Aging in COVID-19: Vulnerability, immunity and intervention.

Abstract:

:The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic was first reported in Wuhan, China in December 2019, moved across the globe at an unprecedented speed, and is having a profound and yet still unfolding health and socioeconomic impacts. SARS-CoV-2, a β-coronavirus, is a highly contagious respiratory pathogen that causes a disease that has been termed the 2019 coronavirus disease (COVID-19). Clinical experience thus far indicates that COVID-19 is highly heterogeneous, ranging from being asymptomatic and mild to severe and causing death. Host factors including age, sex, and comorbid conditions are key determinants of disease severity and progression. Aging itself is a prominent risk factor for severe disease and death from COVID-19. We hypothesize that age-related decline and dysregulation of immune function, i.e., immunosenescence and inflammaging play a major role in contributing to heightened vulnerability to severe COVID-19 outcomes in older adults. Much remains to be learned about the immune responses to SARS-CoV-2 infection. We need to begin partitioning all immunological outcome data by age to better understand disease heterogeneity and aging. Such knowledge is critical not only for understanding of COVID-19 pathogenesis but also for COVID-19 vaccine development.

journal_name

Ageing Res Rev

journal_title

Ageing research reviews

authors

Chen Y,Klein SL,Garibaldi BT,Li H,Wu C,Osevala NM,Li T,Margolick JB,Pawelec G,Leng SX

doi

10.1016/j.arr.2020.101205

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

101205

eissn

1568-1637

issn

1872-9649

pii

S1568-1637(20)30340-8

journal_volume

65

pub_type

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