Review of impaired immune parameters in RSV infections in the elderly

IF 2.4 3区 医学 Q3 VIROLOGY Virology Pub Date : 2025-02-01 Epub Date: 2025-01-08 DOI:10.1016/j.virol.2025.110395
Jonathan L. Miller, Stefan Niewiesk
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Abstract

Respiratory syncytial virus (RSV) infections in elderly individuals are associated with increased rates of severe clinical disease and mortality compared to younger adults. Age-associated declines in numerous innate and adaptive immune parameters during RSV infection contribute to infection susceptibility, impaired viral clearance, and distorted cytokine profiles in the elderly. Impaired immune responses in this age group also adversely affect longevity of RSV immunity following vaccination in experimental settings. This review summarizes the effects of aging on cellular immune responses to RSV in humans and animal models, molecular mechanisms for these impaired responses where they have been elucidated, and the clinical consequences of impaired immunity in the elderly.
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老年人呼吸道合胞病毒感染中免疫参数受损的综述。
与年轻人相比,老年人呼吸道合胞病毒(RSV)感染与严重临床疾病和死亡率增加有关。在RSV感染期间,许多先天和适应性免疫参数的年龄相关下降有助于老年人感染易感性、病毒清除受损和细胞因子谱扭曲。在实验环境中,该年龄组免疫反应受损也会对接种RSV疫苗后的免疫寿命产生不利影响。本文综述了人类和动物模型中衰老对RSV细胞免疫应答的影响,这些应答受损的分子机制已经阐明,以及老年人免疫受损的临床后果。
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来源期刊
Virology
Virology 医学-病毒学
CiteScore
6.00
自引率
0.00%
发文量
157
审稿时长
50 days
期刊介绍: Launched in 1955, Virology is a broad and inclusive journal that welcomes submissions on all aspects of virology including plant, animal, microbial and human viruses. The journal publishes basic research as well as pre-clinical and clinical studies of vaccines, anti-viral drugs and their development, anti-viral therapies, and computational studies of virus infections. Any submission that is of broad interest to the community of virologists/vaccinologists and reporting scientifically accurate and valuable research will be considered for publication, including negative findings and multidisciplinary work.Virology is open to reviews, research manuscripts, short communication, registered reports as well as follow-up manuscripts.
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