Article ; Online: Geroprotective and senoremediative strategies to reduce the comorbidity, infection rates, severity, and lethality in gerophilic and gerolavic infections.
Aging
2020 Volume 12, Issue 8, Page(s) 6492–6510
Abstract: ... infection rates, and therapeutic interventions reduce the severity and lethality of infections ... old man" and epilavís, "harmful") infection because the infection rates, severity, and lethality are ... vaccination response, as well as the severity and lethality of infectious diseases. While vaccination reduces ...
| 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, géros "old man" and epilavís, "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. |
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| MeSH term(s) | Age Factors ; Aged ; Aged, 80 and over ; COVID-19 ; COVID-19 Testing ; COVID-19 Vaccines ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Coronavirus Infections/drug therapy ; Coronavirus Infections/immunology ; Coronavirus Infections/physiopathology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Humans ; Immunosenescence ; Pandemics/prevention & control ; Pneumonia, Viral/immunology ; Pneumonia, Viral/physiopathology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; Viral Vaccines ; COVID-19 Drug Treatment |
| Chemical Substances | COVID-19 Vaccines ; Viral Vaccines |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-03-31 |
| Publishing country | United States |
| Document type | Journal Article ; Review |
| ISSN | 1945-4589 |
| ISSN (online) | 1945-4589 |
| DOI | 10.18632/aging.102988 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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