How age and infection history shape the antigen-specific CD8+ T-cell repertoire: Implications for vaccination strategies in older adults.

Abstract:

:Older adults often show signs of impaired CD8+ T-cell immunity, reflected by weaker responses against new infections and vaccinations, and decreased protection against reinfection. This immune impairment is in part thought to be the consequence of a decrease in both T-cell numbers and repertoire diversity. If this is indeed the case, a strategy to prevent infectious diseases in older adults could be the induction of protective memory responses through vaccination at a younger age. However, this requires that the induced immune responses are maintained until old age. It is therefore important to obtain insights into the long-term maintenance of the antigen-specific T-cell repertoire. Here, we review the literature on the maintenance of antigen-experienced CD8+ T-cell repertoires against acute and chronic infections. We describe the complex interactions that play a role in shaping the memory T-cell repertoire, and the effects of age, infection history, and T-cell avidity. We discuss the implications of these findings for the development of new vaccination strategies to protect older adults.

journal_name

Aging Cell

journal_title

Aging cell

authors

Lanfermeijer J,Borghans JAM,van Baarle D

doi

10.1111/acel.13262

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

e13262

issue

11

eissn

1474-9718

issn

1474-9726

journal_volume

19

pub_type

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