Department of Nephrology, Aristotle University of Thessaloniki, Hippokration Hospital, Thessaloniki, Greece.
Department of Immunology, National Peripheral Histocompatibility Center, Hippokration Hospital, Thessaloniki, Greece.
Clin Immunol. 2021 Apr;225:108685. doi: 10.1016/j.clim.2021.108685. Epub 2021 Feb 4.
Aging results in substantial changes in almost all cellular subpopulations within the immune system, including functional and phenotypic alterations. T lymphocytes, as the main representative population of cellular immunity, have been extensively studied in terms of modifications and adjustments during aging. Phenotypic alterations are attributed to three main mechanisms; a reduction of naïve T cell population with a shift to more differentiated forms, a subsequent oligoclonal expansion of naïve T cells characterized by repertoire restriction, and replicative insufficiency after repetitive activation. These changes and the subsequent phenotypic disorders are comprised in the term "immunosenescence". Similar changes seem to occur in chronic kidney disease, with T cells of young patients resembling those of healthy older individuals. A broad range of surface markers can be utilized to identify immunosenescent T cells. In this review, we will discuss the most important senescence markers and their potential connection with impaired renal function.
衰老是免疫系统中几乎所有细胞亚群的实质性变化的结果,包括功能和表型改变。T 淋巴细胞作为细胞免疫的主要代表群体,其在衰老过程中的修饰和调整已经得到了广泛的研究。表型改变归因于三个主要机制;幼稚 T 细胞群体减少,向更分化的形式转变,随后幼稚 T 细胞的寡克隆扩增,特征是库限制,以及重复激活后的复制不足。这些变化和随后的表型紊乱包含在“免疫衰老”这一术语中。在慢性肾病中似乎也会发生类似的变化,年轻患者的 T 细胞类似于健康老年人的 T 细胞。广泛的表面标志物可用于识别免疫衰老的 T 细胞。在这篇综述中,我们将讨论最重要的衰老标志物及其与肾功能受损的潜在联系。