Understanding immunosenescence to improve responses to vaccines

被引:572
作者
Goronzy, Joerg J. [1 ,2 ]
Weyand, Cornelia M. [1 ,2 ]
机构
[1] Stanford Univ, Dept Med, Sch Med, Div Rheumatol & Immunol, Stanford, CA 94305 USA
[2] Palo Alto Vet Adm Hlth Care Syst, Dept Med, Palo Alto, CA USA
基金
美国国家卫生研究院;
关键词
T-CELL RESPONSES; HEMATOPOIETIC STEM-CELLS; AGE-RELATED-CHANGES; INFLUENZA VACCINE; IMMUNE SENESCENCE; SIGNALING PATHWAYS; GERMINAL-CENTERS; ELDERLY-PEOPLE; OLD-AGE; DIFFERENTIATION;
D O I
10.1038/ni.2588
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In the older adult, the benefits of vaccination to prevent infectious disease are limited, mainly because of the adaptive immune system's inability to generate protective immunity. The age-dependent decrease in immunological competence, often referred to as 'immunosenescence', results from the progressive deterioration of innate and adaptive immune responses. Most insights into mechanisms of immunological aging have been derived from studies of mouse models. In this Review, we explore how well such models are applicable to understanding the aging process throughout the 80-100 years of human life and discuss recent advances in identifying and characterizing the mechanisms that underlie age-associated defective adaptive immunity in humans.
引用
收藏
页码:428 / 436
页数:9
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