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Understanding immunosenescence to improve responses to vaccines
Open accessAbstract
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.
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“These and other models, for which it has been shown that accelerated aging depends, at least partly, on cellular senescence, are valuable for studying the impact of senescence on health and lifespan”
From Guidelines for minimal information on cellular senescence experimentation in vivo (2024) · cites this paper as [100]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Mouse models of rapid telomere shortening, dysfunctional mitosis or impaired DNA repair (Terc, BubR1, and Ercc1 mutant mice, respectively), display high levels of cellular senescence and accelerated aging86,99,100.”
From Guidelines for minimal information on cellular senescence experimentation in vivo (2024) · cites this paper as [100]
Experimental — accuracy not yet measuredIn the citing paper
“Evidence of waning adaptive immunity is already apparent in mid adulthood, as early as at the age of 50 years, with increasing clinical relevance in the 7th–10th decade of life”
From Successful and Maladaptive T Cell Aging (2017) · cites this paper as Goronzy and Weyand, 2013
In the citing paper
“Mechanistically, immunosenescence is only partially explained by organismal and cellular senescence.”
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [23]
In the citing paper
“Therefore, these hallmarks of immunosenescence would be markedly affected by the history of the individual exposure to pathogens (6, 23).”
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [23]
In the citing paper
“The hallmarks of immunosenescence include: (i) a reduced ability to respond to new antigens; (ii) the accumulation of memory T cells; (iii) a lingering level of low-grade inflammation termed “inflamm-aging.””
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [23]
In the citing paper
“T cell clones specific for HCMV dominate the repertoire in the older people and contribute to the contraction in diversity in the memory compartment (23).”
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [23]
In the citing paper
“In contrast, high frequencies of antigen-specific T cells reactive to HCMV persist throughout life.”
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [23]
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Onchocerciasis Fingerprints in the Geriatric Population: Does Host Immunity Play a Role?
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“Indeed, clinical reports indicate that the ability to mount primary immune responses against novel antigens reduces significantly with age [24], leading to a decrease in response to vaccines by elderly individuals [25–27] and an increase in their susceptibility to diseases [28–31].”
BackgroundT. cruzi infection among aged rats: Melatonin as a promising therapeutic molecule
Brazão, V., Santello, F. H., Colato, R. P., & Júnior, J. C. D. P. (2020) · Experimental Gerontology · doi:10.1016/j.exger.2020.110922 · Cited by 9
COVID-19 and cancer: Sailing through the tides
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Immune senescence: new insights into defects but continued mystery of root causes
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“It is related to an increased susceptibility to infectious diseases, caused by declining immune responses to infections and vaccination (e.g. Goronzy and Weyand, 2013).”
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“Hum Vaccin Immunother (2016) 12(7):1808–24.”
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“Immune cells and circulating factors, including chemokines, cytokines, and other soluble molecules, are generally considered to be critical factors that affect the immune system during the aging process [3].”
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“Moreover, reduced vaccination efficiency is usually observed above the age of 65 (12), yet our described case was 42 years old.”
BackgroundPerico, M. E., Maluta, T., Conti, G., Vella, A., Provezza, L., Cestari, T., Cao, G. D., Segalla, L., Tecchio, C., Benedetti, F. M., et al. (2021) · Cells · doi:10.3390/cells11010001 · Cited by 8
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“The most common features of immunosenescence are short-lived memory responses, impaired response to new antigens, increased predisposition to autoimmune diseases and low-grade systemic inflammation (inflammaging) [27, 28].”
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“Age will be defined in the following classes: (18-35); (35-45); (45-55); (55-65); (65-75); (75-85); >85.”
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The Silent Epidemic: Unveiling Herpetic Uveitis in the Elderly
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“…which includes a series of declines in immune function such as a weakened response to new antigens, decreased defense capabilities against infections and cancer, increased susceptibility to autoimmune diseases, persistent low ‐ grade inflammation, and decreased wound healing ability [19, 20].”
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“…12 January 2023 Experimental Gerontology 173 (2023) 112089 immunosenescence include continuous low-grade inflammation, loss of ability to respond to antigens, an increase in the prevalence of autoimmunity, and a loss of memory responses (Goronzy and Weyand, 2013; Adamczyk-Sowa et al., 2022).”
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“Additionally, T-cell signaling via the TCR decreases with age [55,56].”
BackgroundUnraveling the Complexities of Immune Checkpoint Inhibitors in Hepatocellular Carcinoma
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“…am-matorycytokines, and altered expressionofT cell co-stimulatory and co-inhibitory proteins, all of which contribute to an increasedriskof HPD. 158,159 Age-related decline inT cell immunity is multifactorial, including reduced diversity in the T cell receptorpool 160…”
BackgroundRelations of optimism and purpose in life to immune markers in aging
Koga, H. K., Grodstein, F., Williams, D. R., DeMeo, D. L., & Kubzansky, L. D. (2024) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2024.111851 · Cited by 7
How does geographical diversity shape vaccine efficacy?
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“Ageing also leads to decreased immune function, and both UVR exposure and ageing involve decreased dendritic cell function or number concurrent with decreased T cell function through loss of activation ligands and elevated anti-inflammatory cytokine levels [39, 40].”
BackgroundEnhanced Efficacy of Vaccination With Vaccinia Virus in Old vs. Young Mice
Shmeleva, E. V., Smith, G. L., & Ferguson, B. J. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.01780 · Cited by 6
“The reported decline in the immune system fitness with age, is thought to contribute to reduced vaccine efficacy in humans and mice (5, 6, 11, 12).”
BackgroundHyperprogression after immunotherapy: A comprehensive review.
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“This concept is related to the notion of “immunosenescence,” the dysregulation of immune function due to aging (36, 37).”
Background
Metadata
- Authors
- Goronzy, J. J., & Weyand, C. M.
- Affiliations
- Stanford Medicine (US)
- VA Palo Alto Health Care System (US)
- Corresponding author
- Goronzy, Jörg J
- Venue
- Nature Immunology
- Published
- 2013-04-18
- Volume
- 14
- Issue
- 5
- Pages
- 428-436
- ISSN
- 1529-2908 (ISSN-L)
- 1529-2916
- PMC
- PMC4183346
- OpenAlex
- W1992431343
- Cited by
- 827
- References
- 115
- Citations by year
- 2026: 66 · 2025: 62 · 2024: 89 · 2023: 76 · 2022: 61 · 2021: 83 · 2020: 58 · 2019: 68 · 2018: 46 · 2017: 59 · 2016: 53 · 2015: 53 · 2014: 38 · 2013: 15
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Immunology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (P01HL058000, R01HL117913)
- National Eye Institute (R01EY011916)
- National Institute of Allergy and Infectious Diseases (R01AI044142, U01AI089859, R01AI44142, R01AI108906, U19AI090019, R01AI108891, U19AI057266)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR042527)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- immunosenescence, immunological aging, older adults, vaccine response, innate immune dysregulation, mouse models of aging
- MeSH terms
- Aged, Aged, 80 and over, Aging, Animals, Communicable Disease Control, Humans, Immunocompetence, Vaccination, Vaccines, Cellular Senescence, Mice, Adaptive Immunity
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