衰老 T 细胞系统的特征。

Hallmarks of the aging T-cell system.

机构信息

Division of Immunology and Rheumatology, Department of Medicine, Stanford University, CA, USA.

Department of Medicine, Palo Alto Veterans Administration Healthcare System, CA, USA.

出版信息

FEBS J. 2021 Dec;288(24):7123-7142. doi: 10.1111/febs.15770. Epub 2021 Mar 3.

Abstract

The adaptive immune system has the enormous challenge to protect the host through the generation and differentiation of pathogen-specific short-lived effector T cells while in parallel developing long-lived memory cells to control future encounters with the same pathogen. A complex regulatory network is needed to preserve a population of naïve cells over lifetime that exhibit sufficient diversity of antigen receptors to respond to new antigens, while also sustaining immune memory. In parallel, cells need to maintain their proliferative potential and the plasticity to differentiate into different functional lineages. Initial signs of waning immune competence emerge after 50 years of age, with increasing clinical relevance in the 7th-10th decade of life. Morbidity and mortality from infections increase, as drastically exemplified by the current COVID-19 pandemic. Many vaccines, such as for the influenza virus, are poorly effective to generate protective immunity in older individuals. Age-associated changes occur at the level of the T-cell population as well as the functionality of its cellular constituents. The system highly relies on the self-renewal of naïve and memory T cells, which is robust but eventually fails. Genetic and epigenetic modifications contribute to functional differences in responsiveness and differentiation potential. To some extent, these changes arise from defective maintenance; to some, they represent successful, but not universally beneficial adaptations to the aging host. Interventions that can compensate for the age-related defects and improve immune responses in older adults are increasingly within reach.

摘要

适应性免疫系统面临着巨大的挑战,需要通过产生和分化病原体特异性的短暂效应 T 细胞来保护宿主,同时发展出长期的记忆细胞来控制未来与同一病原体的再次接触。需要一个复杂的调控网络来维持终生的幼稚细胞群体,这些细胞具有足够多样性的抗原受体来应对新的抗原,同时维持免疫记忆。与此同时,细胞需要保持其增殖潜力和分化为不同功能谱系的可塑性。免疫能力的下降迹象在 50 岁后出现,在生命的第 7-10 个十年中,其临床相关性日益增加。感染的发病率和死亡率增加,当前的 COVID-19 大流行就是一个明显的例子。许多疫苗,如流感病毒疫苗,在老年人中产生保护性免疫的效果很差。与年龄相关的变化发生在 T 细胞群体及其细胞成分的功能水平上。该系统高度依赖于幼稚和记忆 T 细胞的自我更新,这种自我更新虽然强大,但最终会失效。遗传和表观遗传修饰导致了在反应性和分化潜能方面的功能差异。在某种程度上,这些变化源于功能缺陷的维持;在某种程度上,它们代表了对衰老宿主的成功但并非普遍有益的适应。能够补偿与年龄相关缺陷并改善老年人免疫反应的干预措施越来越多。

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