
occur
during
healthy
aging,
while
taking
into
account
differences
sexes,
can
significantly
enhance
our
understanding
mechanisms
underlie
longevity.
In
this
review,
we
aim
summarize
current
knowledge
on
sexual
dimorphism
human
immune
system
gut
microbiome
with
particular
focus
centenarians,
based
exclusively
data.
Journal of Internal Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 10, 2025
Clonal
hematopoiesis
of
indeterminate
potential
(CHIP),
characterized
by
the
age-related
expansion
blood
cells
carrying
preleukemic
mutations,
is
associated
with
immune
aging.
This
study
aimed
to
investigate
association
between
CHIP
and
established
autoimmune
diseases.
We
analyzed
baseline
data
from
456,692
UK
Biobank
participants
available
whole-exome
sequences.
The
primary
outcome
was
19
disorders.
Associations
among
any
(variant
allele
fraction
≥2%),
large
clones
≥10%),
gene-specific
subtypes
incidence
diseases
were
assessed
using
Cox
regression.
Mediation
analysis
performed
explore
role
inflammation
in
link
identified
17,433
11,970
at
baseline.
Participants
44%
43%
higher
risk
for
Crohn's
disease,
25%
33%
psoriasis,
13%
14%
rheumatoid
arthritis,
35%
55%
vasculitis,
respectively.
status
increased
levels
inflammatory
markers,
including
white
cell,
platelets,
neutrophils,
neutrophil-to-lymphocyte
ratio,
overall
mediation
ratios
16.3%
7.1%
23.2%
7.2%
vasculitis.
an
incident
multiple
diseases,
potentially
mediated
elevated
levels.
Future
research
needed
clarify
mechanisms
underlying
these
associations
interventions
reduce
risk.
Archives of Medical Science,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 11, 2025
Introduction
It
has
been
reported
that
individuals
with
type
1
diabetes
(T1D)
are
at
a
higher
risk
of
concomitant
occurrence
other
autoimmune
diseases
(AIDs).
Currently,
there
is
lack
research
investigating
the
causal
relationship
between
T1D
and
AIDs.
A
comprehensive
Mendelian
randomization
(MR)
study
was
conducted
using
debiased
inverse-variance
weighted
(dIVW)
(IVW)
estimators
to
examine
bidirectional
12
Material
methods
Genome-wide
association
(GWAS)
summary
statistics
datasets
related
or
AIDs
were
obtained
from
FinnGen
published
cohort
studies.
Pruned
SNPs
in
linkage
disequilibrium
(LD)-clumped
single-nucleotide
polymorphisms
(SNPs)
used
as
instrumental
variables.
For
dIVW
analysis,
no
genome-wide
significance
threshold
applied
for
SNP
selection.
Results
each
1-unit
increase
log-transformed
odds
ratio
(OR)
patients
primary
biliary
cholangitis
(PBC)
rheumatoid
arthritis
(RA),
ORs
1.123
(95%
CI:
1.094–1.151)
1.133
1.100–1.167),
respectively.
Conversely,
OR
T1D,
RA
1.383
1.213–-1.578).
No
associations
found
Conclusions
Patients
PBC
have
developing
those
also
an
increased
RA.
These
findings
highlight
importance
regular
screening
RA,
PBC.