Suplementação de micronutrientes na senescência: implicações nos mecanismos imunológicos
Palavras-chave:
envelhecimento, estado nutricional, micronutrientes, sistema imuneResumo
A prevalência de indivíduos idosos em detrimento de indivíduos jovens compreende um quadro comum na população mundial. As estimativas indicam que, em 2050, cerca de 22% da população mundial serão constituídos por indivíduos idosos. As mudanças no sistema imune do indivíduo idoso ocorrem acentuadamente na imunidade mediada por células, caracterizada pelo aumento do número de linfócitos T imaturos (CD2+CD3-), decréscimo do número de linfócitos T virgens (CD45RA), aumento dos linfócitos de memória (CD45RO), e aumento das células helper T2, com decréscimo das helper T1. Embora as mudanças na resposta humoral sejam menores no envelhecimento, a menor especificidade e afinidade dos anticorpos nos indivíduos idosos constituem uma diferenciação da resposta imune. Estudos recentes demonstram que no envelhecimento a suplementação de micronutrientes específicos exerce efeitos benéficos sobre o sistema imune.
Referências
Tinker A. The social implications of an aging population. Mech Aging Dev. 2002; 123(7): 729-35.
Goyns MH. The biology of aging. Mech Aging Dev. 2002; 123:727.
Duthie Jr EH, Katz PR. História e exame físico. 3. ed. In: Duthie Jr EH. Geriatria prática. Rio de Janeiro: Revinter; 2002.
Lesourd BM. Nutrition and immunity in the elderly: modification of immune responses with nutritional treatments. Am J Clin Nutr. 1997; 66(2):S478-84.
High KP. Micronutrient supplementation and immune function in the elderly. Clin Infect Dis. 1999; 28(4):717-22.
Beaumont D, Lehmann AB, James OFW. Protein turnover in malnourished elderly subjects: the effects of referring. Age Ageing. 1989; 18(4): 235-40.
Chandra RK. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects. Lancet. 1992; 340(8828):1124-7.
Krause D, Mastro AM, Handte G, Smiciklas-Wright H, Miles MP, Ahluwalia N. Immune function did not decline with aging in apparently healthy, well-nourished women. Mech Ageing Dev. 1999; 112(1):43-57.
Ligthart GJ, Corberand JX, Fournier C, Galanaud P, Hijmans W, Kennes B, et al. Admission criteria for immunogerontological studies in man: the SENIEUR protocol. Mech Ageing Dev. 1984; 28(1):47-55.
Lesourd BM, Meaume S. Cell mediated immunity changes in ageing, relative importance of cell subpopulation switches and of nutritional factors. Immunol Lett. 1994; 40(30):235-42.
Mazari L, Lesourd BM. Nutritional influences on immune response in health aged persons. Mech Ageing Dev. 1998; 104(1):25-40.
Douek DC, Koup RA. Evidence for thymic function in the elderly. Vaccine. 2000; 18(16):1638-41.
Beverley PC, Grubeck-Loebenstein B. Is immune senescence reversible? Vaccine. 2000; 18(16): 1721-4.
Stacy S, Krolick KA, Infante AJ, Kraig E. Immunological memory and late onset autoimmunity. Mech Ageing Dev. 2002; 123(8):975-85.
Weksler ME. Changes in the B-cell repertoire with age. Vaccine. 2000; 18(16):1624-8.
Zhao KS, Wang YF, Gueret R, Weksler ME. Dysregulation of the humoral immune response in old mice. Int Immunol. 1995; 7(6):929-34.
Weksler ME, Goodhardt M. Do age-associated changes in “physiologic” autoantibodies contribute to infection, atherosclerosis, and Alzheimer’s disease? Exp Geront. 2002; 37(8-9): 971-9.
Nobrega A, Haury M, Gueret R, Coutinho A, Weksler ME. The age associated increase in autoreactive immunoglobulins reflects a quantitative increase in specifities detectable at lower concentrations in young mice. Scand J Immunol. 1996; 44(5):437-43.
Kemp FW, DeCandia J, Li W, Bruening K, Baker H, Rigassio D, et al. Relationships between immunity and dietary and serum antioxidants, trace metals, B vitamins, and homocysteine in elderly men and women. Nutr Res. 2002; 22:45-53.
Fraker JP, King LE, Laakko T, Vollmer TL. The dynamic link between the integrity of the immune system and zinc status. J Nutr. 2000; 130(5S Suppl):S1399-406.
Girodon F, Galan P, Monget A, Boutron-Ruault M, Brune-Lecomte P, Preziosi P, et al. Impact of trace elements and vitamin supplementation on immunity and infections in institutionalized patients: a randomized controlled trial. Arch Intern
Med. 1999; 159(7):748-54.
Serafini M. Dietary vitamin E and T cell-mediated function in the elderly: effectiveness and mechanism of action. Int J Neurosc. 2000; 18 (4-5):401-10.
Chandra RK. Nutrition and the immune system: an introduction. Am J Clin Nutr. 1997; 66(2): S460-3.
Ravaglia G, Forti P, Mioli F, Bastagli L, Facchini A, Savarino L, et al. Effect of micronutrient status on natural killer cell imune function in healthy free-living subjects aged ≥90 y. Am J Clin Nutr. 2000; 71(2):590-8.
Meydani SN, Meydani M, Blumberg JB, Leka LS, Siber G, Loszewski R, et al. Vitamin E supplementation and in vivo immune response in healthy elderly subjects: a randomized controlled trial. JAMA. 1997; 277(7):1380-6.
Meydani SN, Barklund PM, Liu S, Meydani M, Miller RA, Cannon JC, et al. Vitamin E supplementation enhances cell-mediated immunity in healthy elderly subjects. Am J Clin Nutr. 1990; 52(3):557-63.
De Waart FG, Portengen L, Doekes G, Verwaal DJ, Kok FJ. Effect of 3 months vitamin E supplementation on indices of the cellular and humoral immune response in elderly subjects. Br J Nutr. 1997; 78(5):761-74.
Pallast EG, Schouten EG, Waart FG, Fonk HC, Doekes G, Mary von Blomberg B, et al. Effect of 50- and 100-mg vitamin E supplements on cellular immune function in no institutionalized elderly persons. Am J Clin Nutr. 1999; 69(6):1273-81.
De la Fuente M, Ferrández MD, Burgos MS, Soler A, Prieto A, Miquel J. Immune function in aged women is improved by ingestion of vitamins C and E. Can J Physiol Pharmacol. 1998; 76(4): 373-80.
Boukaiba N, Flament C, Acher S. A physiological amount of zinc supplementation: effects on nutritional, lipid, and thymic status in an elderly population. Am J Clin Nutr. 1993; 57(4):566-72.
Mocchegiani E, Muzzioli M, Giacconi R. Zinc and immunoresistance to infection in aging: new biological tools. Trends Pharmacol Sci. 2000; 21(6):205-8.
FUNCOR. Alimentação na terceira idade. Rev Nutrição. 2002; 1(14):28-30.
Shankar AH, Prasad AS. Zinc and immune fuction: the biological basis of altered resistance to infection. Am J Clin Nutr. 1998; 68(2 Suppl): S447-63.
Gardner EM, Bernstein ED, Popoff KA, Abrutyn E, Gross P, Murasko DM. Immune response to influenza vaccine in healthy elderly: lack of association with plasma β-carotene, retinol, α-tocopherol, or zinc. Mech Ageing Dev. 2000; 117(1-3):29-45.
Fata FT, Herzlich BC, Schiffman G, Ast AL. Impaired antibody responses to pneumococcal polysaccharide in elderly patients with low serum vitamin B sub 12 levels. Ann Int Med. 1996; 124(3): 299-304.
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