Many genes have been shown to be involved in the decline in immune function
of the elderly. However, normal numbers of myeloid and lymphoid colonies c
an be grown from elderly bone marrow under optimal conditions and some thym
ic function is preserved well into adult life. It may also be possible to r
everse partially declining thymic function by IL-7 treatment. Peripheral B
and T cells show evidence of dysregulation with production of large clones,
changes in subset distribution and altered signalling and cytokine product
ion, particularly decreased IL-2 production in the mouse. The identificatio
n of these defects may lead to relatively simple procedures to improve vacc
ination for the elderly. (C) 2000 Elsevier Science Ltd. All rights reserved
.