Plasma fibronectin was shown to increase with age, the difference between i
ndividuals (the SD of the mean) also increases with age. Fibronectin is hig
hly sensitive to proteolytic degradation and several of the degradation pro
ducts were shown to have noxious effects as proper proteolytic activity, ac
tivation of IL-I and collagenase expression and also activation of fibronec
tin biosynthesis. It was therefore interesting to compare the plasma fibron
ectin values of centenarians in relatively good health with an elderly popu
lation in a geriatric hospital, somewhat younger (70-96 years) but with a v
ariety of pathologies. A third population of men and women between 59 and 7
0 in good health (the EVA-epidemiological study) was also used for comparis
on. Plasma fibronectin was determined by a specific and highly sensitive El
isa assay. Fibronectin fragments were characterised by immunoblot. It could
be shown that plasma fibronectin in centenarians had a lower distribution
with lower average values than the geriatric population. Fibronectin fragme
nts could be demonstrated in the plasma of a selection of geriatric patents
but not in the plasma of centenarians. These results suggest a more modera
te increase of plasma fibronectin in the relatively healthy centenarians as
compared to a younger but pathological population. They also show that the
plasma fibronectin of the investigated centenarians was better protected f
rom proteolytic degradation than in the geriatric population. The above res
ults also confirm the contention that epigenetic mechanisms such as an age-
dependent increase of fibronectin synthesis and degradation and the potenti
al noxious effects of degradation products may well play an important role
in the age-dependent decline of physiological functions. (C) 231 Elsevier S
cience ireland Ltd. All rights reserved.