Shanghai Institute of Immunology, Shanghai Jiao Tong University School of Medicine, China.
Department of Immunology and Microbiology, Shanghai Jiao Tong University School of Medicine, China.
FEBS J. 2022 Jan;289(2):319-335. doi: 10.1111/febs.15743. Epub 2021 Feb 18.
Regulatory T (Treg) cells are critical for the maintenance of immune homeostasis. Dysregulation of Treg cells has been implicated in the pathogenesis of autoimmunity and chronic inflammation, while aging is characterized by an accumulation of inflammatory markers in the peripheral blood, a phenomenon known as 'inflammaging'. The relationship between Treg cells and age-related diseases remains to be further studied. Increasing evidence revealed that Treg cells' dysfunction occurs in aged patients, suggesting that immune therapies targeting Treg cells may be a promising approach to treat diseases such as cancers and autoimmune diseases. Furthermore, drugs targeting Treg cells show encouraging results and contribute to CD8 T-cell-mediated cytotoxic killing of tumor and infected cells. In general, a better understanding of Treg cell function may help us to develop new immune therapies against aging. In this review, we discuss potential therapeutic strategies to modify immune responses of relevance for aging to prevent and treat age-related diseases, as well as the challenges posed by the translation of novel immune therapies into clinical practice.
调节性 T(Treg)细胞对于维持免疫稳态至关重要。Treg 细胞的失调与自身免疫和慢性炎症的发病机制有关,而衰老的特征是外周血中炎症标志物的积累,这种现象被称为“炎症衰老”。Treg 细胞与年龄相关疾病之间的关系仍有待进一步研究。越来越多的证据表明,Treg 细胞在老年患者中出现功能障碍,这表明针对 Treg 细胞的免疫疗法可能是治疗癌症和自身免疫性疾病等疾病的一种有前途的方法。此外,靶向 Treg 细胞的药物显示出令人鼓舞的结果,并有助于 CD8 T 细胞介导的对肿瘤和感染细胞的细胞毒性杀伤。总的来说,更好地了解 Treg 细胞的功能可能有助于我们开发针对衰老的新的免疫疗法。在这篇综述中,我们讨论了调节免疫反应的潜在治疗策略,这些策略与衰老有关,以预防和治疗与年龄相关的疾病,以及将新型免疫疗法转化为临床实践所带来的挑战。