Inflammatory Markers Change with Age, but do not Fall Beyond Reported Normal Ranges

Arch Immunol Ther Exp (Warsz). 2016 Jun;64(3):249-54. doi: 10.1007/s00005-015-0357-7. Epub 2015 Aug 18.

Abstract

We examined the serum levels of IL-6, IL-8, TNF, IL-6R, TNF-R1, and CRP and the dynamics of changes in these levels according to age. The study included healthy individuals of 20-90 years of age. Participants were divided into subgroups based on their decade of life, and into subgroups of ≥65 or <65 years. Serum cytokine levels were assayed by ELISA, and CRP using an immunoturbidimetric method. Serum CRP levels were within the normal range for all subgroups. The 60- to 70-year age group showed higher CRP than the 20- to 30- (p = 0.003), 30- to 40- (p = 0.009), and 40- to 50- (p = 0.030) year age groups. Serum cytokine levels were low. It was greater in the 60- to 70-year age group than in the 20- to 30- (p = 0.008) and 30- to 40- (p = 0.040) year groups, and was greater in the 70- to 90-year group than the 20- to 30-year group (p = 0.043). Serum TNF-R1 level in the 70- to 90-year group was greater than in all other age groups (p = 0.000 for all comparisons). Other measured parameters did not differ between groups. Serum levels of IL-6, CRP, and TNF-R1 were greater in participants ≥65 than <65 years of age. Healthy older people showed low serum levels of CRP and pro-inflammatory cytokines, but higher than in younger population. Therefore, the adjustment of normal ranges in the elderly should be considered. Serum levels of pro-inflammatory cytokines elevated beyond normal ranges indicate particular diseases.

Keywords: CRP; Cytokines; Healthy aging; Inflammation.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging*
  • Biomarkers / blood
  • C-Reactive Protein / chemistry
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Healthy Volunteers
  • Humans
  • Immune System
  • Inflammation*
  • Interleukin-6 / blood
  • Interleukin-8 / blood
  • Male
  • Middle Aged
  • Nephelometry and Turbidimetry
  • Receptors, Interleukin-6 / blood
  • Receptors, Tumor Necrosis Factor, Type I / blood
  • Reference Values
  • Tumor Necrosis Factor-alpha / blood
  • Young Adult

Substances

  • Biomarkers
  • CXCL8 protein, human
  • IL6 protein, human
  • IL6R protein, human
  • Interleukin-6
  • Interleukin-8
  • Receptors, Interleukin-6
  • Receptors, Tumor Necrosis Factor, Type I
  • TNF protein, human
  • Tumor Necrosis Factor-alpha
  • C-Reactive Protein