Transplant Surgery Research Laboratory and Division of Transplant Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Transpl Int. 2013 Mar;26(3):242-53. doi: 10.1111/tri.12013. Epub 2012 Nov 29.
Aging affects all compartments of the immune response and has a major impact on transplant outcome and organ quality. Although clinical trials in the aging transplant population remain rare, our current understanding of immunosenescence provides a basis for an age-adapted immunosuppression and organ allocation with the goal to optimize utilization and to improve outcomes in older recipients. From a more general perspective, understanding the mechanisms and consequences of immunosenescence will have a broad impact on immune therapies in and beyond transplantation.
衰老是影响整个免疫系统的一个因素,对移植的结果和器官质量有重大影响。虽然在老年移植人群中进行临床试验仍然很少见,但我们对免疫衰老的现有认识为适应年龄的免疫抑制和器官分配提供了基础,目标是优化老年受者的利用和改善结果。从更广泛的角度来看,了解免疫衰老的机制和后果将对移植内外的免疫治疗产生广泛影响。