T-Cell Aging-Associated Phenotypes in Autoimmune Disease

The aging process causes profound restructuring of the host immune system, typically associated with declining host protection against cancer and infection. In the case of T cells, aging leads to the accumulation of a diverse set of T-cell aging-associated phenotypes (TASP), some of which have been...

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Main Authors: Tuantuan V. Zhao, Yuki Sato, Jorg J. Goronzy, Cornelia M. Weyand
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Aging
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fragi.2022.867950/full
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author Tuantuan V. Zhao
Yuki Sato
Jorg J. Goronzy
Jorg J. Goronzy
Cornelia M. Weyand
Cornelia M. Weyand
author_facet Tuantuan V. Zhao
Yuki Sato
Jorg J. Goronzy
Jorg J. Goronzy
Cornelia M. Weyand
Cornelia M. Weyand
author_sort Tuantuan V. Zhao
collection DOAJ
description The aging process causes profound restructuring of the host immune system, typically associated with declining host protection against cancer and infection. In the case of T cells, aging leads to the accumulation of a diverse set of T-cell aging-associated phenotypes (TASP), some of which have been implicated in driving tissue inflammation in autoimmune diseases. T cell aging as a risk determinant for autoimmunity is exemplified in two classical autoimmune conditions: rheumatoid arthritis (RA), a disease predominantly affecting postmenopausal women, and giant cell arteritis (GCA), an inflammatory vasculopathy exclusively occurring during the 6th–9th decade of life. Pathogenic T cells in RA emerge as a consequence of premature immune aging. They have shortening and fragility of telomeric DNA ends and instability of mitochondrial DNA. As a result, they produce a distinct profile of metabolites, disproportionally expand their endoplasmic reticulum (ER) membranes and release excess amounts of pro-inflammatory effector cytokines. Characteristically, they are tissue invasive, activate the inflammasome and die a pyroptotic death. Patients with GCA expand pathogenic CD4+ T cells due to aberrant expression of the co-stimulatory receptor NOTCH1 and the failure of the PD-1/PD-L1 immune checkpoint. In addition, GCA patients lose anti-inflammatory Treg cells, promoting tissue-destructive granulomatous vasculitis. In summary, emerging data identify T cell aging as a risk factor for autoimmune disease and directly link TASPs to the breakdown of T cell tolerance and T-cell-induced tissue inflammation.
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spelling doaj.art-c0bb700cd76143ae97ca8fdf266102a92022-12-22T02:22:10ZengFrontiers Media S.A.Frontiers in Aging2673-62172022-04-01310.3389/fragi.2022.867950867950T-Cell Aging-Associated Phenotypes in Autoimmune DiseaseTuantuan V. Zhao0Yuki Sato1Jorg J. Goronzy2Jorg J. Goronzy3Cornelia M. Weyand4Cornelia M. Weyand5Mayo Clinic Alix School of Medicine, College of Medicine and Science, Rochester, MN, United StatesMayo Clinic Alix School of Medicine, College of Medicine and Science, Rochester, MN, United StatesMayo Clinic Alix School of Medicine, College of Medicine and Science, Rochester, MN, United StatesSchool of Medicine, Stanford University, Stanford, CA, United StatesMayo Clinic Alix School of Medicine, College of Medicine and Science, Rochester, MN, United StatesSchool of Medicine, Stanford University, Stanford, CA, United StatesThe aging process causes profound restructuring of the host immune system, typically associated with declining host protection against cancer and infection. In the case of T cells, aging leads to the accumulation of a diverse set of T-cell aging-associated phenotypes (TASP), some of which have been implicated in driving tissue inflammation in autoimmune diseases. T cell aging as a risk determinant for autoimmunity is exemplified in two classical autoimmune conditions: rheumatoid arthritis (RA), a disease predominantly affecting postmenopausal women, and giant cell arteritis (GCA), an inflammatory vasculopathy exclusively occurring during the 6th–9th decade of life. Pathogenic T cells in RA emerge as a consequence of premature immune aging. They have shortening and fragility of telomeric DNA ends and instability of mitochondrial DNA. As a result, they produce a distinct profile of metabolites, disproportionally expand their endoplasmic reticulum (ER) membranes and release excess amounts of pro-inflammatory effector cytokines. Characteristically, they are tissue invasive, activate the inflammasome and die a pyroptotic death. Patients with GCA expand pathogenic CD4+ T cells due to aberrant expression of the co-stimulatory receptor NOTCH1 and the failure of the PD-1/PD-L1 immune checkpoint. In addition, GCA patients lose anti-inflammatory Treg cells, promoting tissue-destructive granulomatous vasculitis. In summary, emerging data identify T cell aging as a risk factor for autoimmune disease and directly link TASPs to the breakdown of T cell tolerance and T-cell-induced tissue inflammation.https://www.frontiersin.org/articles/10.3389/fragi.2022.867950/fullimmune agingautoimmune diseaserheumatoid arthritisgiant cell arteritistissue invasivenessmitochondrial metabolism
spellingShingle Tuantuan V. Zhao
Yuki Sato
Jorg J. Goronzy
Jorg J. Goronzy
Cornelia M. Weyand
Cornelia M. Weyand
T-Cell Aging-Associated Phenotypes in Autoimmune Disease
Frontiers in Aging
immune aging
autoimmune disease
rheumatoid arthritis
giant cell arteritis
tissue invasiveness
mitochondrial metabolism
title T-Cell Aging-Associated Phenotypes in Autoimmune Disease
title_full T-Cell Aging-Associated Phenotypes in Autoimmune Disease
title_fullStr T-Cell Aging-Associated Phenotypes in Autoimmune Disease
title_full_unstemmed T-Cell Aging-Associated Phenotypes in Autoimmune Disease
title_short T-Cell Aging-Associated Phenotypes in Autoimmune Disease
title_sort t cell aging associated phenotypes in autoimmune disease
topic immune aging
autoimmune disease
rheumatoid arthritis
giant cell arteritis
tissue invasiveness
mitochondrial metabolism
url https://www.frontiersin.org/articles/10.3389/fragi.2022.867950/full
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