Dysregulation of G-CSF and neutrophil production is associated with chronic inflammation in elderly rhesus macaques

Aging is characterized with a loss of hematopoietic tissue in bone marrow, systemic chronic inflammation, and higher susceptibility to infectious diseases. We previously showed the tightly regulated kinetics and massive daily production of neutrophils during homeostasis in rhesus macaques aged 3 to 19 years old. Here we extended that study to further investigate the effect of aging on kinetics and production of neutrophils in more elderly rhesus macaques. We observed a neutrophil kinetics shift and higher in-group variability in rhesus macaques above 20 years old (equivalent to 70 years or more in humans) by in vivo BrdU pulse-chase labeling. In a cross-sectional study, we also measured complete blood cell counts and plasma cytokine levels from a group of 126 outdoor-housed captive Indian-ancestry rhesus macaques between 2 to 23 years old and found that aging negatively correlated with neutrophil counts and positively correlated with plasma G-CSF levels. Hierarchical clustering analysis suggested that G-CSF was strongly associated with pro-inflammatory cytokines IL-1b and MIP-1a. In elderly rhesus macaques, neutrophils expressed less myeloperoxidase and there was a higher frequency of PMN-MDSCs compared to the young adult macaques. In summary, there appears to be a dysregulated feedback mechanism wherein increased levels of G-CSF failed to restore neutrophil production in elderly rhesus macaques that was associated with induced production of pro-inflammatory cytokines and earlier release of less mature neutrophils and PMN-MDSCs. Together, these findings may contribute to the understanding of the chronic inflammation and greater susceptibility to infectious diseases in the elderly.