title: Significance of senescence for virus-specific memory T cell responses: rapid ageing during chronic stimulation of the immune system.
abstract: There is a generalized age-related decline in immune responses which leads to increased susceptibility of elderly to infection and, possibly, to autoimmune disease and cancer. This is associated with phenotypic changes of CD8+ T lymphocytes that include the loss of costimulatory molecules CD28 and CD27, which are important for proliferation and cell survival of CD8+ T cells. Loss of these molecules is associated with less ability to respond to recurrent infection. Functional changes within T cells during ageing include a reduction in the number of naive T cells and a progressively limited T cell repertoire. Furthermore, persistent life-long antigenic stress upon the memory pool leads to telomere erosion and concomittant loss of proliferative capacity, a phenomenon known as replicative senesence. In this review, we discuss that replicative senescence, or clonal exhaustion, may also occur in relatively young individuals, as evidenced from HIV-infected individuals and healthy Ethiopians. We discuss data suggesting that T cell defects may arise in individuals because of chronic antigen activation leading to rapid ageing of the memory CD8+ T cell pool.
authors.affiliation: Department of Clinical Viro-Immunology, Sanquin Research and Landsteiner Laboratory, University of Amsterdam, 1066 CX Amsterdam, The Netherlands. d.vanbaarle@azu.nl
authors.forename: Debbie
authors.initials: D
authors.lastname: van Baarle
authors.forename: Aster
authors.initials: A
authors.lastname: Tsegaye
authors.forename: Frank
authors.initials: F
authors.lastname: Miedema
authors.forename: Arne
authors.initials: A
authors.lastname: Akbar
mesh_terms: D000818:Animals; D018414:CD8-Positive T-Lymphocytes / Q000502:physiology; D016922:Cellular Senescence / Q000276:immunology*; D015658:HIV Infections / Q000276:immunology; D006801:Humans; D007156:Immunologic Memory / Q000276:immunology*; D013601:T-Lymphocytes / Q000276:immunology*; D016615:Telomere / Q000502:physiology; D014777:Virus Diseases / Q000276:immunology*