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Blood, 1 April 2006, Vol. 107, No. 7, pp. 2855-2862.
Prepublished online as a Blood First Edition Paper on December 15, 2005; DOI 10.1182/blood-2005-09-3560.


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Submitted September 6, 2005
Accepted November 24, 2005

Altered IL-7R{alpha} expression with aging and the potential implications of IL-7 therapy on CD8+ T cell immune responses

Hang-Rae Kim, Myung Sun Hong, Jin Myung Dan, and Insoo Kang*

Section of Rheumatology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA

* Corresponding author; email: insoo.kang{at}yale.edu.

We investigated the effect of aging on the IL-7-mediated CD8+ T cell survival pathway and IL-7 therapy on T cell immunity. Cells expressing IL-7 receptor (R){alpha}high and low were identified in CD45RA+ effector memory (EMCD45RA+, CD45RA+CCR7+) CD8+ T cell subsets. The elderly (age ≥ 65) had an increased frequency of EMCD45RA+ IL-7R{alpha}low CD8+ T cells leading to decreased STAT5 phosphorylation and survival responses to IL-7 compared to the young (age ≤ 40). These EMCD45RA+ IL-7R{alpha}low cells were largely antigen-experienced (CD27-CD28-), replicatively senescent (CD57+) and perforinhigh CD8+ T cells that had decreased IL-7R{alpha} mRNA independent of guanine and adenine binding protein{alpha} (GABP{alpha}) and growth factor independence-1(GFI1) expression. In measuring T cell receptor (TCR) repertoires of EMCD45RA+ CD8+ T cells, the elderly had a limited repertoire in IL-7R{alpha}high and low cells, whereas the young had a diverse repertoire in IL-7R{alpha}high but not in IL-7R{alpha}low cells. These findings suggest that aging affects IL-7R{alpha} expression by EMCD45RA+ CD8+ T cells leading to impaired signaling and survival responses to IL-7 and that IL-7 therapy may improve the survival of EMCD45RA+ CD8+ T cells with a diverse TCR repertoire in the young but not in the elderly.


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