Ageing and the Immune System

The immune system is our own personal biological warfare machine that protects our body from infections by learning the difference between our own body tissues and the body components of invaders. Unfortunately, like all machines it is subject to normal wear and tear and gradually winds down with age; hence, an understanding of the most common causes of the deterioration in function could lead to an opportunity to reverse these processes and prolong the period of protection that the immune system provides.

Keywords: thymic involution; senescence; lymphocyte; immunotherapy

Figure 1. The complex relationship between the thymus and the peripheral lymphoid pool can best be visualized as a tap filling a bath. During early life the tap is fully on, the thymus produces T cells each with a different antigen specificity, represented here by a different colour and these fill the peripheral T-cell pool represented by the bath. After this initial filling, the tap continues to be on and with no feedback mechanism affecting the outflow of new T cells from the thymus, we might expect that the total number of T cells within the pool would increase and eventually the bath would overflow, but this is not the case. In both humans and mice, there is usually no change in the total number of T cells in the peripheral pool with age. If the bath does not overflow, then there must be changes to either the inflow or outflow systems. Input certainly changes with time. With age, the thymus atrophies and its contribution of new T cells to the peripheral pool declines and this decline is not trivial, which raises the question about how, if the tap is gradually turned off, the level of water remains the same. If there are no changes in the rate of death within the lymphocytes in the T-cell pool then the only other means to maintain the pool is proliferation of constituent T cells, most likely the memory T cells. Consequently, there is potential for the T-cell repertoire to become limited as the input of naïve T cells declines with age and memory cells with specificity for previously seen antigens proliferate and come to dominate the T-cell pool.
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 Further Reading
    Banerjee M, Mehr R, Belelovsky A, Spencer J and Dunn-Walters DK (2002) Age- and tissue-specific differences in human germinal center B cell selection revealed by analysis of IgVH gene hypermutation and lineage trees. European Journal of Immunology 32: 1947–1957.
    Dodet B (2002) Vaccine 18(16).
    book Effros RB (2001) In: Masoro EJ. and Austad SN (eds) Immune System Activity in Handbook of the Biology of Aging, 5th edn, pp. 324–353 New York: Academic Press.
    Janeway Jr CA and Medzhitov R (2002) Innate immune recognition. Annual Reviews of Immunology 20: 197–216.
    book Longo DL (2003) "Immunology of aging". In: Paul WE (ed.) Fundamental Immunology, 5th edn, pp. 1043–1075. Baltimore: Lippincott Williams & Wilkins Publishers.
    Miescher PA, Izui S and Raz E (2002) Springer Seminars in Immunopathology 24(1).
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Aspinall, Richard(Sep 2005) Ageing and the Immune System. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0004031]