People who experience chronically high levels of loneliness show gene-expression patterns that differ markedly from those of people who don't feel lonely, according to a new molecular analysis in the online open access journal Genome Biology. The findings suggest that feelings of social isolation are linked to alterations in immune system activity, which result in increased inflammatory signalling within the body. This is the first study to show an alteration in genome-wide transcriptional activity linked to a social epidemiological risk factor. It provides a molecular framework for understanding why social factors are linked to an increased risk of diseases where inflammation is thought to be a factor, such as heart disease, infection and cancer.