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T follicular helper cell development and functionality in immune ageing.

Claire E Gustafson1, Cornelia M Weyand1, Jörg J Goronzy2

  • 1Division of Immunology and Rheumatology, Department of Medicine, Stanford University School of Medicine and the Department of Medicine, Veterans Administration Healthcare System, Palo Alto, CA, U.S.A.

Clinical Science (London, England : 1979)
|September 7, 2018
PubMed
Summary

Aging populations face increased infection risks due to weakened immune responses. This review examines T follicular helper (TFH) cells and strategies to improve vaccine efficacy in older adults.

Keywords:
B cell antibody productionImmunosenescenceT cell differentiationT follicular regulatory cellgerminal centervaccine response

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Area of Science:

  • Immunology
  • Gerontology
  • Infectious Diseases

Background:

  • The global population aged 65+ will exceed 1.6 billion by 2050, increasing the burden of age-related diseases.
  • Pathogenic infections are a leading cause of mortality in older adults, linked to immune system decline.
  • T follicular helper (TFH) cells are crucial for antibody production and protective immunity against pathogens and vaccines.

Purpose of the Study:

  • To review the development and function of TFH cells in the context of aging.
  • To explore the utility of circulating TFH (cTFH) cells as biomarkers for vaccine responses.
  • To discuss strategies for enhancing TFH cell function to improve immunity in the elderly.

Main Methods:

  • This is a review article, synthesizing existing research on TFH cells, aging, and immunity.
  • Literature search and analysis of studies on TFH cell development, function, and age-related changes.
  • Examination of data on cTFH cells as correlates of vaccine immunogenicity.

Main Results:

  • Age-dependent decline in TFH cell function impairs antibody production and vaccine responses.
  • Circulating TFH (cTFH) cells show potential as biomarkers for immune status and vaccine efficacy.
  • Dysfunctional TFH cells contribute to increased susceptibility to infections in older adults.

Conclusions:

  • Understanding TFH cell dynamics in aging is critical for addressing age-related immune deficiencies.
  • Targeting TFH cell dysfunction offers a promising avenue for improving vaccine effectiveness in the elderly.
  • Enhancing TFH cell-mediated immunity can bolster protection against infectious diseases in aging populations.