Ageing involves the whole organism, including the immune system. Age-depend
ent alterations of immune functions are located in both the adaptive and in
nate parts of the immune system. The most important cell type of the innate
immune system are the dendritic cells, because their capacity to induce pr
imary immune responses via professional antigen presentation is crucial for
the initiation of the adaptive immune response. Evidence exists that dendr
itic cells of the systemic immune system, represented by lymph-node and blo
od-derived dendritic cells, as well as of local immunity, represented by La
ngerhans cells of the skin, participate in ageing processes. In animal mode
ls of older mice, dendritic cells of lymph nodes show degenerative characte
ristics with decreased adhesion molecule expression, less dendrite formatio
n, and reduced antigen trapping capacity, which together imply disruption o
f functional activity. In contrast, dendritic cells generated from peripher
al blood of elderly people were not impaired in their capacity to induce T-
cell responses. Together, these findings indicate that in old individuals i
n vivo dendritic cells of the systemic. immune system are reduced in their
functional capacity to stimulate immune responses, whereas in vitro generat
ed dendritic cells are fully functional, and therefore might be used in the
rapeutic approaches to treat age-associated malfunctions of the immune syst
em. Thus far, only morphological descriptions about age-associated changes
of dendritic cells (in particular the Langerhans cells) of the skin exist.
In the skin, effects of naturally occuring ageing have to be differentiated
from UV-radiation-induced ageing processes. The hallmark of Langerhans cel
l changes in natural as well as UV induced skin ageing is their reduction i
n cell number within the epidermis. In addition, they show an atrophic morp
hology with less dendrites, and less Birbeck granules. It is assumed that t
hese morphological changes are associated with loss of dendritic cell funct
ions, and that this contributes to age-associated development of skin cance
r. Therapeutic strategies against natural and UV induced skin ageing should
include a reduction of these changes of Langerhans cells in order to stren
gthen the immunological functions of the body's outer surface.