Division of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY 10065, USA; email:
Annu Rev Physiol. 2020 Feb 10;82:433-459. doi: 10.1146/annurev-physiol-021119-034610. Epub 2019 Nov 15.
People worldwide are living longer, and it is estimated that by 2050, the proportion of the world's population over 60 years of age will nearly double. Natural lung aging is associated with molecular and physiological changes that cause alterations in lung function, diminished pulmonary remodeling and regenerative capacity, and increased susceptibility to acute and chronic lung diseases. As the aging population rapidly grows, it is essential to examine how alterations in cellular function and cell-to-cell interactions of pulmonary resident cells and systemic immune cells contribute to a higher risk of increased susceptibility to infection and development of chronic diseases, such as chronic obstructive pulmonary disease and interstitial pulmonary fibrosis. This review provides an overview of physiological, structural, and cellular changes in the aging lung and immune system that facilitate the development and progression of disease.
全球人口的寿命正在延长,据估计,到 2050 年,全球 60 岁以上人口的比例将几乎翻一番。肺的自然衰老与分子和生理变化有关,这些变化导致肺功能改变、肺重塑和再生能力减弱,以及对急性和慢性肺部疾病的易感性增加。随着老年人口的迅速增长,有必要研究肺驻留细胞和全身免疫细胞的细胞功能和细胞间相互作用的改变如何导致感染风险增加和慢性疾病(如慢性阻塞性肺疾病和间质性肺纤维化)的发展。这篇综述概述了衰老肺和免疫系统的生理、结构和细胞变化,这些变化促进了疾病的发展和进展。