Abstract:Some signs of potential autoimmunity, such as the appearance of antinuclear antibodies (ANAs) become prevalent with age. In most cases, elderly people with ANAs remain healthy. Here, we investigated whether the same holds true for inbred strains of mice. Indeed, we show that most mice of the C57BL/6 (B6) strain spontaneously produced IgG ANA at 8-12 months of age, showed IgM deposition in kidneys and lymphocyte infiltrates in submandibular salivary glands. Despite all of this, the mice remained healthy. ANA pr… Show more
“…While human neonatal Tx does not seem to result in an increased incidence of autoimmune disease in the first decades of life in our cohort, in experimental models neonatal Tx has been shown to lead to severe organ-specific autoimmune disease that clinically differ per mouse strain [54]. Nevertheless, murine Tx leads to premature ANA production, increased proportions of memory T cells and Treg cells, similar to the observations in our cohort [55]. While there are obvious similarities between mouse and human Tx, the contribution of the thymus in T-cell homeostasis in both species differs remarkably.…”
An association between T‐cell lymphopenia and autoimmunity has long been proposed, but it remains to be elucidated whether T‐cell lymphopenia affects B‐cell responses to autoantigens. Human neonatal thymectomy (Tx) results in a decrease in T‐cell numbers and we used this model to study the development of autoreactivity. Two cohorts of neonatally thymectomized individuals were examined, a cohort of young (1–5 years post‐Tx, n = 10–27) and older children (>10 years, n = 26), and compared to healthy age‐matched controls. T‐cell and B‐cell subsets were assessed and autoantibody profiling performed. Early post‐Tx, a decrease in T‐cell numbers (2.75 × 109/L vs. 0.71 × 109/L) and an increased proportion of memory T cells (19.72 vs. 57.43%) were observed. The presence of autoantibodies was correlated with an increased proportion of memory T cells in thymectomized children. No differences were seen in percentages of different B‐cell subsets between the groups. The autoantigen microarray showed a skewed autoantibody response after Tx. In the cohort of older individuals, autoantibodies were present in 62% of the thymectomized children, while they were found in only 33% of the healthy controls. Overall, our data suggest that neonatal Tx skews the autoantibody profile. Preferential expansion and preservation of Treg (regulatory T) cell stability and function, may contribute to preventing autoimmune disease development after Tx.
“…While human neonatal Tx does not seem to result in an increased incidence of autoimmune disease in the first decades of life in our cohort, in experimental models neonatal Tx has been shown to lead to severe organ-specific autoimmune disease that clinically differ per mouse strain [54]. Nevertheless, murine Tx leads to premature ANA production, increased proportions of memory T cells and Treg cells, similar to the observations in our cohort [55]. While there are obvious similarities between mouse and human Tx, the contribution of the thymus in T-cell homeostasis in both species differs remarkably.…”
An association between T‐cell lymphopenia and autoimmunity has long been proposed, but it remains to be elucidated whether T‐cell lymphopenia affects B‐cell responses to autoantigens. Human neonatal thymectomy (Tx) results in a decrease in T‐cell numbers and we used this model to study the development of autoreactivity. Two cohorts of neonatally thymectomized individuals were examined, a cohort of young (1–5 years post‐Tx, n = 10–27) and older children (>10 years, n = 26), and compared to healthy age‐matched controls. T‐cell and B‐cell subsets were assessed and autoantibody profiling performed. Early post‐Tx, a decrease in T‐cell numbers (2.75 × 109/L vs. 0.71 × 109/L) and an increased proportion of memory T cells (19.72 vs. 57.43%) were observed. The presence of autoantibodies was correlated with an increased proportion of memory T cells in thymectomized children. No differences were seen in percentages of different B‐cell subsets between the groups. The autoantigen microarray showed a skewed autoantibody response after Tx. In the cohort of older individuals, autoantibodies were present in 62% of the thymectomized children, while they were found in only 33% of the healthy controls. Overall, our data suggest that neonatal Tx skews the autoantibody profile. Preferential expansion and preservation of Treg (regulatory T) cell stability and function, may contribute to preventing autoimmune disease development after Tx.
“…The reason for lower rates of rejection in older patients observed in our study and others is not clear. One explanation for this finding is the phenomenon of immunosenescence . Mechanisms underlying this difference in rejection rate have been suggested.…”
Section: Discussionmentioning
confidence: 99%
“…become magnified and lead, over time, to T‐cell dysfunction. Inhibited B‐cell development and a decrement in B‐cell affinity maturation have been observed in older individuals . Multiple pathways of innate immunity also appear to be compromised in the elderly .…”
SUMMARYPancreas transplant outcomes have progressively improved. Despite this, some centers have continued to employ historical age limits for pancreas transplant candidates. We sought to determine the importance of chronological age in determining patient and graft survival rates after pancreas transplantation. A single-center, retrospective study of adult, deceased donor simultaneous pancreas and kidney (SPK) and solitary pancreas transplants (SP, including pancreas transplant alone and pancreas after kidney transplants) in recipients ≥ 55 years (55 + ), occurring between July 1, 1999, and June 30, 2012, was performed. Seven-hundred and forty patients underwent pancreas transplantation, of which 28 patients were 55 + . Patient survival was comparable for younger and older pancreas transplant recipients. Both non-death-censored and death-censored pancreatic graft survival rates were similar in younger and in older patients. Patients aged 45-54 and those aged 55 + had more frequent cardiovascular events than younger pancreas transplant recipients. There was no difference in renal graft survival for SPK patients when compared with diabetic kidney transplant alone recipients aged 55 years and older. Older pancreas transplant recipients had acceptable long-term patient and graft survival rates, although complications may occur. Chronological age alone should not exclude a patient for pancreas transplant candidacy.
“…ANCA associated vasculitis is largely a disease of older people, and older age is associated with worse renal outcomes and increased mortality, with more complications of treatment (166). The use of aged mice in translational research is increasing, and allows a unique opportunity to more closely mimic human disease (167). Multiple genetic associations with AAV have been identified, especially with regards to antigen presentation (154,155,168), which could be mechanistically explored in HLA transgenic mice.…”
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