Department of Immunology, Mayo Clinic College of Medicine and Science, Rochester, MN 55905, USA.
Department of Immunology, Mayo Clinic College of Medicine and Science, Rochester, MN 55905, USA; Department of Medicine, Division of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN 55905, USA.
Semin Immunol. 2023 Sep;69:101800. doi: 10.1016/j.smim.2023.101800. Epub 2023 Jul 24.
The defense against infectious diseases, either through natural immunity or after vaccinations, relies on the generation and maintenance of protective T cell memory. Naïve T cells are at the center of memory T cell generation during primary responses. Upon activation, they undergo a complex, highly regulated differentiation process towards different functional states. Naïve T cells maintained into older age have undergone epigenetic adaptations that influence their fate decisions during differentiation. We review age-sensitive, molecular pathways and gene regulatory networks that bias naïve T cell differentiation towards effector cell generation at the expense of memory and Tfh cells. As a result, T cell differentiation in older adults is associated with release of bioactive waste products into the microenvironment, higher stress sensitivity as well as skewing towards pro-inflammatory signatures and shorter life spans. These maladaptations not only contribute to poor vaccine responses in older adults but also fuel a more inflammatory state.
针对传染病的防御,无论是通过自然免疫还是接种疫苗,都依赖于保护性 T 细胞记忆的产生和维持。在初次应答期间,幼稚 T 细胞是记忆 T 细胞产生的核心。在激活后,它们经历一个复杂的、高度调控的分化过程,向不同的功能状态分化。进入老年期的幼稚 T 细胞经历了表观遗传适应,这影响了它们在分化过程中的命运决定。我们综述了与幼稚 T 细胞分化向效应细胞生成倾斜而牺牲记忆和 Tfh 细胞有关的年龄敏感的分子途径和基因调控网络。因此,老年人的 T 细胞分化与生物活性废物产物释放到微环境中、更高的应激敏感性以及向促炎特征倾斜和寿命缩短有关。这些失调不仅导致老年人疫苗反应不佳,而且还加剧了炎症状态。