Impact of immunosenescence on transplant outcome

Transpl Int. 2013 Mar;26(3):242-53. doi: 10.1111/tri.12013. Epub 2012 Nov 29.

Abstract

Aging affects all compartments of the immune response and has a major impact on transplant outcome and organ quality. Although clinical trials in the aging transplant population remain rare, our current understanding of immunosenescence provides a basis for an age-adapted immunosuppression and organ allocation with the goal to optimize utilization and to improve outcomes in older recipients. From a more general perspective, understanding the mechanisms and consequences of immunosenescence will have a broad impact on immune therapies in and beyond transplantation.

Publication types

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

MeSH terms

  • Age Factors
  • Aged
  • Aging / immunology*
  • Aging / physiology
  • Graft Rejection
  • Graft Survival
  • Humans
  • Immune Tolerance
  • Immunity, Innate / physiology*
  • Immunosuppression Therapy
  • Kidney Transplantation / adverse effects
  • Kidney Transplantation / immunology
  • Kidney Transplantation / methods
  • Liver Transplantation / adverse effects
  • Liver Transplantation / immunology
  • Liver Transplantation / methods
  • Living Donors
  • Middle Aged
  • Organ Transplantation / adverse effects
  • Organ Transplantation / methods*
  • Prognosis
  • Risk Assessment
  • Tissue Donors
  • Transplantation Immunology / immunology*
  • Transplantation Immunology / physiology