C R Engwerda1, B S Handwerger, B S Fox
1Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Maryland, Baltimore 21201, USA. c.engwerda@lshtm.ac.uk
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T cell proliferation declines with age due to impaired response to costimulatory signals, not cytokine changes. Aged T cells fail to be rescued from cell death by CD28 costimulation, impacting immune function.
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