Cited by 340T-cell and B-cell ImmunologyImmune responses and vaccinationsTelomeres, Telomerase, and Senescence

Immunosenescence: what does it mean to health outcomes in older adults?

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McElhaney, Janet E, Effros, Rita B·2009·Current Opinion in Immunology

Abstract

The most profound consequences of immune senescence with respect to human health are the increased susceptibility to infectious diseases and decreased vaccine efficacy. Changes in both innate and adaptive immune function converge in the reduced response to vaccination and protection against infection and related diseases. The decline in thymic output of naïve T cells diminishes responses to novel antigens, such as West Nile Virus, while clonal expansions leading to defects in the T cell repertoire are associated with blunted responses of memory T cells to conserved epitopes of the influenza virus. Recent studies on how immunologic mechanisms of protection change during aging have led to novel strategies for improving vaccine responsiveness and outcomes of infectious diseases in older adults.

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Crossref · 10.1016/j.coi.2009.05.023

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  • There is a striking, well-documented age-related decline in the adaptive immune system, particularly in the ability to mount functional T cell-mediated responses.

    “There is a striking, well-documented age-related decline in the adaptive immune system, particularly in the ability to mount functional T cell–mediated responses (141).”

    From Aging, Cellular Senescence, and Cancer (2013) · cites this paper as [141]

  • This decline is largely responsible for the heightened susceptibility to infection in the elderly.

    “This decline is largely responsible for the heightened susceptibility to infection in the elderly.”

    From Aging, Cellular Senescence, and Cancer (2013) · cites this paper as [141]

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References 47 · Cited by 340

Authors
McElhaney, J. E., & Effros, R. B.
Affiliations
  • University of Connecticut (US)
  • University of California, Los Angeles (US)
Corresponding author
  • McElhaney, Janet E
  • Effros, Rita B
Venue
Current Opinion in Immunology
Publisher
Elsevier BV
Published
2009-08
Volume
21
Issue
4
Pages
418-424
ISSN
0952-7915 (ISSN-L)
OpenAlex
W2030298463
Cited by
340
References
47
Citations by year
2026: 4 · 2025: 15 · 2024: 19 · 2023: 13 · 2022: 17 · 2021: 15 · 2020: 12 · 2019: 21 · 2018: 20 · 2017: 18 · 2016: 23 · 2015: 25 · 2014: 24 · 2013: 24 · 2012: 34
FWCI
2.36
Type
journal article
Language
en
Open access
Locations
  • Current Opinion in Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute on Aging (R01AG020634, R01AG023720)
  • National Institute of Allergy and Infectious Diseases (R01AI068265, U01AI074449)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
  • Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
Keywords
immunosenescence, aging, older adults, vaccine efficacy, infection susceptibility, thymic output, naive T cells, clonal expansion, T cell receptor repertoire, memory T cells, West Nile virus, influenza virus
MeSH terms
Adjuvants, Immunologic, Aging, Disease Susceptibility, Humans, Immune Tolerance, Immunologic Memory, T-Lymphocytes, Viral Vaccines, Virus Diseases, Viruses, Treatment Outcome

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