The mechanisms underlying the increased susceptibility of the elderly to
respiratory infections are not well understood. The crosstalk between the
dendritic cells (DCs) and epithelial cells is essential in maintaining tolerance
as well as in generating immunity in the respiratory mucosa. DCs from aged
subjects display an enhanced basal level of activation, which can affect the
function of epithelial cells. Our results suggest that this is indeed the
scenario as exposure of primary bronchial epithelial cells (PBECs) to
supernatants from unstimulated DCs of aged subjects resulted in activation of
PBECs. The expression of CCL20, CCL26, CXCL10, mucin, and CD54 was significantly
increased in the PBECs exposed to aged DC supernatants, but not to young DC
supernatants. Furthermore, aged DC supernatants also enhanced the permeability
of the PBEC barrier. We also found that DCs from aged subjects spontaneously
secreted increased levels of pro-inflammatory mediators, interleukin-6, tumor
necrosis factor (TNF)-α, and metalloproteinase A disintegrin family of
metalloproteinase 10, which can affect the functions of PBECs. Finally, we
demonstrated that TNF-α, present in the supernatant of DCs from aged
subjects, was the primary pro-inflammatory mediator that affected PBEC
functions. Thus, age-associated alterations in DC–epithelial interactions
contribute to chronic airway inflammation in the elderly, increasing their
susceptibility to respiratory diseases.