Evidence map›Paper›PMID 42400822›Full record

ArticleGeroScience2026

Associations of IL-17 and TGF-β1 with physical frailty in older adults.

Chiara Ceolin, Marina De Rui, Giulia Musso, Silvia Sturani, Adele Ravelli, Cristina Simonato, Franz Villanova, Sabrina Pigozzo, Luca Busetto, Angelo Antonini and 6 more

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Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Chiara Ceolin *Department of Medicine (DIMED), University of Padua, Padua, Italy. chiara.ceolin.1@unipd.it.
Marina De Rui *Geriatric Unit, University Hospital of Padua, Padua, Italy.
Giulia MussoDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Silvia SturaniGeriatric Unit, University Hospital of Padua, Padua, Italy.
Adele RavelliDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Cristina SimonatoGeriatric Unit, University Hospital of Padua, Padua, Italy.
Franz VillanovaGeriatric Unit, University Hospital of Padua, Padua, Italy.
Sabrina PigozzoDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Luca BusettoDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Angelo AntoniniNeurodegenerative Disease Unit, Department of Neuroscience, Padua Neuroscience Center (PNC), University of Padua, Padua, Italy.
Eleonora FiorenzatoNeurodegenerative Disease Unit, Department of Neuroscience, Padua Neuroscience Center (PNC), University of Padua, Padua, Italy.
Martina MontagnanaDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Alessandra CoinDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
Maria DevitaGeriatric Unit, University Hospital of Padua, Padua, Italy.
Giuseppe SergiDepartment of Medicine (DIMED), University of Padua, Padua, Italy.
OPA working group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical frailty is a prevalent geriatric syndrome associated with reduced physiological resilience and adverse outcomes. Beyond classical inflammaging, age-related changes in immune regulation and tissue repair may contribute to frailty pathophysiology. Biomarkers involved in adaptive immune responses and remodeling pathways, such as IL-17 and TGF-β1, may help characterize the inflammatory-regenerative milieu associated with frailty. We therefore investigated the association between circulating immune biomarkers and physical frailty severity in older adults.

methodsIn this cross-sectional analysis, 167 community-dwelling outpatients aged ≥ 65 years (mean age 75.2 ± 6.4 years; 54.5% women) were classified as robust, pre-frail, or frail according to a phenotype-based frailty score. Circulating levels of TGF-β1, IL-17, IL-6, TNF-α, IL-10, and IFN-γ were measured. Associations with frailty were assessed using ordinal logistic regression, quantile regression, and component-specific logistic models.

resultsIL-17 concentrations progressively declined with increasing frailty severity (median 9.24 ng/L in robust vs. 4.91 ng/L in frail participants; p = 0.004). In adjusted ordinal models, higher IL-17 levels were independently associated with lower frailty severity (OR = 0.62, 95% CI 0.46-0.84; p = 0.002), with each doubling of IL-17 corresponding to a 28% reduction in frailty odds. Conversely, higher TGF-β1 levels were independently associated with greater frailty severity (OR = 2.33, 95% CI 1.05-5.13; p = 0.036). IL-17 showed consistent associations with physical frailty domains, including slowness (adjusted OR = 0.57), and low physical performance (adjusted OR = 0.68). Similar associations were observed in exploratory analyses restricted to cognitively intact participants. However, formal interaction analyses did not support significant effect modification by cognitive status. In contrast, classical inflammatory markers (IL-6, TNF-α), as well as IFN-γ and IL-10, were not significantly associated with frailty across any of the models.

conclusionsPhysical frailty was associated with lower IL-17 and higher TGF-β1 levels, suggesting that immune-related pathways beyond classical systemic inflammation may be associated with physical frailty. Rather than reflecting overt systemic inflammation, these findings suggest that biological pathways involved in immune regulation and tissue remodeling may be associated with physical frailty. IL-17 and TGF-β1 may therefore represent potentially informative biomarkers for future investigations of the biological mechanisms underlying resilience and functional decline in aging.

trial registrationNot applicable.

Indexed as

AgingFrailtyIL-17ImmunosenescenceInflammagingPhysical performanceTGF-β1Tissue repair

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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.