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. 2013 Jun 4:4:131.
doi: 10.3389/fimmu.2013.00131. eCollection 2013.

The janus head of T cell aging - autoimmunity and immunodeficiency

Affiliations

The janus head of T cell aging - autoimmunity and immunodeficiency

Jörg J Goronzy et al. Front Immunol. .

Abstract

Immune aging is best known for its immune defects that increase susceptibility to infections and reduce adaptive immune responses to vaccination. In parallel, the aged immune system is prone to autoimmune responses and many autoimmune diseases increase in incidence with age or are even preferentially encountered in the elderly. Why an immune system that suboptimally responds to exogenous antigen fails to maintain tolerance to self-antigens appears to be perplexing. In this review, we will discuss age-associated deviations in the immune repertoire and the regulation of signaling pathways that may shed light on this conundrum.

Keywords: DNA damage response; T cell receptor signaling; autoimmunity; giant cell arteritis; immunosenescence; inflammation; pathogenesis; rheumatoid arthritis.

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Figures

Figure 1
Figure 1
Key features of immunosenescence. Immune aging is a multifaceted process that generates a complex presentation of impaired adaptive immune responses, constitutive low-grade inflammation, and autoimmunity.
Figure 2
Figure 2
Comparison of immune aging manifestations and autoimmune pathomechanisms. The figure highlights mechanistic parallels between immune aging, animal models of autoimmune diseases, and human autoimmune diseases. Few selected animal models and human diseases representative of many others were chosen to illustrate the mechanistic path ways involved.
Figure 3
Figure 3
Molecular mechanism of accelerated immune aging. Rheumatoid arthritis is an autoimmune disease that is characterized by accelerated immune aging. The principle defects reside in impaired DNA repair responses.

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