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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Clin+Invest 2014 ; 124 (6): 2441-55 Nephropedia Template TP
Bhadra R; Moretto MM; Castillo JC; Petrovas C; Ferrando-Martinez S; Shokal U; Leal M; Koup RA; Eleftherianos I; Khan IA
J Clin Invest 2014[Jun]; 124 (6): 2441-55 PMID24762437show ga
Advanced age is associated with immune system deficits that result in an increased susceptibility to infectious diseases; however, specific mediators of age-dependent immune dysfunction have not been fully elucidated. Here we demonstrated that aged mice exhibit poor effector CD8+ T cell polyfunctionality, primarily due to CD8+ T cell?extrinsic deficits, and that reduced CD8+ T cell polyfunctionality correlates with increased susceptibility to pathogenic diseases. In aged animals challenged with the parasite Encephalitozoon cuniculi, effector CD8+ T cell survival and polyfunctionality were suppressed by highly elevated TGF-?1. Furthermore, TGF-? depletion reduced effector CD8+ T cell apoptosis in both young and aged mice and enhanced effector CD8+ T cell polyfunctionality in aged mice. Surprisingly, intrinsic blockade of TGF-? signaling in CD8+ T cells was sufficient to rescue polyfunctionality in aged animals. Together, these data demonstrate that low levels of TGF-?1 promote apoptosis of CD8+ effector T cells and high TGF-?1 levels associated with age result in both CD8+ T cell apoptosis and an altered transcriptional profile, which correlates with loss of polyfunctionality. Furthermore, elevated TGF-? levels are observed in the elderly human population and in aged Drosophila, suggesting that TGF-? represents an evolutionarily conserved negative regulator of the immune response in aging organisms.