Skip to main content

Inflammation, Frailty and Cardiovascular Disease

  • Chapter
  • First Online:
Frailty and Cardiovascular Diseases

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1216))

Abstract

Chronic inflammation, which is called “inflamm-aging” , is characterized by an increased level of inflammatory cytokines in response to physiological and environmental stressors, and causes the immune system to function consistently at a low level, even though it is not effective. Possible causes of inflammaging include genetic susceptibility, visceral obesity, changes in gut microbiota and permeability, chronic infections and cellular senescence. Inflammation has a role in the development of many age-related diseases, such as frailty. Low grade chronic inflammation can also increase the risk of atherosclerosis and insulin resistance which are the leading mechanisms in the development of cardiovascular diseases (CVD). As it is well known that the risk of CVD is higher in older people with frailty and the risk of frailty is higher in patients with CVD, there may be relationship between inflammation and the development of CVD and frailty. Therefore, this important issue will be discussed in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ahlqvist E, Storm P, Karajamaki A, Martinell M, Dorkhan M, Carlsson A et al (2018) Novel subgroups of adult-onset diabetes and their association with outcomes: a data-driven cluster analysis of six variables. Lancet Diabetes Endocrinol 6(5):361–369

    Article  PubMed  Google Scholar 

  • Aryan Z, Ghajar A, Faghihi-Kashani S, Afarideh M, Nakhjavani M, Esteghamati A (2018) Baseline high-sensitivity c-reactive protein predicts macrovascular and microvascular complications of Type 2 diabetes: a population-based study. Ann Nutr Metab 72(4):287–295

    Article  CAS  PubMed  Google Scholar 

  • Biagi E, Nylund L, Candela M, Ostan R, Bucci L, Pini E, Nikkila J et al (2010) Through ageing, and beyond: gut microbiota and inflammatory status in seniors and centenarians. Electronic 1932–6203

    Google Scholar 

  • Biagi E, Franceschi C, Rampelli S, Severgnini M, Ostan R, Turroni S et al (2016) Gut microbiota and extreme longevity. Curr Biol 26(11):1480–1485

    Article  CAS  PubMed  Google Scholar 

  • Burton DG (2009) Cellular senescence, ageing and disease. Age (Dordr). 31(1):1–9

    Article  CAS  PubMed  Google Scholar 

  • Cesari M, Penninx BW, Newman AB, Kritchevsky SB, Nicklas BJ, Sutton-Tyrrell K et al (2003) Inflammatory markers and onset of cardiovascular events: results from the Health ABC study. Circulation 108(19):2317–2322

    Article  CAS  PubMed  Google Scholar 

  • Cesari M, Penninx BW, Pahor M, Lauretani F, Corsi AM, Rhys Williams G et al (2004) Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol A Biol Sci Med Sci 59(3):242–248

    Article  PubMed  Google Scholar 

  • Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K (2013) Frailty in elderly people. Lancet 381(9868):752–762

    Article  PubMed  Google Scholar 

  • Cobo A, Vazquez LA, Reviriego J, Rodriguez-Manas L (2016) Impact of frailty in older patients with diabetes mellitus: an overview. Endocrinologia y nutricion: organo de la Sociedad Espanola de Endocrinologia y Nutricion. 63(6):291–303

    Article  Google Scholar 

  • Colin S, Chinetti-Gbaguidi G, Staels B (2014) Macrophage phenotypes in atherosclerosis. Immunol Rev 262(1):153–166

    Article  CAS  PubMed  Google Scholar 

  • Collaboration IRGCERF, Sarwar N, Butterworth AS, Freitag DF, Gregson J, Willeit P et al (2012) Interleukin-6 receptor pathways in coronary heart disease: a collaborative meta-analysis of 82 studies. Lancet 379(9822):1205–1213

    Google Scholar 

  • Coppe JP, Desprez PY, Krtolica A, Campisi J (2010) The senescence-associated secretory phenotype: the dark side of tumor suppression. Annu Rev Pathol 5:99–118

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • de Araujo AL, Silva LC, Fernandes JR, Benard G (2013) Preventing or reversing immunosenescence: can exercise be an immunotherapy? Immunotherapy 5(8):879–893

    Article  CAS  PubMed  Google Scholar 

  • Del Pinto R, Ferri C (2018) Inflammation-accelerated senescence and the cardiovascular system: mechanisms and perspectives. Int J Mol Sci 19(12)

    Google Scholar 

  • Derhovanessian E, Maier AB, Hahnel K, Beck R, de Craen AJM, Slagboom EP, Westendorp RGJ et al (2011) Infection with cytomegalovirus but not herpes simplex virus induces the accumulation of late-differentiated CD4+ and CD8+ T-cells in humans. Electronic, 1465–2099

    Google Scholar 

  • Eguchi S, Kawai T, Scalia R, Rizzo V (2018) Understanding angiotensin II Type 1 receptor signaling in vascular pathophysiology. Hypertension 71(5):804–810

    Article  CAS  PubMed  Google Scholar 

  • Ferrucci L, Fabbri E (2018) Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol 15(9):505–522

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fougere B, Boulanger E, Nourhashemi F, Guyonnet S, Cesari M (2017) Chronic inflammation: accelerator of biological aging. J Gerontol A Biol Sci Med Sci 72(9):1218–1225

    Article  CAS  PubMed  Google Scholar 

  • Franceschi C, Campisi J (2014) Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci 69(Suppl 1):S4–S9

    Article  PubMed  Google Scholar 

  • Fulop T, Larbi A, Pawelec G (2013) Human T cell aging and the impact of persistent viral infections. Front Immunol 4:271

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fulop T, Witkowski JM, Olivieri F, Larbi A (2018) The integration of inflammaging in age-related diseases. Semin Immunol 40:17–35

    Article  CAS  PubMed  Google Scholar 

  • Gimbrone MA Jr, Garcia-Cardena G (2016) Endothelial cell dysfunction and the pathobiology of atherosclerosis. Circ Res 118(4):620–636

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Greenberg AS, Obin MS (2006) Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr 83(2):461S–465S

    Article  CAS  PubMed  Google Scholar 

  • Haybar H, Shahrabi S, Rezaeeyan H, Shirzad R, Saki N (2018) Endothelial cells: from dysfunction mechanism to pharmacological effect in cardiovascular disease. Cardiovasc Toxicol

    Google Scholar 

  • Hewitt G, Jurk D, Marques FD, Correia-Melo C, Hardy T, Gackowska A et al (2012) Telomeres are favoured targets of a persistent DNA damage response in ageing and stress-induced senescence. Nat Commun 3:708

    Article  CAS  PubMed  Google Scholar 

  • Higashi Y, Sukhanov S, Shai SY, Danchuk S, Tang R, Snarski P et al (2016) Insulin-like growth factor-1 receptor deficiency in macrophages accelerates atherosclerosis and induces an unstable plaque phenotype in apolipoprotein e-deficient mice. Circulation 133(23):2263–2278

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hubbard RE, Woodhouse KW (2010) Frailty, inflammation and the elderly. Biogerontology 11(5):635–641

    Article  PubMed  Google Scholar 

  • Jeck WR, Siebold AP, Sharpless NE (2012) Review: a meta-analysis of GWAS and age-associated diseases. Aging Cell 11(5):727–731

    Article  CAS  PubMed  Google Scholar 

  • Justice JN, Gregory H, Tchkonia T, LeBrasseur NK, Kirkland JL, Kritchevsky SB et al (2018) Cellular senescence biomarker p16ink4a+ cell burden in thigh adipose is associated with poor physical function in older women. J Gerontol A Biol Sci Med Sci 73(7):939–945

    Article  CAS  PubMed  Google Scholar 

  • Karczewski J, Sledzinska E, Baturo A, Jonczyk I, Maleszko A, Maleszko A et al (2018) Obesity and inflammation. Eur Cytokine Netw 29(3):83–94

    CAS  PubMed  Google Scholar 

  • Lam V, Su J, Koprowski S, Hsu A, Tweddell JS, Rafiee P et al (2012) Intestinal microbiota determine severity of myocardial infarction in rats. FASEB J. 26(4):1727–1735

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lang PO, Michel JP, Zekry D (2009) Frailty syndrome: a transitional state in a dynamic process. Gerontology 55(5):539–549

    Article  PubMed  Google Scholar 

  • Lange LA, Carlson CS, Hindorff LA, Lange EM, Walston J, Durda JP et al (2006) Association of polymorphisms in the CRP gene with circulating C-reactive protein levels and cardiovascular events. JAMA 296(22):2703–2711

    Article  CAS  PubMed  Google Scholar 

  • Lederman MM, Funderburg NT, Sekaly RP, Klatt NR, Hunt PW (2013) Residual immune dysregulation syndrome in treated HIV infection. Adv Immunol 119:51–83

    Article  CAS  PubMed  Google Scholar 

  • Li H, Manwani B, Leng SX (2011) Frailty, inflammation, and immunity. Aging Dis 2(6):466–473

    PubMed  PubMed Central  Google Scholar 

  • Libby P, Ridker PM, Hansson GK (2011) Progress and challenges in translating the biology of atherosclerosis. Nature 473(7347):317–325

    Article  CAS  PubMed  Google Scholar 

  • McInnes IB, Thompson L, Giles JT, Bathon JM, Salmon JE, Beaulieu AD et al (2015) Effect of interleukin-6 receptor blockade on surrogates of vascular risk in rheumatoid arthritis: MEASURE, a randomised, placebo-controlled study. Ann Rheum Dis 74(4):694–702

    Article  CAS  PubMed  Google Scholar 

  • Nagpal R, Kumar M, Yadav AK, Hemalatha R, Yadav H, Marotta F et al (2016) Gut microbiota in health and disease: an overview focused on metabolic inflammation. Benef Microbes. 7(2):181–194

    Article  CAS  PubMed  Google Scholar 

  • Netea MG, Joosten LA, Latz E, Mills KH, Natoli G, Stunnenberg HG et al (2016) Trained immunity: a program of innate immune memory in health and disease. Science (New York, NY) 352(6284):aaf1098

    Google Scholar 

  • Newman AB, Gottdiener JS, McBurnie MA, Hirsch CH, Kop WJ, Tracy R et al (2001) Associations of subclinical cardiovascular disease with frailty. J Gerontol A Biol Sci Med Sci 56(3):M158–M166

    Article  CAS  PubMed  Google Scholar 

  • Olivieri F, Bonafe M, Spazzafumo L, Gobbi M, Prattichizzo F, Recchioni R et al (2014) Age- and glycemia-related miR-126-3p levels in plasma and endothelial cells. Aging (Albany NY). 6(9):771–787

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Olivieri F, Albertini MC, Orciani M, Ceka A, Cricca M, Procopio AD et al (2015) DNA damage response (DDR) and senescence: shuttled inflamma-miRNAs on the stage of inflamm-aging. Oncotarget 6(34):35509–35521

    PubMed  PubMed Central  Google Scholar 

  • Phan AT, Goldrath AW, GLASS CK (2017) Metabolic and epigenetic coordination of T cell and macrophage immunity. Immunity 46(5):714–729

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Piggott DA, Varadhan R, Mehta SH, Brown TT, Li H, Walston JD et al (2015) Frailty, Inflammation, and mortality among persons aging with HIV infection and injection drug use. J Gerontol A Biol Sci Med Sci 70(12):1542–1547

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ren JL, Pan JS, Lu YP, Sun P, Han J (2009) Inflammatory signaling and cellular senescence. Cell Signal 21(3):378–383

    Article  CAS  PubMed  Google Scholar 

  • Ridker PM, Hennekens CH, Buring JE, Rifai N (2000) C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med 342(12):836–843

    Article  CAS  PubMed  Google Scholar 

  • Sadowska A, Touli E, Hitzl W, Greutert H, Ferguson SJ, Wuertz-Kozak K et al (2018) Inflammaging in cervical and lumbar degenerated intervertebral discs: analysis of proinflammatory cytokine and TRP channel expression. Eur Spine J 27(3):564–577

    Article  PubMed  Google Scholar 

  • Salvioli S, Monti D, Lanzarini C, Conte M, Pirazzini C, Bacalini MG et al (2013) Immune system, cell senescence, aging and longevity–inflammaging reappraised. Curr Pharm Des 19(9):1675–1679

    CAS  PubMed  Google Scholar 

  • Savva GM, Pachnio A, Kaul B, Morgan K, Huppert FA, Brayne C, Moss PAH et al (2013) Cytomegalovirus infection is associated with increased mortality in the older population. Electronic, 1474–9726

    Google Scholar 

  • Schnabel RB, Kerr KF, Lubitz SA, Alkylbekova EL, Marcus GM, Sinner MF et al (2011) Large-scale candidate gene analysis in whites and African Americans identifies IL6R polymorphism in relation to atrial fibrillation: the National Heart, Lung, and Blood Institute’s Candidate Gene Association Resource (CARe) project. Circ Cardiovasc Genet. 4(5):557–564

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Simon CO, Holtappels R, Tervo HM, Bohm V, Daubner T, Oehrlein-Karpi SA et al (2006) CD8 T cells control cytomegalovirus latency by epitope-specific sensing of transcriptional reactivation. J Virol 80(21):10436–10456

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Solmi M, Veronese N, Favaro A, Santonastaso P, Manzato E, Sergi G et al (2015) Inflammatory cytokines and anorexia nervosa: A meta-analysis of cross-sectional and longitudinal studies. Psychoneuroendocrinology 51:237–252

    Article  CAS  PubMed  Google Scholar 

  • Soysal P, Stubbs B, Lucato P, Luchini C, Solmi M, Peluso R et al (2016) Inflammation and frailty in the elderly: a systematic review and meta-analysis. Ageing Res Rev 31:1–8

    Article  CAS  PubMed  Google Scholar 

  • Stepanova M, Rodriguez E, Birerdinc A, Baranova A (2015) Age-independent rise of inflammatory scores may contribute to accelerated aging in multi-morbidity. Oncotarget 6(3):1414–1421

    Article  PubMed  PubMed Central  Google Scholar 

  • Stewart R (2018) Cardiovascular disease and frailty: what are the mechanistic links? Clin Chem

    Google Scholar 

  • Tang WH, Kitai T, Hazen SL (2017) Gut Microbiota in cardiovascular health and disease. Circ Res 120(7):1183–1196

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Timmerman KL, Lee JL, Fujita S, Dhanani S, Dreyer HC, Fry CS et al (2010) Pharmacological vasodilation improves insulin-stimulated muscle protein anabolism but not glucose utilization in older adults. Diabetes 59(11):2764–2771

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vandanmagsar B, Youm YH, Ravussin A, Galgani JE, Stadler K, Mynatt RL et al (2011) The NLRP3 inflammasome instigates obesity-induced inflammation and insulin resistance. Nat Med 17(2):179–188

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Veronese N, Cereda E, Solmi M, Fowler SA, Manzato E, Maggi S et al (2015) Inverse relationship between body mass index and mortality in older nursing home residents: a meta-analysis of 19,538 elderly subjects. Obes Rev Off J Int Assoc Study Obes 16(11):1001–1015

    Article  CAS  Google Scholar 

  • Wang J, Uryga AK, Reinhold J, Figg N, Baker L, Finigan A et al (2015) Vascular Smooth muscle cell senescence promotes atherosclerosis and features of plaque vulnerability. Circulation 132(20):1909–1919

    Article  CAS  PubMed  Google Scholar 

  • Wang H, Peng G, Bai J, He B, Huang K, Hu X et al (2017) Cytomegalovirus infection and relative risk of cardiovascular disease (Ischemic Heart Disease, Stroke, and Cardiovascular Death): a meta-analysis of prospective studies up to 2016. J Am Heart Assoc 6(7)

    Google Scholar 

  • Wang CP, Lorenzo C, Habib SL, Jo B, Espinoza SE (2017b) Differential effects of metformin on age related comorbidities in older men with type 2 diabetes. J Diabetes Complications 31(4):679–686

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW Jr (2003) Obesity is associated with macrophage accumulation in adipose tissue. J Clin Investig 112(12):1796–1808

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yao X, Li H, Leng SX (2011) Inflammation and immune system alterations in frailty. Clin Geriatr Med 27(1):79–87

    Article  PubMed  PubMed Central  Google Scholar 

  • Zomer E, Gurusamy K, Leach R, Trimmer C, Lobstein T, Morris S et al (2016) Interventions that cause weight loss and the impact on cardiovascular risk factors: a systematic review and meta-analysis. Obes Rev Off J Int Assoc Study Obes 17(10):1001–1011

    Article  CAS  Google Scholar 

Download references

Declarations of interest

None

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pinar Soysal .

Editor information

Editors and Affiliations

Ethics declarations

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Soysal, P., Arik, F., Smith, L., Jackson, S.E., Isik, A.T. (2020). Inflammation, Frailty and Cardiovascular Disease. In: Veronese, N. (eds) Frailty and Cardiovascular Diseases . Advances in Experimental Medicine and Biology, vol 1216. Springer, Cham. https://doi.org/10.1007/978-3-030-33330-0_7

Download citation

Publish with us

Policies and ethics