Skip to main content
Top
Published in: Drugs & Aging 7/2005

01-07-2005 | Review Article

Dysregulation of T-Cell Function in the Elderly

Scientific Basis and Clinical Implications

Authors: Dr Tamas Fulop, Anis Larbi, Anders Wikby, Eugenio Mocchegiani, Katsuiku Hirokawa, Graham Pawelec

Published in: Drugs & Aging | Issue 7/2005

Login to get access

Abstract

The function of the immune system is to maintain body integrity by defending against infections, cancers, autoimmune diseases and inflammation-related chronic diseases. The immune response is known to become defective with aging, leading to decreased longevity and appearance of age-related disease. The most important changes occur in T-cell immunity, and are manifested particularly as altered clonal expansion of cells of limited antigen specificity. The causes of these alterations are multifactorial, and include thymic involution, T-cell subset changes and signal transduction alterations. The clinical consequences of these changes are not well defined, except for their extremely important negative impact on defence against infections, especially by new pathogens, and decreased responses to vaccination. Considering the public health consequences of decreased immune competence in old age, strategies for immune response modulation are desirable to decrease the health burden for the elderly and improve their quality of life.
Literature
1.
go back to reference Parker LC, Whyte MKB, Dower SK, et al. The expression and roles of toll-like receptors in the biology of the human neutro-phil. J Leukoc Biol 2005; 77: 1–7CrossRef Parker LC, Whyte MKB, Dower SK, et al. The expression and roles of toll-like receptors in the biology of the human neutro-phil. J Leukoc Biol 2005; 77: 1–7CrossRef
3.
go back to reference Castle SC. Clinical relevance of age-related immune dysfunction. Clin Infect Dis 2000; 31: 578–85PubMedCrossRef Castle SC. Clinical relevance of age-related immune dysfunction. Clin Infect Dis 2000; 31: 578–85PubMedCrossRef
4.
go back to reference DeVeale B, Brummer T, Seroude L. Immunity and aging: the enemy within? Aging Cell 2004; 3: 195–208PubMedCrossRef DeVeale B, Brummer T, Seroude L. Immunity and aging: the enemy within? Aging Cell 2004; 3: 195–208PubMedCrossRef
6.
go back to reference Grubeck-Loebenstein B, Wick G. The aging of the immune system. Annu Rev Immunol 2002; 80: 248–90 Grubeck-Loebenstein B, Wick G. The aging of the immune system. Annu Rev Immunol 2002; 80: 248–90
7.
go back to reference Hirokawa K, Utsuyama M, Kasai M, et al. Understanding the mechanism of age-change of thymic function to promote T-cell differentiation. Immunol Lett 1994; 40: 269–77PubMedCrossRef Hirokawa K, Utsuyama M, Kasai M, et al. Understanding the mechanism of age-change of thymic function to promote T-cell differentiation. Immunol Lett 1994; 40: 269–77PubMedCrossRef
8.
go back to reference Fagnoni FF, Vescovini R, Passeri G, et al. Shortage of circulating naive CD8+ T cells provides new insights on immunodeficiency in aging. Blood 2000; 95: 2860–8PubMed Fagnoni FF, Vescovini R, Passeri G, et al. Shortage of circulating naive CD8+ T cells provides new insights on immunodeficiency in aging. Blood 2000; 95: 2860–8PubMed
9.
go back to reference Hirokawa K, Utsuyama M. Combined grafting of bone marrow and thymus, and sequential multiple thymus grafting in various strains of mice: the effect on immune functions and life span. Mech Ageing Dev 1989; 49: 49–60PubMedCrossRef Hirokawa K, Utsuyama M. Combined grafting of bone marrow and thymus, and sequential multiple thymus grafting in various strains of mice: the effect on immune functions and life span. Mech Ageing Dev 1989; 49: 49–60PubMedCrossRef
10.
go back to reference Mocchegiani E, Giacconi R, Cipriano C, et al. The variations during the circadian cycle of liver CD Id-unrestricted NK1.1+TCR gamma/delta+ cells lead to successful ageing: role of metallothionein/IL-6/gpl30/PARP-l interplay in very old mice. Exp Gerontol 2004; 39: 775–88PubMedCrossRef Mocchegiani E, Giacconi R, Cipriano C, et al. The variations during the circadian cycle of liver CD Id-unrestricted NK1.1+TCR gamma/delta+ cells lead to successful ageing: role of metallothionein/IL-6/gpl30/PARP-l interplay in very old mice. Exp Gerontol 2004; 39: 775–88PubMedCrossRef
11.
go back to reference Pawelec G, Akbar A, Caruso C, et al. Is immunosenescence infectious? Trends Immunol 2004; 25: 406–10PubMedCrossRef Pawelec G, Akbar A, Caruso C, et al. Is immunosenescence infectious? Trends Immunol 2004; 25: 406–10PubMedCrossRef
12.
go back to reference Looney RJ, Falsey A, Campbell D, et al. Role of cytome-galovirus in the T cell changes seen in elderly individuals. Clin Immunol 1999; 90: 213–9PubMedCrossRef Looney RJ, Falsey A, Campbell D, et al. Role of cytome-galovirus in the T cell changes seen in elderly individuals. Clin Immunol 1999; 90: 213–9PubMedCrossRef
13.
go back to reference Appay V, Dunbar PR, Callan M, et al. Memory CD8+ T cells vary in differentiation phenotype in different persistent virus infections. Nat Med 2002; 8: 379–85PubMedCrossRef Appay V, Dunbar PR, Callan M, et al. Memory CD8+ T cells vary in differentiation phenotype in different persistent virus infections. Nat Med 2002; 8: 379–85PubMedCrossRef
14.
go back to reference Effros RB, Boucher N, Porter V, et al. Decline in CD28- T cells in centenarians and in long-term cell cultures: a possible cause for both in vivo and vitro immunosenescence. Exp Gerontol 1994; 29: 601–9PubMedCrossRef Effros RB, Boucher N, Porter V, et al. Decline in CD28- T cells in centenarians and in long-term cell cultures: a possible cause for both in vivo and vitro immunosenescence. Exp Gerontol 1994; 29: 601–9PubMedCrossRef
15.
go back to reference Effros RB, Pawelec G. Replicative senescence of T lymphocytes: does the Hayflick limit lead to immune exhaustion? Immunol Today 1997; 18: 450–4PubMedCrossRef Effros RB, Pawelec G. Replicative senescence of T lymphocytes: does the Hayflick limit lead to immune exhaustion? Immunol Today 1997; 18: 450–4PubMedCrossRef
16.
go back to reference Franceschi C, Bonafé M, Valensin S, et al. Inflamm-aging: an evolutionary perspective on immunosenescence. Ann N Y Acad Sci 2000; 908: 244–54PubMedCrossRef Franceschi C, Bonafé M, Valensin S, et al. Inflamm-aging: an evolutionary perspective on immunosenescence. Ann N Y Acad Sci 2000; 908: 244–54PubMedCrossRef
17.
go back to reference Franceschi C, Bonafé M, Valensin S. Human immunosenescence: the prevailing of innate immunity, the failing of clo-notypic immunity, and the filling of immunological space. Vaccine 2000; 18: 1717–20PubMedCrossRef Franceschi C, Bonafé M, Valensin S. Human immunosenescence: the prevailing of innate immunity, the failing of clo-notypic immunity, and the filling of immunological space. Vaccine 2000; 18: 1717–20PubMedCrossRef
18.
go back to reference Spaulding C, Guo W, Effros RB, et al. Resistance to apoptosis in human CD8+ T cells that reach replicative senescence after multiple rounds of antigen specific proliferation. Exp Gerontol 1999; 34: 633–44PubMedCrossRef Spaulding C, Guo W, Effros RB, et al. Resistance to apoptosis in human CD8+ T cells that reach replicative senescence after multiple rounds of antigen specific proliferation. Exp Gerontol 1999; 34: 633–44PubMedCrossRef
19.
go back to reference Pawelec G, Sansom D, Rehbein A, et al. Decreased proliferative capacity and increased susceptibility to activation induced cell death in late passage human CD4+TCR2+ cultured T cell clones. Exp Gerontol 1996; 31: 655–68PubMedCrossRef Pawelec G, Sansom D, Rehbein A, et al. Decreased proliferative capacity and increased susceptibility to activation induced cell death in late passage human CD4+TCR2+ cultured T cell clones. Exp Gerontol 1996; 31: 655–68PubMedCrossRef
20.
go back to reference Mocchegiani E, Malavolta M. NK and NKT cell functions in immunosenescence. Aging Cell 2004; 3: 177–84PubMedCrossRef Mocchegiani E, Malavolta M. NK and NKT cell functions in immunosenescence. Aging Cell 2004; 3: 177–84PubMedCrossRef
21.
go back to reference Pawelec G. Immunosenescence impact in the young as well as the old. Mech Age Dev 1999; 108: 1–7CrossRef Pawelec G. Immunosenescence impact in the young as well as the old. Mech Age Dev 1999; 108: 1–7CrossRef
22.
go back to reference Hirokawa K. Immunity and aging. In: Pathy MSJ, editor. Principles and practice of geriatric medicine. 3rd ed. New York: John Wiley and Sons, 1998: 35–47 Hirokawa K. Immunity and aging. In: Pathy MSJ, editor. Principles and practice of geriatric medicine. 3rd ed. New York: John Wiley and Sons, 1998: 35–47
23.
go back to reference O’Mahony L, Holland J, Jackson J, et al. Quantitative intracellu-lar cytokine measurement: age-related changes in proinflam-matory cytokine production. Clin Exp Immunol 1998; 113: 213–9PubMedCrossRef O’Mahony L, Holland J, Jackson J, et al. Quantitative intracellu-lar cytokine measurement: age-related changes in proinflam-matory cytokine production. Clin Exp Immunol 1998; 113: 213–9PubMedCrossRef
24.
go back to reference Trzonkowski P, Mysliwska J, Szmit E, et al. Association between cytomegalovisrus infection, enhanced proinflammatory response and low level of anti-hemagglutinins during the anti-influenza vaccination: an impact of immunosenescence. Vaccine 2003; 21: 3826–36PubMedCrossRef Trzonkowski P, Mysliwska J, Szmit E, et al. Association between cytomegalovisrus infection, enhanced proinflammatory response and low level of anti-hemagglutinins during the anti-influenza vaccination: an impact of immunosenescence. Vaccine 2003; 21: 3826–36PubMedCrossRef
25.
go back to reference Baggio G, Donazzan S, Monti D, et al. Lipoprotein(a) and lipoprotein profile in healthy centenarians: a reappraisal of vascular risk factors. FASEB J 1998; 12: 433–7PubMed Baggio G, Donazzan S, Monti D, et al. Lipoprotein(a) and lipoprotein profile in healthy centenarians: a reappraisal of vascular risk factors. FASEB J 1998; 12: 433–7PubMed
26.
go back to reference Ferrucci L, Harris TB, Guralnik JM, et al. Serum IL-6 level and the development of disability in older persons. J Am Geriatr Soc 1999; 47: 639–46PubMed Ferrucci L, Harris TB, Guralnik JM, et al. Serum IL-6 level and the development of disability in older persons. J Am Geriatr Soc 1999; 47: 639–46PubMed
27.
go back to reference Cohen HJ, Piper CS, Harris T. Markers of inflammation and coagulation predict decline in function and mortality in community dwelling elderly. J Am Geriatr Soc 2001; S1: A3–A10 Cohen HJ, Piper CS, Harris T. Markers of inflammation and coagulation predict decline in function and mortality in community dwelling elderly. J Am Geriatr Soc 2001; S1: A3–A10
28.
go back to reference Franceschi C, Bonafé M. Centenarians as a model for healthy aging. Biochem Soc Trans 2001; 31: 457–61CrossRef Franceschi C, Bonafé M. Centenarians as a model for healthy aging. Biochem Soc Trans 2001; 31: 457–61CrossRef
29.
go back to reference Bonafé M, Olivieri F, Cavallone L, et al. A gender-dependent genetic predisposition to produce high levels of IL-6 is detrimental for longevity. Eur J Immunol 2001; 31: 2357–61PubMedCrossRef Bonafé M, Olivieri F, Cavallone L, et al. A gender-dependent genetic predisposition to produce high levels of IL-6 is detrimental for longevity. Eur J Immunol 2001; 31: 2357–61PubMedCrossRef
30.
go back to reference Murasko D, Gardner EM. Immunology of aging. In: Hazzard WR, Blass JP, Halter JB, et al, editors. Principles of geriatric medicine and gerontology. New York: McGraw-Hill, 2003: 35–52 Murasko D, Gardner EM. Immunology of aging. In: Hazzard WR, Blass JP, Halter JB, et al, editors. Principles of geriatric medicine and gerontology. New York: McGraw-Hill, 2003: 35–52
31.
go back to reference Bromley SK, Burack WR, Johnson KG, et al. The immunological synapse. Annu Rev Immunol 2001; 19: 375–96PubMedCrossRef Bromley SK, Burack WR, Johnson KG, et al. The immunological synapse. Annu Rev Immunol 2001; 19: 375–96PubMedCrossRef
32.
go back to reference Plackett TP, Boehmer ED, Faunce DE, et al. Aging and innate immune cells. J Leukoc Biol 2004; 76: 291–9PubMedCrossRef Plackett TP, Boehmer ED, Faunce DE, et al. Aging and innate immune cells. J Leukoc Biol 2004; 76: 291–9PubMedCrossRef
33.
go back to reference Garcia GG, Miller RA. Age-dependent defects in TCR-trig-gered cytoskeletal rearrangement in CD4+ T cells. J Immunol 2002; 169: 5021–7PubMed Garcia GG, Miller RA. Age-dependent defects in TCR-trig-gered cytoskeletal rearrangement in CD4+ T cells. J Immunol 2002; 169: 5021–7PubMed
34.
go back to reference Fulop T, Larbi A, Douziech N, et al. Signal transduction and functional changes in neutrophils with aging. Aging Cell 2004; 3: 217–26PubMedCrossRef Fulop T, Larbi A, Douziech N, et al. Signal transduction and functional changes in neutrophils with aging. Aging Cell 2004; 3: 217–26PubMedCrossRef
35.
go back to reference Nel AE, Slaughter N. T-cell activation through the antigen receptor: Part 2: role of signaling cascades in T-cell differentiation, anergy, immune senescence, and development of immu-notherapy. J Allergy Clin Immunol 2002; 109: 901–15PubMedCrossRef Nel AE, Slaughter N. T-cell activation through the antigen receptor: Part 2: role of signaling cascades in T-cell differentiation, anergy, immune senescence, and development of immu-notherapy. J Allergy Clin Immunol 2002; 109: 901–15PubMedCrossRef
36.
go back to reference Rudd CE, Schneider H. Unifying concepts in CD28, ICOS and CTLA4 co-receptor signalling. Nat Rev Immunol 2003; 3: 544–56PubMedCrossRef Rudd CE, Schneider H. Unifying concepts in CD28, ICOS and CTLA4 co-receptor signalling. Nat Rev Immunol 2003; 3: 544–56PubMedCrossRef
37.
go back to reference Laude AJ, Prior IA. Plasma membrane microdomains: organization, function and trafficking. Mol Membr Biol 2004; 21: 193–205PubMedCrossRef Laude AJ, Prior IA. Plasma membrane microdomains: organization, function and trafficking. Mol Membr Biol 2004; 21: 193–205PubMedCrossRef
38.
go back to reference Taner SB, Onfelt B, Pirinen NJ, et al. Control of immune responses by trafficking cell surface proteins, vesicles and lipid rafts to and from the immunological synapse. Traffic 2004; 5: 651–61PubMedCrossRef Taner SB, Onfelt B, Pirinen NJ, et al. Control of immune responses by trafficking cell surface proteins, vesicles and lipid rafts to and from the immunological synapse. Traffic 2004; 5: 651–61PubMedCrossRef
39.
40.
go back to reference Larbi A, Douziech N, Dupuis G, et al. Age-associated alterations in the recruitment of signal transduction proteins to lipid rafts in human T lymphocytes. J Leukoc Biol 2004; 75: 373–81PubMedCrossRef Larbi A, Douziech N, Dupuis G, et al. Age-associated alterations in the recruitment of signal transduction proteins to lipid rafts in human T lymphocytes. J Leukoc Biol 2004; 75: 373–81PubMedCrossRef
41.
go back to reference Lesourd BM. Immune response during disease and recovery in the elderly. Proc Nutr Soc 1999; 58: 85–98PubMedCrossRef Lesourd BM. Immune response during disease and recovery in the elderly. Proc Nutr Soc 1999; 58: 85–98PubMedCrossRef
42.
go back to reference Lesourd BM. Nutrition and immunity in the elderly: modification of immune responses with nutritional treatments. Am J Clin Nutr 1997; 66: 478S–84SPubMed Lesourd BM. Nutrition and immunity in the elderly: modification of immune responses with nutritional treatments. Am J Clin Nutr 1997; 66: 478S–84SPubMed
43.
go back to reference Corman LC. The relationship between nutrition, infection and immunity. Med Clin North Am 1985; 69: 519–31PubMed Corman LC. The relationship between nutrition, infection and immunity. Med Clin North Am 1985; 69: 519–31PubMed
44.
go back to reference Sullivan DH, Sun S, Wals RC. Protein-energy malnutrition among elderly hospitalized patients: a prospective study. JAMA 1999; 281: 2013–9PubMedCrossRef Sullivan DH, Sun S, Wals RC. Protein-energy malnutrition among elderly hospitalized patients: a prospective study. JAMA 1999; 281: 2013–9PubMedCrossRef
45.
go back to reference Chandra RK. The relation between immunology, nutrition and disease in the elderly people. Age Ageing 1990; 19: S25–31PubMedCrossRef Chandra RK. The relation between immunology, nutrition and disease in the elderly people. Age Ageing 1990; 19: S25–31PubMedCrossRef
46.
go back to reference High KP. Nutritional strategies to boost immunity and prevent infections in the elderly individuals. Clin Infect Dis 2001; 33: 1892–900PubMedCrossRef High KP. Nutritional strategies to boost immunity and prevent infections in the elderly individuals. Clin Infect Dis 2001; 33: 1892–900PubMedCrossRef
47.
go back to reference Mocchegiani E, Muzzioli M, Giacconi R. Zinc, metallothioneins, immune responses, survival and ageing. Biogerontology 2000; 1: 133–43PubMedCrossRef Mocchegiani E, Muzzioli M, Giacconi R. Zinc, metallothioneins, immune responses, survival and ageing. Biogerontology 2000; 1: 133–43PubMedCrossRef
48.
go back to reference Mocchegiani E, Giacconi R, Muzzioli M, et al. Zinc, infections and immunosenescence. Mech Ageing Dev 2000; 121: 21–35PubMedCrossRef Mocchegiani E, Giacconi R, Muzzioli M, et al. Zinc, infections and immunosenescence. Mech Ageing Dev 2000; 121: 21–35PubMedCrossRef
49.
go back to reference Bruunsgaard H, Skinboj P, Qvist J, et al. Elderly humans show prolonged in vivo inflammatory activity during pneumococcal infections. J Infect Dis 1999; 180: 551–4PubMedCrossRef Bruunsgaard H, Skinboj P, Qvist J, et al. Elderly humans show prolonged in vivo inflammatory activity during pneumococcal infections. J Infect Dis 1999; 180: 551–4PubMedCrossRef
50.
go back to reference Krabbe KS, Bruunsgaard H, Hanson CM, et al. Aging is associated with a prolonged fever response in human endotoxemia. Clin Diagn Lab Immunol 2001; 8: 333–8PubMed Krabbe KS, Bruunsgaard H, Hanson CM, et al. Aging is associated with a prolonged fever response in human endotoxemia. Clin Diagn Lab Immunol 2001; 8: 333–8PubMed
51.
go back to reference Arlt W, Hewison M. Hormones and immune function: implications of aging. Aging Cell 2004; 3: 209–16PubMedCrossRef Arlt W, Hewison M. Hormones and immune function: implications of aging. Aging Cell 2004; 3: 209–16PubMedCrossRef
52.
go back to reference Harman D. Aging: a theory based on free radical and radiation chemistry. J Gerontol 1956; 11: 298–300PubMedCrossRef Harman D. Aging: a theory based on free radical and radiation chemistry. J Gerontol 1956; 11: 298–300PubMedCrossRef
54.
go back to reference Pahlavani MA, Harris MD. Effect of in vitro generation of oxygen free radicals on T cell function in young and old rats. Free Radic Biol Med 1998; 25: 903–13PubMedCrossRef Pahlavani MA, Harris MD. Effect of in vitro generation of oxygen free radicals on T cell function in young and old rats. Free Radic Biol Med 1998; 25: 903–13PubMedCrossRef
55.
go back to reference Wikby A, Johansson B, Ferguson F, et al. Age-related changes in immune parameters in a very old population of Swedish people: a longitudinal study. Exp Gerontol 1994; 29: 531–41PubMedCrossRef Wikby A, Johansson B, Ferguson F, et al. Age-related changes in immune parameters in a very old population of Swedish people: a longitudinal study. Exp Gerontol 1994; 29: 531–41PubMedCrossRef
56.
go back to reference Saurwein-Teissl M, Lung TL, Marx F, et al. Lack of antibody production following immunization in old age: association with CD8(+)CD28(−) T cell clonal expansions and an imbalance in the production of Thl and Th2 cytokines. J Immunol 2002; 168: 5893–9PubMed Saurwein-Teissl M, Lung TL, Marx F, et al. Lack of antibody production following immunization in old age: association with CD8(+)CD28() T cell clonal expansions and an imbalance in the production of Thl and Th2 cytokines. J Immunol 2002; 168: 5893–9PubMed
57.
go back to reference Goronzy JJ, Fulbright JW, Crowson CS, et al. Value of immunological markers in predicting responsiveness to influenza vaccination in elderly individuals. J Virol 2001; 75: 12182–7PubMedCrossRef Goronzy JJ, Fulbright JW, Crowson CS, et al. Value of immunological markers in predicting responsiveness to influenza vaccination in elderly individuals. J Virol 2001; 75: 12182–7PubMedCrossRef
58.
go back to reference Nilsson B-O, Ernerudh J, Johansson B, et al. Morbidity does not influence the T-cell immune risk phenotype in the elderly: findings in the Swedish NONA Immune Study using sample selection protocols. Mech Ageing Dev 2003; 124: 469–76PubMedCrossRef Nilsson B-O, Ernerudh J, Johansson B, et al. Morbidity does not influence the T-cell immune risk phenotype in the elderly: findings in the Swedish NONA Immune Study using sample selection protocols. Mech Ageing Dev 2003; 124: 469–76PubMedCrossRef
59.
go back to reference Ferguson FG, Wikby A, Maxson P, et al. Immune parameters in a longitudinal study of a very old population of Swedish people: a comparison between survivors and non survivors. J Gerontol A Biol Sci Med Sci 1995; 50: B378–82PubMedCrossRef Ferguson FG, Wikby A, Maxson P, et al. Immune parameters in a longitudinal study of a very old population of Swedish people: a comparison between survivors and non survivors. J Gerontol A Biol Sci Med Sci 1995; 50: B378–82PubMedCrossRef
60.
go back to reference Olsson J, Wikby A, Johannson B, et al. Age-related change in peripheral blood T-lymphocyte subpopulations and cytomegalovirus infection in the very old: the Swedish longitudinal OCTO immune study. Mech Ageing Dev 2000; 121: 187–201PubMedCrossRef Olsson J, Wikby A, Johannson B, et al. Age-related change in peripheral blood T-lymphocyte subpopulations and cytomegalovirus infection in the very old: the Swedish longitudinal OCTO immune study. Mech Ageing Dev 2000; 121: 187–201PubMedCrossRef
61.
go back to reference Yoshikawa TT. Epidemiology and unique aspects of aging and infectious diseases. Clin Infect Dis 2000; 30: 931–3PubMedCrossRef Yoshikawa TT. Epidemiology and unique aspects of aging and infectious diseases. Clin Infect Dis 2000; 30: 931–3PubMedCrossRef
62.
go back to reference Mocchegiani E, Muzzioli M, Giacconi R, et al. Metallothioneins/PARP-l/IL-6 interplay on natural killer cell activity in elderly. Parallelism with nonagenarians and old infected humans: effect of zinc supply. Mech Ageing Dev 2003; 124: 459–68PubMedCrossRef Mocchegiani E, Muzzioli M, Giacconi R, et al. Metallothioneins/PARP-l/IL-6 interplay on natural killer cell activity in elderly. Parallelism with nonagenarians and old infected humans: effect of zinc supply. Mech Ageing Dev 2003; 124: 459–68PubMedCrossRef
63.
go back to reference Mocchegiani E, Muzzioli M. Therapeutic application of zinc in human immunodeficiency virus against opportunistic infections. J Nutr 2000; 130: 1424S–31SPubMed Mocchegiani E, Muzzioli M. Therapeutic application of zinc in human immunodeficiency virus against opportunistic infections. J Nutr 2000; 130: 1424S–31SPubMed
64.
go back to reference Holt SE, Shay JW, Wright WE. Refining the telomere-telomerase hypothesis of aging and cancer. Nat Biotechnol 1996; 14: 836–9PubMedCrossRef Holt SE, Shay JW, Wright WE. Refining the telomere-telomerase hypothesis of aging and cancer. Nat Biotechnol 1996; 14: 836–9PubMedCrossRef
65.
go back to reference Balducci L. Anemia, cancer, and aging. Cancer Control 2003; 10: 478–86PubMed Balducci L. Anemia, cancer, and aging. Cancer Control 2003; 10: 478–86PubMed
66.
go back to reference Bonafé M, Valensin S, Gianni W, et al. The unexpected contribution of immunosenescence to the leveling off of cancer incidence and mortality in the oldest old. Crit Rev Oncol Hematol 2001; 39: 227–33PubMedCrossRef Bonafé M, Valensin S, Gianni W, et al. The unexpected contribution of immunosenescence to the leveling off of cancer incidence and mortality in the oldest old. Crit Rev Oncol Hematol 2001; 39: 227–33PubMedCrossRef
67.
go back to reference Fraumeni Jr JF, Hoover R. Immunosurveillance and cancer: epidemiologic observations. Natl Cancer Inst Monogr 1977; 47: 121–6PubMed Fraumeni Jr JF, Hoover R. Immunosurveillance and cancer: epidemiologic observations. Natl Cancer Inst Monogr 1977; 47: 121–6PubMed
68.
go back to reference Shankaran V, Ikeda H, Bruce AT, et al. IFNgamma and lymphocytes prevent primary tumour development and shape tumour immunogenicity. Nature 2001; 410: 1107–11PubMedCrossRef Shankaran V, Ikeda H, Bruce AT, et al. IFNgamma and lymphocytes prevent primary tumour development and shape tumour immunogenicity. Nature 2001; 410: 1107–11PubMedCrossRef
69.
go back to reference Panossian L, Porter VR, Valenzuela HF, et al. Telomere shortening in T cells correlates with Alzheimer’s disease status. Neurobiol Aging 2003; 24: 77–84PubMedCrossRef Panossian L, Porter VR, Valenzuela HF, et al. Telomere shortening in T cells correlates with Alzheimer’s disease status. Neurobiol Aging 2003; 24: 77–84PubMedCrossRef
70.
go back to reference Zhang L, Conejo-Garcia JR, Katsaros D, et al. Intratumoral T cells, recurrence, and survival in epithelial ovarian cancer. N Engl J Med 2003; 348: 203–13PubMedCrossRef Zhang L, Conejo-Garcia JR, Katsaros D, et al. Intratumoral T cells, recurrence, and survival in epithelial ovarian cancer. N Engl J Med 2003; 348: 203–13PubMedCrossRef
71.
go back to reference Blasko I, Marx F, Steiner E, et al. TNFalpha plus IFNgamma induce the production of Alzheimer beta-amyloid peptides and decrease the secretion of APPs. FASEB J 1999; 13: 63–8PubMed Blasko I, Marx F, Steiner E, et al. TNFalpha plus IFNgamma induce the production of Alzheimer beta-amyloid peptides and decrease the secretion of APPs. FASEB J 1999; 13: 63–8PubMed
72.
go back to reference Barger SW, Hörster D, Furukawa K, et al. Tumor necrosis factors alpha and beta protect neurons against amyloid beta peptide toxicity: evidence for involvement of a kappa-B binding factor and attenuation of peroxide and Ca2+ accumulation. Proc Natl Acad Sci U S A 1995; 92: 9328–32PubMedCrossRef Barger SW, Hörster D, Furukawa K, et al. Tumor necrosis factors alpha and beta protect neurons against amyloid beta peptide toxicity: evidence for involvement of a kappa-B binding factor and attenuation of peroxide and Ca2+ accumulation. Proc Natl Acad Sci U S A 1995; 92: 9328–32PubMedCrossRef
73.
go back to reference Blasko I, Schmitt TL, Steiner I, et al. Tumor necrosis factor alpha augments amyloid beta protein (25–35) induced apoptosis in human cells. Neurosci Lett 1997; 238: 17–20PubMedCrossRef Blasko I, Schmitt TL, Steiner I, et al. Tumor necrosis factor alpha augments amyloid beta protein (25–35) induced apoptosis in human cells. Neurosci Lett 1997; 238: 17–20PubMedCrossRef
74.
go back to reference Pasinetti GM, Aisen PS. Cyclooxygenase-2 expression is increased in frontal cortex of Alzheimer disease brain. Neuroscience 1998; 87: 319–24PubMedCrossRef Pasinetti GM, Aisen PS. Cyclooxygenase-2 expression is increased in frontal cortex of Alzheimer disease brain. Neuroscience 1998; 87: 319–24PubMedCrossRef
75.
go back to reference Jonasson L, Tompa A, Wikby A. Expansion of peripheral CD8+ T cells in patients with coronary artery disease: relation to cytomegalovirus infection. J Intern Med 2003; 254: 472–8PubMedCrossRef Jonasson L, Tompa A, Wikby A. Expansion of peripheral CD8+ T cells in patients with coronary artery disease: relation to cytomegalovirus infection. J Intern Med 2003; 254: 472–8PubMedCrossRef
76.
go back to reference Wick G, Knoflach M, Xu Q. Autoimmune and inflammatory mechanisms in atherosclerosis. Annu Rev Immunol 2004; 22: 361–403PubMedCrossRef Wick G, Knoflach M, Xu Q. Autoimmune and inflammatory mechanisms in atherosclerosis. Annu Rev Immunol 2004; 22: 361–403PubMedCrossRef
77.
go back to reference Roger VL, Weston SA, Redfield MM, et al. Trends in heart failure incidence and survival in a community-based population. JAMA 2004; 292: 344–50PubMedCrossRef Roger VL, Weston SA, Redfield MM, et al. Trends in heart failure incidence and survival in a community-based population. JAMA 2004; 292: 344–50PubMedCrossRef
78.
go back to reference Wick G, Perschinka H, Millonig G. Atherosclerosis as an autoimmune disease: an update. Trends Immunol 2001; 22: 665–9PubMedCrossRef Wick G, Perschinka H, Millonig G. Atherosclerosis as an autoimmune disease: an update. Trends Immunol 2001; 22: 665–9PubMedCrossRef
80.
go back to reference Hansson GK, Seifert PS, Olsson G, et al. Immunohistochemical detection of macrophages and T lymphocytes in atherosclerotic lesions of cholesterol-fed rabbits. Arterioscler Thromb Vasc Biol 1991; 11: 745–50CrossRef Hansson GK, Seifert PS, Olsson G, et al. Immunohistochemical detection of macrophages and T lymphocytes in atherosclerotic lesions of cholesterol-fed rabbits. Arterioscler Thromb Vasc Biol 1991; 11: 745–50CrossRef
81.
go back to reference Wick G, Scett G, Amberger A, et al. Is athersoclerosis an immunologically mediated disease? Immunol Today 1995; 16: 27–33PubMedCrossRef Wick G, Scett G, Amberger A, et al. Is athersoclerosis an immunologically mediated disease? Immunol Today 1995; 16: 27–33PubMedCrossRef
83.
go back to reference Goavert TM, Thijs CT, Masurel N, et al. The efficacy of influenza vaccination in elderly individuals: a randomized double-blind placebo-controlled trial. JAMA 1999; 272: 1661–5 Goavert TM, Thijs CT, Masurel N, et al. The efficacy of influenza vaccination in elderly individuals: a randomized double-blind placebo-controlled trial. JAMA 1999; 272: 1661–5
84.
go back to reference Fulop T, Wagner JR, Khalil A, et al. Relationship between response to influenza vaccination and the nutritional status in institutionalized elderly subjects. J Gerontol 1999; 54A: M59–64 Fulop T, Wagner JR, Khalil A, et al. Relationship between response to influenza vaccination and the nutritional status in institutionalized elderly subjects. J Gerontol 1999; 54A: M59–64
85.
go back to reference Nichol KL, Wuorenma I, von Sternberg T. Benefits of influenza vaccination for low-, intermediate- and high-risk senior citizens. Arch Intern Med 1998; 158: 1769–76PubMedCrossRef Nichol KL, Wuorenma I, von Sternberg T. Benefits of influenza vaccination for low-, intermediate- and high-risk senior citizens. Arch Intern Med 1998; 158: 1769–76PubMedCrossRef
86.
go back to reference Guebre-Xabier M, Hammond SA, Ellingsworth LR. Immunostimulant patch enhances immune responses to influenza virus vaccine in aged mice. J Virol 2004; 78: 7610–8PubMedCrossRef Guebre-Xabier M, Hammond SA, Ellingsworth LR. Immunostimulant patch enhances immune responses to influenza virus vaccine in aged mice. J Virol 2004; 78: 7610–8PubMedCrossRef
87.
go back to reference Langkamp-Henken B, Bender BS, Gardner EM, et al. Nutritional formula enhanced immune function and reduced days of symptoms of upper respiratory tract infection in seniors. J Am Geriatr Soc 2004; 52: 3–12PubMedCrossRef Langkamp-Henken B, Bender BS, Gardner EM, et al. Nutritional formula enhanced immune function and reduced days of symptoms of upper respiratory tract infection in seniors. J Am Geriatr Soc 2004; 52: 3–12PubMedCrossRef
88.
go back to reference Utsuyama M, Ichikawa M, Konno-Shirakawa A, et al. Retardation of the age-associated decline of immune functions in aging rats under dietary restriction and daily physical exercise. Mech Ageing Dev 1996; 91: 219–28PubMedCrossRef Utsuyama M, Ichikawa M, Konno-Shirakawa A, et al. Retardation of the age-associated decline of immune functions in aging rats under dietary restriction and daily physical exercise. Mech Ageing Dev 1996; 91: 219–28PubMedCrossRef
89.
go back to reference Autran B, Carcelain G, Combadiere B, et al. Therapeutic vaccines for chronic infections. Science 2004; 305: 205–8PubMedCrossRef Autran B, Carcelain G, Combadiere B, et al. Therapeutic vaccines for chronic infections. Science 2004; 305: 205–8PubMedCrossRef
90.
go back to reference Franceschi C, Valensin S, Lescai F, et al. Neuroinflammation and the genetics of Alzheimer’s disease: the search for a proinflammatory phenotype. Aging (Milano) 2001; 13: 163–70 Franceschi C, Valensin S, Lescai F, et al. Neuroinflammation and the genetics of Alzheimer’s disease: the search for a proinflammatory phenotype. Aging (Milano) 2001; 13: 163–70
91.
go back to reference Kovacs EJ, Plackett TP, Witte PL. Estrogen replacement, aging, and cell-mediated immunity after injury. J Leukoc Biol 2004; 76: 36–41PubMedCrossRef Kovacs EJ, Plackett TP, Witte PL. Estrogen replacement, aging, and cell-mediated immunity after injury. J Leukoc Biol 2004; 76: 36–41PubMedCrossRef
92.
go back to reference Anversa P, Leri A, Kajstura J, et al. Myocyte growth and cardiac repair. Mol Cell Cardiol 2002; 34: 91–105CrossRef Anversa P, Leri A, Kajstura J, et al. Myocyte growth and cardiac repair. Mol Cell Cardiol 2002; 34: 91–105CrossRef
93.
go back to reference Bagnara GP, Bonsi L, Strippoli P, et al. Hemopoiesis in healthy old people and centenarians: well-maintained responsiveness of CD34+ cells to hemopoietic growth factors and remodeling of cytokine network. J Gerontol 2000; 55: B67–70CrossRef Bagnara GP, Bonsi L, Strippoli P, et al. Hemopoiesis in healthy old people and centenarians: well-maintained responsiveness of CD34+ cells to hemopoietic growth factors and remodeling of cytokine network. J Gerontol 2000; 55: B67–70CrossRef
94.
go back to reference Aspinall R, Andrew D, Pido-Lopez J. Age-associated changes in thymopoiesis. Springer Semin Immunopathol 2002; 24: 87–101PubMedCrossRef Aspinall R, Andrew D, Pido-Lopez J. Age-associated changes in thymopoiesis. Springer Semin Immunopathol 2002; 24: 87–101PubMedCrossRef
95.
go back to reference Nickoloff BJ, Nestle FO. Recent insights into the immunopathogenesis of psoriasis provide new therapeutic opportunities. J Clin Invest 2004; 113: 1664–75PubMed Nickoloff BJ, Nestle FO. Recent insights into the immunopathogenesis of psoriasis provide new therapeutic opportunities. J Clin Invest 2004; 113: 1664–75PubMed
96.
go back to reference Blattman JN, Greenberg PD. Cancer immunotherapy: a treatment for the masses. Science 2004; 305: 200–5PubMedCrossRef Blattman JN, Greenberg PD. Cancer immunotherapy: a treatment for the masses. Science 2004; 305: 200–5PubMedCrossRef
97.
go back to reference Sutmuller RP, van Duivenvoorde LM, van Elsas A, et al. Synergism of cytotoxic T lymphocyte-associated antigen 4 blockade and depletion of CD25(in+) regulatory T cells in antitumor therapy reveals alternative pathways for suppression of autoreactive cytotoxic T lymphocyte responses. J Exp Med 2001; 194: 823–32PubMedCrossRef Sutmuller RP, van Duivenvoorde LM, van Elsas A, et al. Synergism of cytotoxic T lymphocyte-associated antigen 4 blockade and depletion of CD25(in+) regulatory T cells in antitumor therapy reveals alternative pathways for suppression of autoreactive cytotoxic T lymphocyte responses. J Exp Med 2001; 194: 823–32PubMedCrossRef
98.
go back to reference Mocchegiani E, Straub RH. Possible new anti-aging strategies related to neuroendocrine-immune interactions. In: Straub RH, Mocchegiani E, editors. The neuroendocrine immune network in aging. Neuroimmune biology. Vol 4. Amsterdam: Elsevier, 2004: 399–409 Mocchegiani E, Straub RH. Possible new anti-aging strategies related to neuroendocrine-immune interactions. In: Straub RH, Mocchegiani E, editors. The neuroendocrine immune network in aging. Neuroimmune biology. Vol 4. Amsterdam: Elsevier, 2004: 399–409
Metadata
Title
Dysregulation of T-Cell Function in the Elderly
Scientific Basis and Clinical Implications
Authors
Dr Tamas Fulop
Anis Larbi
Anders Wikby
Eugenio Mocchegiani
Katsuiku Hirokawa
Graham Pawelec
Publication date
01-07-2005
Publisher
Springer International Publishing
Published in
Drugs & Aging / Issue 7/2005
Print ISSN: 1170-229X
Electronic ISSN: 1179-1969
DOI
https://doi.org/10.2165/00002512-200522070-00005

Other articles of this Issue 7/2005

Drugs & Aging 7/2005 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.