Immunosenescence and human vaccine immune responses

Abstract The age-related dysregulation and decline of the immune system—collectively termed “immunosenescence”—has been generally associated with an increased susceptibility to infectious pathogens and poor vaccine responses in older adults. While numerous studies have reported on the clinical outco...

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Main Authors: Stephen N. Crooke, Inna G. Ovsyannikova, Gregory A. Poland, Richard B. Kennedy
Format: Article
Language:English
Published: BMC 2019-09-01
Series:Immunity & Ageing
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12979-019-0164-9
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author Stephen N. Crooke
Inna G. Ovsyannikova
Gregory A. Poland
Richard B. Kennedy
author_facet Stephen N. Crooke
Inna G. Ovsyannikova
Gregory A. Poland
Richard B. Kennedy
author_sort Stephen N. Crooke
collection DOAJ
description Abstract The age-related dysregulation and decline of the immune system—collectively termed “immunosenescence”—has been generally associated with an increased susceptibility to infectious pathogens and poor vaccine responses in older adults. While numerous studies have reported on the clinical outcomes of infected or vaccinated individuals, our understanding of the mechanisms governing the onset of immunosenescence and its effects on adaptive immunity remains incomplete. Age-dependent differences in T and B lymphocyte populations and functions have been well-defined, yet studies that demonstrate direct associations between immune cell function and clinical outcomes in older individuals are lacking. Despite these knowledge gaps, research has progressed in the development of vaccine and adjuvant formulations tailored for older adults in order to boost protective immunity and overcome immunosenescence. In this review, we will discuss the development of vaccines for older adults in light of our current understanding—or lack thereof—of the aging immune system. We highlight the functional changes that are known to occur in the adaptive immune system with age, followed by a discussion of current, clinically relevant pathogens that disproportionately affect older adults and are the central focus of vaccine research efforts for the aging population. We conclude with an outlook on personalized vaccine development for older adults and areas in need of further study in order to improve our fundamental understanding of adaptive immunosenescence.
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spelling doaj.art-f0b4aa4cd87e4e46bf22b16632d680182022-12-21T19:57:27ZengBMCImmunity & Ageing1742-49332019-09-0116111610.1186/s12979-019-0164-9Immunosenescence and human vaccine immune responsesStephen N. Crooke0Inna G. Ovsyannikova1Gregory A. Poland2Richard B. Kennedy3Mayo Clinic Vaccine Research Group, Mayo ClinicMayo Clinic Vaccine Research Group, Mayo ClinicMayo Clinic Vaccine Research Group, Mayo ClinicMayo Clinic Vaccine Research Group, Mayo ClinicAbstract The age-related dysregulation and decline of the immune system—collectively termed “immunosenescence”—has been generally associated with an increased susceptibility to infectious pathogens and poor vaccine responses in older adults. While numerous studies have reported on the clinical outcomes of infected or vaccinated individuals, our understanding of the mechanisms governing the onset of immunosenescence and its effects on adaptive immunity remains incomplete. Age-dependent differences in T and B lymphocyte populations and functions have been well-defined, yet studies that demonstrate direct associations between immune cell function and clinical outcomes in older individuals are lacking. Despite these knowledge gaps, research has progressed in the development of vaccine and adjuvant formulations tailored for older adults in order to boost protective immunity and overcome immunosenescence. In this review, we will discuss the development of vaccines for older adults in light of our current understanding—or lack thereof—of the aging immune system. We highlight the functional changes that are known to occur in the adaptive immune system with age, followed by a discussion of current, clinically relevant pathogens that disproportionately affect older adults and are the central focus of vaccine research efforts for the aging population. We conclude with an outlook on personalized vaccine development for older adults and areas in need of further study in order to improve our fundamental understanding of adaptive immunosenescence.http://link.springer.com/article/10.1186/s12979-019-0164-9ImmunosenescenceVaccinationAgingImmune responseT cellB cell
spellingShingle Stephen N. Crooke
Inna G. Ovsyannikova
Gregory A. Poland
Richard B. Kennedy
Immunosenescence and human vaccine immune responses
Immunity & Ageing
Immunosenescence
Vaccination
Aging
Immune response
T cell
B cell
title Immunosenescence and human vaccine immune responses
title_full Immunosenescence and human vaccine immune responses
title_fullStr Immunosenescence and human vaccine immune responses
title_full_unstemmed Immunosenescence and human vaccine immune responses
title_short Immunosenescence and human vaccine immune responses
title_sort immunosenescence and human vaccine immune responses
topic Immunosenescence
Vaccination
Aging
Immune response
T cell
B cell
url http://link.springer.com/article/10.1186/s12979-019-0164-9
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AT gregoryapoland immunosenescenceandhumanvaccineimmuneresponses
AT richardbkennedy immunosenescenceandhumanvaccineimmuneresponses