. Persistent viral infections and immune aging.
Open accessAbstract
Immunosenescence comprises a set of dynamic changes occurring to both, the innate as well as the adaptive immune system that accompany human aging and result in complex manifestations of still poorly defined deficiencies in the elderly population. One of the most prominent alterations during aging is the continuous involution of the thymus gland which is almost complete by the age of 50. Consequently, the output of naïve T cells is greatly diminished in elderly individuals which puts pressure on homeostatic forces to maintain a steady T cell pool for most of adulthood. In a great proportion of the human population, this fragile balance is challenged by persistent viral infections, especially Cytomegalovirus (CMV), that oblige certain T cell clones to monoclonally expand repeatedly over a lifetime which then occupy space within the T cell pool. Eventually, these inflated memory T cell clones become exhausted and their extensive accumulation accelerates the age-dependent decline of the diversity of the T cell pool. As a consequence, infectious diseases are more frequent and severe in elderly persons and immunological protection following vaccination is reduced. This review therefore aims to shed light on how various types of persistent viral infections, especially CMV, influence the aging of the immune system and highlight potential measures to prevent the age-related decline in immune function.
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Emerging data suggest that HIV and CMV co-infections interact in a potential negative manner.
“The impact of HIV disease on this process is not known, but emerging data suggest that these co-infections interact in a potential negative manner (41–44).”
From HIV and Aging: State of Knowledge and Areas of Critical Need for Research. A Report to the NIH Office of AIDS Research by the HIV and Aging Working Group (2012) · cites this paper as [43]
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- Authors
- Brunner, S., Herndler-Brandstetter, D., Weinberger, B., & Grubeck-Loebenstein, B.
- Affiliations
- Austrian Academy of Sciences (AT)
- Venue
- Ageing Research Reviews
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 10
- Issue
- 3
- Pages
- 362-369
- ISSN
- 1568-1637 (ISSN-L)
- OpenAlex
- W1994360777
- Cited by
- 143
- References
- 127
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 12 · 2020: 11 · 2019: 7 · 2018: 3 · 2017: 5 · 2016: 12 · 2015: 12 · 2014: 12 · 2013: 16 · 2012: 19
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- green
- epub.oeaw.ac.at
- Licence
- Locations
- Ageing Research Reviews (publishedVersion)
- PubMed (publishedVersion)
- Oesterreichisches Musiklexikon online (Institut für kunst- und musikhistorische Forschungen der Österreichischen Akademie der Wissenschaften) (submittedVersion, other-oa)
- Austrian Biographical Dictionary (Austrian Academy of Sciences) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Keywords
- immunosenescence, viral persistence, cytomegalovirus, thymic involution, naive T cells, T cell exhaustion, T cell diversity, vaccine response in the elderly, age-related immune decline
- MeSH terms
- Aged, Aged, 80 and over, Aging, Humans, Immune System, T-Lymphocytes, Thymus Gland, Viral Vaccines, Virus Diseases, Treatment Outcome
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