Abbas Attiya A, Akbar Arne N
Division of Medicine, University College London, London, United Kingdom.
Front Aging. 2021 Jul 9;2:714239. doi: 10.3389/fragi.2021.714239. eCollection 2021.
As people around the world continue to live longer, maintaining a good quality of life is of increasing importance. The COVID-19 pandemic revealed that the elderly are disproportionally vulnerable to infectious diseases and Immunosenescence plays a critical role in that. An ageing immune system influences the conventional activity of T cells which are at the forefront of eliminating harmful foreign antigens. With ageing, unconventional end-stage T cells, that exhibit a senescent phenotype, amass. These senescent T cells deviate from T cell receptor (TCR) signaling toward natural killer (NK) activity. The transition toward innate immune cell function from these adaptor T cells impacts antigen specificity, contributing to increased susceptibility of infection in the elderly. The mechanism by which senescent T cells arise remains largely unclear however in this review we investigate the part that bystander activation plays in driving the change in function of T cells with age. Cytokine-induced bystander activation may offer a plausible explanation for the induction of NK-like activity and senescence in T cells. Further understanding of these specific NK-like senescent T cells allows us to identify the benefits and detriments of these cells in health and disease which can be utilized or regulated, respectively. This review discusses the dynamic of senescent T cells in adopting NK-like T cells and the implications that has in an infectious disease context, predominately in the elderly.
随着世界各地的人们寿命不断延长,维持良好的生活质量变得越来越重要。新冠疫情表明,老年人尤其容易受到传染病的影响,免疫衰老在其中起着关键作用。免疫系统老化会影响T细胞的常规活性,而T细胞在消除有害外来抗原方面处于前沿位置。随着年龄增长,表现出衰老表型的非常规终末T细胞会大量积累。这些衰老的T细胞从T细胞受体(TCR)信号传导转向自然杀伤(NK)活性。这些适应性T细胞向先天免疫细胞功能的转变会影响抗原特异性,导致老年人感染易感性增加。衰老T细胞产生的机制在很大程度上仍不清楚,然而在本综述中,我们研究了旁观者激活在驱动T细胞功能随年龄变化中所起的作用。细胞因子诱导的旁观者激活可能为T细胞中NK样活性和衰老的诱导提供一个合理的解释。进一步了解这些特定的NK样衰老T细胞,使我们能够确定这些细胞在健康和疾病中的利弊,从而分别加以利用或调节。本综述讨论了衰老T细胞转变为NK样T细胞的动态过程及其在传染病背景下的影响,主要是对老年人的影响。