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Immunological features beyond CD4/CD8 ratio values in older individuals
Aging (Albany NY). 2021 May 26;13. doi: 10.18632/aging.203109.
Vanesa Garrido-Rodríguez 1, Inés Herrero-Fernández 1, María José Castro 1, Ana Castillo 1, Isaac Rosado-Sánchez 1, María Isabel Galvá 2, Raquel Ramos 2, Israel Olivas-Martínez 1, Ángel Bulnes-Ramos 1, Julio Cañizares 2, Manuel Leal 3, Yolanda María Pacheco 1
Abstract:
The CD4/CD8 T-cell ratio is emerging as a relevant marker of evolution for many pathologies and therapies. We aimed to explore immunological features beyond CD4/CD8 ratio values in older subjects (>65 years old) who were classified as having lower (<1.4), intermediate (1.4-2), or higher (>2) ratio values. The lower group showed a lower thymic output (sj/β-TREC ratio) and frequency of naïve T-cells, concomitant with increased mature T-cells. In these subjects, the CD4 T-cell subset was enriched in CD95+ but depleted of CD98+ cells. The regulatory T-cell (Treg) compartment was enriched in CTLA-4+ cells. The CD8 T-cell pool exhibited increased frequencies of CD95+ cells but decreased frequencies of integrin-β7+ cells. Interestingly, in the intermediate group, the CD4 pool showed greater differences than the CD8 pool, mostly for cellular senescence. Regarding inflammation, only hsCRP was elevated in the lower group; however, negative correlations between the CD4/CD8 ratio and β2-microglobulin and sCD163 were detected. These subjects displayed trends of more comorbidities and less independence in daily activities. Altogether, our data reveal different thymic output and immune profiles for T-cells across CD4/CD8 ratio values that can define immune capabilities, affecting health status in older individuals. Thus, the CD4/CD8 ratio may be used as an integrative marker of biological age.
PMID: 34038386
Free Full-Text: https://www.aging-us.com/article/203109/text
Tags: aging characterization, beta-2-microglobulin, CD4+, CD8, CRP, humans, immunity, T cells