1. Academic Validation
  2. NF-κB-activated fibroblasts orchestrate inflammaging and emergence of pro-inflammatory granzyme K+ T cells

NF-κB-activated fibroblasts orchestrate inflammaging and emergence of pro-inflammatory granzyme K+ T cells

  • Immunity. 2026 Mar 27:S1074-7613(26)00086-5. doi: 10.1016/j.immuni.2026.02.016.
Nancy C Allen 1 Christian Ringler 2 Sang Ho Woo 2 Sophie Phipps 2 Jin Young Lee 1 Nabora Reyes 1 Ritusree Biswas 1 Lucile Neyton 2 Andrew Willmore 2 Sofia Caryotakis 3 Jessica Roginsky 3 Lu Guo 2 Melia Magnen 4 Pedro Ruivo 5 Chaz Langelier 2 COMET Consortium 2 Mark Looney 4 Averil Ma 4 Vincent Auyeung 2 Carolyn Calfee 2 Ari B Molofsky 3 Tien Peng 6
Affiliations

Affiliations

  • 1 Department of Medicine, San Francisco, CA, USA; Bakar Aging Research Institute, San Francisco, CA, USA.
  • 2 Department of Medicine, San Francisco, CA, USA.
  • 3 ImmunoX Initiative and Biomedical Sciences Graduate Program, San Francisco, CA, USA; Department of Laboratory Medicine, University of California, San Francisco, San Francisco, CA 94143, USA.
  • 4 Department of Medicine, San Francisco, CA, USA; ImmunoX Initiative and Biomedical Sciences Graduate Program, San Francisco, CA, USA.
  • 5 Comparative Pathology Laboratory, School of Veterinary Medicine, University of California, Davis, Davis, CA 95616, USA.
  • 6 Department of Medicine, San Francisco, CA, USA; Bakar Aging Research Institute, San Francisco, CA, USA; ImmunoX Initiative and Biomedical Sciences Graduate Program, San Francisco, CA, USA. Electronic address: tien.peng@ucsf.edu.
Abstract

While inflammaging supposedly drives some of the most common diseases affecting the elderly, little is known about the tissue drivers of inflammaging. In this study, we demonstrate that age-dependent activation of nuclear factor κB (NF-κB) in tissue fibroblasts remodeled the immune architecture, promoting the emergence of an exhausted granzyme K (GZMK)+CD8+ T cell population recently identified in normal aging as well as autoimmunity and Cancer. Fibroblast-specific NF-κB activation triggered a fibroblast-macrophage-T cell circuit to form tertiary lymphoid structures in the lung and promoted the emergence of exhausted GZMK+ T cells that were different from those emerging in chronic viral Infection. Fibroblastic activation of NF-κB increased host susceptibility to acute lung injury and mimicked severe pneumonia commonly seen in elderly patients, which was alleviated by depletion of GZMK+ T cells. Our data provide a structural basis for inflammaging, where fibroblasts orchestrate the complex immune aging phenotype in non-immune tissues, increasing susceptibility to age-related diseases.

Keywords

ARDS; GZMK+ T cells; NF-κB; T cell exhaustion; TNFAIP3; adventitia; fibroblasts; immune aging; inflammaging; lung; tertiary lymphoid structure.

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