Frontiers in Immunology (Oct 2019)

Tryptophan Metabolism in Inflammaging: From Biomarker to Therapeutic Target

  • Freek J. H. Sorgdrager,
  • Freek J. H. Sorgdrager,
  • Freek J. H. Sorgdrager,
  • Freek J. H. Sorgdrager,
  • Petrus J. W. Naudé,
  • Petrus J. W. Naudé,
  • Ido P. Kema,
  • Ellen A. Nollen,
  • Peter P. De Deyn,
  • Peter P. De Deyn,
  • Peter P. De Deyn

DOI
https://doi.org/10.3389/fimmu.2019.02565
Journal volume & issue
Vol. 10

Abstract

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Inflammation aims to restore tissue homeostasis after injury or infection. Age-related decline of tissue homeostasis causes a physiological low-grade chronic inflammatory phenotype known as inflammaging that is involved in many age-related diseases. Activation of tryptophan (Trp) metabolism along the kynurenine (Kyn) pathway prevents hyperinflammation and induces long-term immune tolerance. Systemic Trp and Kyn levels change upon aging and in age-related diseases. Moreover, modulation of Trp metabolism can either aggravate or prevent inflammaging-related diseases. In this review, we discuss how age-related Kyn/Trp activation is necessary to control inflammaging and alters the functioning of other metabolic faiths of Trp including Kyn metabolites, microbiota-derived indoles and nicotinamide adenine dinucleotide (NAD+). We explore the potential of the Kyn/Trp ratio as a biomarker of inflammaging and discuss how intervening in Trp metabolism might extend health- and lifespan.

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