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Kynurenines link chronic inflammation to functional decline and physical frailty
Reyhan Westbrook, Tae Chung, Jacqueline Lovett, Chris Ward, Humberto Joca, Huanle Yang, Mohammed Khadeer, Jing Tian, Qian-Li Xue, Anne Le, Luigi Ferrucci, Ruin Moaddel, Rafa de Cabo, Ahmet Hoke, Jeremy Walston, Peter M. Abadir
Reyhan Westbrook, Tae Chung, Jacqueline Lovett, Chris Ward, Humberto Joca, Huanle Yang, Mohammed Khadeer, Jing Tian, Qian-Li Xue, Anne Le, Luigi Ferrucci, Ruin Moaddel, Rafa de Cabo, Ahmet Hoke, Jeremy Walston, Peter M. Abadir
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Research Article Aging Inflammation

Kynurenines link chronic inflammation to functional decline and physical frailty

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Abstract

Chronic inflammation is associated with physical frailty and functional decline in older adults; however, the molecular mechanisms of this linkage are not understood. A mouse model of chronic inflammation showed reduced motor function and partial denervation at the neuromuscular junction. Metabolomic profiling of these mice and further validation in frail human subjects showed significant dysregulation in the tryptophan degradation pathway, including decreased tryptophan and serotonin, and increased levels of some neurotoxic kynurenines. In humans, kynurenine strongly correlated with age, frailty status, TNF-αR1 and IL-6, weaker grip strength, and slower walking speed. To study the effects of elevated neurotoxic kynurenines on motor neuronal cell viability and axonal degeneration, we used motor neuronal cells treated with 3-hydroxykynurenine and quinolinic acid and observed neurite degeneration in a dose-dependent manner and potentiation of toxicity between 3-hydroxykynurenine and quinolinic acid. These results suggest that kynurenines mediate neuromuscular dysfunction associated with chronic inflammation and aging.

Authors

Reyhan Westbrook, Tae Chung, Jacqueline Lovett, Chris Ward, Humberto Joca, Huanle Yang, Mohammed Khadeer, Jing Tian, Qian-Li Xue, Anne Le, Luigi Ferrucci, Ruin Moaddel, Rafa de Cabo, Ahmet Hoke, Jeremy Walston, Peter M. Abadir

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Figure 2

Levels of kynurenine pathway metabolites in serum.

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Levels of kynurenine pathway metabolites in serum.
(A–G) Levels of kynur...
(A–G) Levels of kynurenine pathway metabolites in serum determined by a targeted metabolomic approach (AbsoluteIDQ kit p180 Biocrates) for tryptophan (A), kynurenine (B), serotonin (C), and kynurenine/tryptophan ratio (D) in μM and by the developed kynurenine pathway analysis, where the reported values are normalized to pooled samples and are relative concentrations 3-hydroxykynurenine (E), kynurenic acid (F), or relative AUC quinolinic acid (G) in young, nonfrail, and frail subjects. Comparisons of distributions of metabolites by age and frailty status (young, n = 50; nonfrail, n = 83; frail, n = 33) were conducted using the Kruskall-Wallace 1-way ANOVA with Dunn’s multiple comparisons test.

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