Immunosenescence and human vaccine immune responses
Open accessAbstract
The age-related dysregulation and decline of the immune system—collectively termed “immunosenescence”—has been generally associated with an increased susceptibility to infectious pathogens and poor vaccine responses in older adults. While numerous studies have reported on the clinical outcomes of infected or vaccinated individuals, our understanding of the mechanisms governing the onset of immunosenescence and its effects on adaptive immunity remains incomplete. Age-dependent differences in T and B lymphocyte populations and functions have been well-defined, yet studies that demonstrate direct associations between immune cell function and clinical outcomes in older individuals are lacking. Despite these knowledge gaps, research has progressed in the development of vaccine and adjuvant formulations tailored for older adults in order to boost protective immunity and overcome immunosenescence. In this review, we will discuss the development of vaccines for older adults in light of our current understanding—or lack thereof—of the aging immune system. We highlight the functional changes that are known to occur in the adaptive immune system with age, followed by a discussion of current, clinically relevant pathogens that disproportionately affect older adults and are the central focus of vaccine research efforts for the aging population. We conclude with an outlook on personalized vaccine development for older adults and areas in need of further study in order to improve our fundamental understanding of adaptive immunosenescence.
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Vaccine responses are often lower in elderly adults, especially for hepatitis B, pneumococcal, and influenza vaccinations, and this reduced success is attributed to adaptive immunosenescence.
“Although vaccination is key to prevent infections, vaccine responses are often found to be lower in elderly adults.In numerous studies, the markedly reduced vaccine success in older adults has been attributed to adaptive immunosenescence.Reduced vaccination success in elderly adults is especially known for hepatitis B, pneumococcal, and influenza vaccinations [22,23].”
From Age-dependent Immune Response to the Biontech/Pfizer BNT162b2 Coronavirus Disease 2019 Vaccination (2021) · cites this paper as [23]
70-90% of influenza-related mortalities occur in people older than 65 years.
“70–90% of influenza-related mortalities occur in people older than 65 years232”
From mRNA vaccines for infectious diseases: principles, delivery and clinical translation (2021) · cites this paper as [232]
The decline in immune function with age (immunosenescence) has been well documented.
“The decline in immune function with age (known as immunosenescence) has been well documented79”
From A guide to vaccinology: from basic principles to new developments (2021) · cites this paper as [79]
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Animal Models of Varicella Zoster Virus Infection
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Effects of Aging on the Adaptive Immune Response to Respiratory Virus Infections
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Self-citationDistinct aging profiles of CD8+ T cells in blood versus gastrointestinal mucosal compartments
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A guide to vaccinology: from basic principles to new developments
Pollard, A. J., & Bijker, E. M. (2021) · Nature Reviews Immunology · doi:10.1038/s41577-020-00479-7 · Cited by 1,593 · see citing works
mRNA vaccines for infectious diseases: principles, delivery and clinical translation
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A Comprehensive Review of mRNA Vaccines
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The Impact of Immune System Aging on Infectious Diseases
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“Additionally, the production of cytokines is not optimal for adaptive immune response priming [243].”
The dark side of Tregs during aging
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Vaccine-induced protection in aging adults and pandemic response
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- Authors
- Crooke, S. N., Ovsyannikova, I. G., Poland, G. A., & Kennedy, R. B.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Kennedy, Richard B.
- Venue
- Immunity & Ageing
- Published
- 2019-09-13
- Volume
- 16
- Issue
- 1
- Pages
- 25-25
- ISSN
- 1742-4933 (ISSN-L)
- PMC
- PMC6743147
- OpenAlex
- W2972334025
- Cited by
- 530
- References
- 207
- Citations by year
- 2026: 59 · 2025: 57 · 2024: 80 · 2023: 86 · 2022: 94 · 2021: 97 · 2020: 52 · 2019: 3 · 2018: 1
- FWCI
- 5.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Immunity & Ageing (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (AI089859, AI132348)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- immunosenescence, vaccine response, older adults, adaptive immunity, T cells, B cells, age-related immune decline, vaccine adjuvants, personalized vaccines
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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