Changes of T-cell Immunity Over a Lifetime

Transplantation. 2019 Nov;103(11):2227-2233. doi: 10.1097/TP.0000000000002786.

Abstract

T-cell immunity undergoes a complex and continuous remodeling with aging. Understanding those dynamics is essential in refining immunosuppression. Aging is linked to phenotypic and metabolic changes in T-cell immunity, many resulting into impaired function and compromised effectiveness. Those changes may impact clinical immunosuppression with evidences suggesting age-specific efficacies of some (CNI and mammalian target of rapamycin inhibitors) but not necessarily all immunosuppressants. Metabolic changes of T cells with aging have only recently been appreciated and may provide novel ways of immunosuppression. Here, we provide an update on changes of T-cell immunity in aging.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aging*
  • Animals
  • Calcineurin Inhibitors / pharmacology
  • Cellular Senescence
  • Clinical Trials as Topic
  • Graft Survival
  • Humans
  • Immune System
  • Immunologic Memory
  • Immunosuppression Therapy
  • Immunosuppressive Agents / pharmacology
  • Mice
  • Phenotype
  • T-Lymphocytes / cytology*
  • T-Lymphocytes / immunology*
  • TOR Serine-Threonine Kinases / metabolism
  • Th1 Cells / cytology
  • Th2 Cells / cytology
  • Transplant Recipients

Substances

  • Calcineurin Inhibitors
  • Immunosuppressive Agents
  • TOR Serine-Threonine Kinases