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Unlocking the Role of Macrophages in Combating Chronic Inflammation and Aging

Why Chronic Inflammation Increases With Age

As we grow older, our bodies become increasingly susceptible to chronic low-grade inflammation, a phenomenon known as inflammaging. This persistent immune response is linked to higher risks of cancer, cardiovascular disease, and neurodegeneration. 

While inflammation is essential for healing injuries and fighting infections, its unchecked persistence can harm tissues and accelerate age-related decline. Recent research from Yale School of Medicine is unraveling the immune mechanisms behind this process, focusing on how specific immune cell populations change with age.

Fat Tissue: An Immune and Nerve Hub

Yale researchers, led by Dr. Vishwa Deep Dixit, have identified a unique class of immune cells called nerve-associated macrophages (NAMs) within fat tissue. Unlike typical macrophages that engulf pathogens, these NAMs produce high levels of neurotransmitters and play a vital role in regulating fat metabolism and suppressing inflammation. However, these protective cells decline sharply as we age, leaving tissues more vulnerable to inflammatory damage.

Mapping Macrophage Diversity in Aging

The research team studied macrophages in the visceral fat of mice, distinguishing between those circulating in the bloodstream and those residing within fat tissue. They discovered 13 distinct macrophage populations, including NAMs and a newly identified group termed age-associated macrophages (AAMs).

While NAMs help maintain metabolic balance and limit inflammation, AAMs emerge only in older mice and exhibit highly inflammatory characteristics, potentially fueling chronic inflammation in aging tissues.

  • NAMs: Decline with age, regulate metabolism, and control inflammation.

  • AAMs: Appear only in aged tissues, produce inflammatory signals, and may drive inflammaging.

  • Other macrophage subsets: Each with unique genetic and functional traits, revealing a complex immune environment in fat tissue.

The Nerve–Immune Connection: Why It Matters

Effective communication between nerves and immune cells is crucial for healthy aging. The Yale study found that the loss of NAMs in older mice coincided with poorer nerve–immune system interaction, diminished fat breakdown, and higher inflammation. 

Experimentally removing NAMs further impaired tissue function, highlighting their protective role. These findings emphasize the need to preserve beneficial macrophage subsets and prevent the rise of inflammatory types as we age.

New Avenues for Anti-Aging Therapies

Understanding how macrophage populations evolve with age offers hope for innovative treatments. By supporting NAMs and limiting the expansion of inflammatory AAMs, scientists could potentially reduce tissue deterioration and disease risk in older adults. 

Dr. Dixit describes these insights as a critical first step toward therapies that target the nerve–immune–metabolism axis to promote healthier, longer lives.

Takeaway: The Future of Healthy Aging

This research provides strong evidence that focusing on specific macrophage subtypes could be instrumental in fighting chronic inflammation and its associated diseases. As the scientific community continues to explore these discoveries, interventions aimed at sustaining the beneficial activities of NAMs may revolutionize our approach to aging, promising greater health and longevity.

Source: Yale School of Medicine, "Scientists Pinpoint Macrophages that Fight Chronic Inflammation," by Mahima Samraik, MS, September 24, 2025.


Unlocking the Role of Macrophages in Combating Chronic Inflammation and Aging
Joshua Berkowitz September 27, 2025
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