Department of Immunology, Innovita Research Company, Vilnius, Lithuania.
Department of Medical Biotechnologies, Immanuel Kant Baltic Federal University, Kaliningrad, Russia.
Expert Rev Vaccines. 2020 Mar;19(3):209-215. doi: 10.1080/14760584.2020.1745638. Epub 2020 Apr 6.
: With age, the proportion of memory T cells increases, while the proportion and number of naive T cell decreases. Memory T cells are more sensitive to antigenic stimulation and less dependent on co-stimulation signals, as compared to naïve T cells. Differentiation of naïve T cells into memory T cells is accompanied by an increase in T cell reactivity to self-peptide/MHC complexes, which allowed for positive selection of their naïve precursors in the thymus.: We envisage that in geriatric age memory Th1-type autoreactivity leads to age-associated immune hyporeactivity, atherosclerosis, and degenerative neuropathology, such as Alzheimer's and Parkinson's diseases, whereas autoreactive memory Th2 cells could promote tumorigenesis.: Stimulation of adaptive immunoregulatory mechanisms by polyclonal T-cell vaccination could constrain the development of age-related T-cell autoreactivity surplus. Another approach to immune system 'rejuvenation' could involve adoptive cell transfer of naïve T cells with a view to restrain the expansion of pathological memory T cells and support immune responsiveness to novel antigenic challenges. The proposed concept conjectures the occurrence of a hard-wired immunological clock that could determine the duration of life, which theoretically could be subject to immune-based therapy.
随着年龄的增长,记忆 T 细胞的比例增加,而幼稚 T 细胞的比例和数量减少。与幼稚 T 细胞相比,记忆 T 细胞对抗原刺激更敏感,对共刺激信号的依赖性更低。幼稚 T 细胞分化为记忆 T 细胞伴随着 T 细胞对自身肽/MHC 复合物反应性的增加,这使得它们的幼稚前体能够在胸腺中进行阳性选择。我们设想,在老年时,记忆 Th1 型自身反应性导致与年龄相关的免疫低反应性、动脉粥样硬化和退行性神经病理学,如阿尔茨海默病和帕金森病,而自身反应性记忆 Th2 细胞可能促进肿瘤发生。多克隆 T 细胞疫苗刺激适应性免疫调节机制可能会限制与年龄相关的 T 细胞自身反应性过剩的发展。免疫系统“年轻化”的另一种方法可能涉及幼稚 T 细胞的过继细胞转移,以限制病理性记忆 T 细胞的扩增,并支持对新抗原挑战的免疫反应性。该概念推测存在一个固定的免疫时钟,它可以决定生命的持续时间,从理论上讲,这可能是基于免疫的治疗的对象。