Immunosenescence Profile Is Associated With Increased Susceptibility to Severe <scp>COVID</scp> ‐19

In this study, we tested the hypothesis that the immunosenescence profile could account for the disproportional susceptibility of the elderly to severe forms of COVID-19. The immunological profiles of volunteers residing in endemic and non-endemic areas for chronic infectious diseases were analyzed at the early stage of SARS-CoV-2 infection. A unique signature of inflammatory plasma mediators was identified in COVID-19 volunteers when compared to individuals with other flu-like syndromes. COVID-19 severity correlated with high levels of inflammatory mediators; among them, CXCL9, a serum marker of aging. Patients who progressed to hospitalization displayed high frequencies of CD8<sup>+</sup> and CD4<sup>+</sup> T cells expressing exhaustion and senescence markers and showed reduced and more mature B cell repertoires, which are typical of senescence. They also had an acceleration of epigenetic age measured by DNA methylation. Therefore, severe COVID-19 correlated with phenotypic, functional, and epigenetic features of accelerated immunosenescence at the onset of infection.

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Publication Details

Journal
Aging Cell
Published
2025-05-19
DOI
https://doi.org/10.1111/acel.70077
Citations
1
Primary Topic
COVID-19 Clinical Research Studies
Type
article
Field-Weighted Citation Impact
1.40

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Immunosenescence Profile Is Associated With Increased Susceptibility to Severe COVID ‐19

Mariana de Almeida Oliveira, Jofer Andree Zamame Ramirez, Lucas Haniel de Araújo Ventura, Murilo Soares Costa et al.
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article

Immunosenescence Profile Is Associated With Increased Susceptibility to Severe COVID ‐19

Mariana de Almeida Oliveira, Jofer Andree Zamame Ramirez, Lucas Haniel de Araújo Ventura, Murilo Soares Costa, Tatiani Uceli Maioli, Giovanna Caliman Camatta, Olindo Assis Martins‐Filho, Andréa Teixeira‐Carvalho, Hugo Itaru Sato, Marcos Felipe Andrade de Oliveira, Luciana W. Zuccherato, Denise Morais da Fonseca, Ana Paula Rocha Veiga, Leandro Nascimento, C. Loureiro, Verônica Coelho, Rafael Calvão Barbuto, Felipe Caixeta, Najara Ataíde, Santuza Maria Ribeiro Teixeira, Liza Felicori, Cecília Horta Ramalho Pinto, Maria Eduarda Ferreira Passos, Ana Neves, Ana Maria Caetano Faria, Elaine Speziali, Lícia Torres, Gabriela Silveira‐Nunes, Vinícius Dantas Martins, João Gervásio, Marina Caçador Ayupe, Rafael Souza, Roberto Avritchir, Gabriela Prandi Caetano, Filomeno Fortes, Unaí Tupinambás, Henrique Cerqueira Guimarães, Monique Macedo Coelho, Pauline Martins Leite, Sarah Rangon
article en
1 citations

Abstract

In this study, we tested the hypothesis that the immunosenescence profile could account for the disproportional susceptibility of the elderly to severe forms of COVID-19. The immunological profiles of volunteers residing in endemic and non-endemic areas for chronic infectious diseases were analyzed at the early stage of SARS-CoV-2 infection. A unique signature of inflammatory plasma mediators was identified in COVID-19 volunteers when compared to individuals with other flu-like syndromes. COVID-19 severity correlated with high levels of inflammatory mediators; among them, CXCL9, a serum marker of aging. Patients who progressed to hospitalization displayed high frequencies of CD8<sup>+</sup> and CD4<sup>+</sup> T cells expressing exhaustion and senescence markers and showed reduced and more mature B cell repertoires, which are typical of senescence. They also had an acceleration of epigenetic age measured by DNA methylation. Therefore, severe COVID-19 correlated with phenotypic, functional, and epigenetic features of accelerated immunosenescence at the onset of infection.

Aging CellVol. 24(7)
Universidade Federal de Juiz de Fora (BR), Universidade Federal de Minas Gerais (BR), Universidade de São Paulo (BR), Irmandade da Santa Casa de Misericórdia de São Paulo (BR), Instituto de Infectologia Emílio Ribas (BR), Hospital do Coração (BR), Hospital Risoleta Tolentino Neves (BR), Fundação Oswaldo Cruz (BR)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Conselho Nacional de Desenvolvimento Científico e Tecnológico, Fundação de Amparo à Pesquisa do Estado de Minas Gerais, Universidade Federal de Minas Gerais, Merck Sharp and Dohme
Good health and well-being
Openalex Percentile: Top 20%
COVID-19 Clinical Research Studies
1.40
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