Reconstituting the immune response will be critical for the survival of HIV
-infected individuals once viral load is brought under control. While the a
dult thymus was previously thought to be relatively inactive, new data sugg
est it may play a role in T cell reconstitution. We examined thymopoiesis i
n adults up to 56 years of age and found active T cell receptor (TCR) rearr
angement, generating a diverse TCR VP repertoire. The resulting thymocytes
are functional and are capable of responding to costimulatory signals. Thes
e data demonstrate that the adult thymus remains active late in life and co
ntributes functional T cells to the peripheral lymphoid pool.