The human thymus is required for establishment of a normal T cell repertoir
e in fetal development, as children born without a thymus (DiGeorge Syndrom
e) lack thymus-derived (T) and T cell immunity. While the function of the t
hymus in children for production of new T cells is clear, it has not been o
bvious that the adult thymus can produce significant numbers of new T cells
. Until recently, no assays were available to directly evaluate postnatal t
hymic function. This paper reviews work on human thymic aging at Duke Unive
rsity School oi Medicine and discusses the relevance of this work to devisi
ng new strategies for T cell immune reconstitution in man.