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The Effect of Age on the B-Cell Repertoire
Abstract
The antibody repertoire changes with age. This change reflects, in part, the age-associated impairment in the production of a diverse population of naive B cells in the bone marrow and, in part, by the decreased diversification of B cells in the germinal center where affinity maturation and isotype switching takes place. B cell number is strictly regulated and despite the decreased output of B cells by the bone marrow does not decline during aging. Self-renewal of peripheral B cells is sufficient to assure the stability of peripheral B cell number. However, when B cell production is stressed as, for example, following drug-induced lymphopenia, the rate of recovery of B cell number as well as of B cell diversity is compromised in old compared to young mice. Finally, aging is associated with the appearance of B cell clonal expansions which not only limit the diversity of the B cell repertoire but very likely give rise to monoclonal serum immunoglobulins and B cell neoplasms.
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“Advancing age is accompanied by profound qualitative changes in the peripheral B cell repertoire with reduced clonotypic diversity and a shift towards autoreactive specificities [65 -68].”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [68]
In the citing paper
“During ageing, a remodelling of peripheral B cell subsets occurs with a decline in B cell production in the bone marrow and the expansion of atypical B cell subsets, such as age-associated B cells (ABCs) and double-negative (DN) B cells.”
From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [68]
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Metadata
- Authors
- Weksler, M. E., & Szabo, P.
- Affiliations
- Cornell University (US)
- Venue
- Journal of Clinical Immunology
- Published
- 2000-07
- Volume
- 20
- Issue
- 4
- Pages
- 240-249
- ISSN
- 0271-9142 (ISSN-L)
- 1573-2592
- OpenAlex
- W1512900561
- Cited by
- 205
- References
- 45
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 7 · 2020: 2 · 2019: 9 · 2018: 4 · 2017: 14 · 2016: 6 · 2015: 6 · 2014: 9 · 2013: 11 · 2012: 15
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p01ag014669-03)
- National Institute on Aging (AG-14669)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
- Keywords
- B cell receptor repertoire, aging, naive B cells, bone marrow, germinal center, affinity maturation, class switch recombination, lymphopenia, B cell clonal expansion, M protein, B-cell malignancies, antibody diversity
- MeSH terms
- Adjuvants, Immunologic, Aged, Aging, Animals, Antibodies, Anti-Idiotypic, Antibody Formation, Antigens, Bacterial, Autoantibodies, Bone Marrow, Cell Division, Clone Cells, Disease Susceptibility, Hematopoiesis, Humans, Lymphopenia, Lymphoproliferative Disorders, Gene Rearrangement, B-Lymphocyte, Autoimmunity, B-Lymphocyte Subsets, Mice, SCID, Lymphocyte Count, Germinal Center, Mice
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