Evidence map›Paper›PMID 40736759›Full record

ArticleBiogerontology2025

Cytomegalovirus (CMV), oxidative stress, and inflammation: implications for immunosenescence and age-related diseases in the MARK-AGE population.

Laura Cianfruglia, Carlo Fortunato, Gretta Veronica Badillo Pazmay, Alexander Bürkle, María Moreno-Villanueva, Tilman Grune, Daniela Weber, Efstathios S Gonos, Bertrand Friguet, Isabelle Petropoulos and 18 more

Abstract read
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In one paragraph

Article in Biogerontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Laura CianfrugliaAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy.
Carlo FortunatoAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy.
Gretta Veronica Badillo PazmayAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy.
Alexander BürkleMolecular Toxicology Group, Department of Biology, University of Konstanz, Box 628, 78457, Constance, Germany.
María Moreno-VillanuevaMolecular Toxicology Group, Department of Biology, University of Konstanz, Box 628, 78457, Constance, Germany.
Tilman GruneDepartment of Molecular Toxicology, German Institute of Human Nutrition Potsdam Rehbruecke (DIfE), 14558, Nuthetal, Germany.
Daniela WeberDepartment of Molecular Toxicology, German Institute of Human Nutrition Potsdam Rehbruecke (DIfE), 14558, Nuthetal, Germany.
Efstathios S GonosInstitute of Biology, Medicinal Chemistry and Biotechnology, National Hellenic Research Foundation, Athens, Greece.
Bertrand FriguetSorbonne Université, CNRS, Inserm, Biological Adaptation and Ageing - IBPS, 75005, Paris, France.
Isabelle PetropoulosSorbonne Université, CNRS, Inserm, Biological Adaptation and Ageing - IBPS, 75005, Paris, France.
Francesco PiacenzaAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy.
Maurizio CardelliAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy.
Monia CecatiDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy.
Miriam CapriDepartment of Medical and Surgical Sciences, Alma Mater Studiorum- Università Di Bologna, Bologna, Italy.
Claudio FranceschiInstitute of Biogerontology, Lobachevsky State University, Nizhny Novgorod, Russia, 603022.
Martijn E T DolléCentre for Health Protection, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Eugène JansenCentre for Health Protection, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Birgit WeinbergerInstitute for Biomedical Aging Research, Universität Innsbruck, Innsbruck, Austria.
Ewa SikoraLaboratory of the Molecular Bases of Ageing, Nencki Institute of Experimental Biology, Polish Academy of Sciences, 3 Pasteur Street, 02-093, Warsaw, Poland.
Florence Debacq-ChainiauxURBC-NARILIS, University of Namur, Rue de Bruxelles, 61, Namur, Belgium.
Wolfgang StuetzInstitute of Nutritional Sciences, Deparment of Food Biofunctionality, University of Hohenheim, 70593, Stuttgart, Germany.
Mikko HurmeFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
P Eline SlagboomDepartment of Molecular Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands.
Jürgen BernhardtBioTeSys GmbH, Schelztorstr. 54-56, 73728, Esslingen, Germany.
Duncan TalbotUnilever R&D, Colworth Science Park, Sharnbrook, Bedford, UK.
Fabiola OlivieriAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy.
Marco MalavoltaAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy. m.malavolta@inrca.it.
Robertina GiacconiAdvanced Technology Center for Aging Research and Geriatric Mouse Clinic, IRCCS INRCA, Ancona, Italy. r.giacconi@inrca.it.

Funding

European Commission No: 200880),
6 · The paper itself

Abstract

Cytomegalovirus (CMV) drives immunosenescence, while its reactivation is associated with inflammation and oxidative stress. This study investigates the interplay between CMV, oxidative stress and inflammation in a cohort of 2065 age-stratified individuals randomly recruited from the general population (RASIG), as part of the MARK-AGE study, to better understand the role of CMV in immunosenescence and its potential impact on age-related diseases. CMV IgG titers were associated with oxidative stress, antioxidant, and inflammatory biomarkers. Stepwise-linear regression identified positive associations with age, BMI, apolipoprotein J (ApoJ/Clu), ceruloplasmin, α-2-macroglobulin, proteasome peptidase activity, and malondialdehyde, and negative associations with α-tocopherol, selenium, and vitamin D. Notably, the associations with ApoJ/Clu and proteasome peptidase activity represent novel findings that point to a potential involvement of proteostasis dysregulation and cellular stress responses in CMV-related immune alterations. Quartile-based analyses revealed significantly lower antioxidant levels (α-tocopherol, selenium, ascorbic acid and vitamin D) and higher oxidative stress markers (plasma 8-isoprostanes, malondialdehyde) in the highest quartile (Q4) compared to lower quartiles. Inflammatory markers (homocysteine, ceruloplasmin and α-2-macroglobulin) ApoJ/Clu and proteasome peptidase activity were elevated in Q4. This group also exhibited a higher prevalence of cardiovascular diseases, hypertension, and diabetes. This study highlights a link between CMV IgG titers, oxidative stress, inflammation, and the prevalence of cardiovascular and metabolic diseases. Our findings suggest that CMV may contribute to immunosenescence through mechanisms involving redox imbalance and dysregulation of protein degradation pathways. Further research is needed to explore the role of CMV reactivation in aging, and its impact on age-related metabolic and cardiovascular diseases.

Indexed as

AgingBiomarkersCytomegalovirus InfectionsAdultAgedAntibodies, ViralCytomegalovirusEuropean UnionFemaleHumansImmunoglobulin GInflammationLatent InfectionMaleMiddle AgedOxidative StressAntibodies, ViralBiomarkersImmunoglobulin GAgingApoJ/CluCMVInflammationOxidative stressProteasomeRedox balance

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.