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  • Canaday, David  (2)
  • Medicine  (2)
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  • Medicine  (2)
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  • 1
    In: The Journal of Immunology, The American Association of Immunologists, Vol. 192, No. 1_Supplement ( 2014-05-01), p. 72.15-72.15
    Abstract: Frailty is a geriatric syndrome associated broadly with declines in health and function in older adults. Others have reported associations between frailty and changes in immune function including increased markers of inflammation and impaired response to influenza vaccination. In the current study we have studied a cohort of 118 older veterans with a median age of 81. They underwent Fried frailty testing and received seasonal trivalent inactivated influenza vaccine with blood drawn pre- and post-vaccination. Pre-vaccination serum inflammatory markers (IL-6, TNFR1, TNFR2), anti-flu cell mediated immunity, and pre- and post-hemagglutinin inhibition (HAI) titers were determined. As has been previously described, frailty correlated with age (r=0.32 p & lt;0.001) and serum IL-6 (r=0.41 p & lt;0.001). We extend the markers of inflammation to demonstrate that frailty also correlates with TNFR1 (r=0.32 p=0.001) and TNFR2 (r=0.38 p & lt;0.001). Contrary to a prior report we did not find a correlation between frailty and change in HAI titers after vaccination. We have an estimated power from our cohort size to detect a medium effect size of 0.23. It is possible frailty had a negative effect on vaccine response, but our sample size was too small to detect it although there was not even a trend to suggest that. Therefore, we did not find reduced antibody responses after influenza specifically in the frail veterans.
    Type of Medium: Online Resource
    ISSN: 0022-1767 , 1550-6606
    RVK:
    RVK:
    Language: English
    Publisher: The American Association of Immunologists
    Publication Date: 2014
    detail.hit.zdb_id: 1475085-5
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  • 2
    Online Resource
    Online Resource
    The American Association of Immunologists ; 2012
    In:  The Journal of Immunology Vol. 188, No. 1_Supplement ( 2012-05-01), p. 47.10-47.10
    In: The Journal of Immunology, The American Association of Immunologists, Vol. 188, No. 1_Supplement ( 2012-05-01), p. 47.10-47.10
    Abstract: The precise polyfunctional capabilities of T cells from older persons are not well known. We determined the polyfunctionality of memory CD8+ and CD4+ T cell subsets using a 13-color flow cytometric assay that simultaneously analyzes IFN-gamma, TNF, MIP1-alpha, IL-2, and perforin expression after stimulation. PBMC from 37 older (mean age 82) and 30 younger (mean age 34) individuals were stimulated with a sub-maximal concentration of the mitogen SEB. Older adults were also assessed by the Fried frailty test. The proportion of highly polyfunctional cells that could perform 3, 4, or 5 functions was similar in the memory T cell subsets from older and younger individuals. The percentage of cells capable of performing each individual function had only small differences between the age groups. Within the older group however, polyfunctionality of central memory CD4+ and CD8+ T cells and CD8+ effector cells had in inverse correlation with frailty while not having a relationship with age. In conclusion, as a whole the frequency and polyfunctionality and mitogen-activated CD4+ and CD8+ memory T cell subsets in older individuals is preserved compared to the younger group. Therefore, the phenomenon of immunosenescence particularly in the non-frail elderly may not include the loss of capability and breadth of function of T cells if stimulated sufficiently. This may inform specific strategies to boost the older immune system.
    Type of Medium: Online Resource
    ISSN: 0022-1767 , 1550-6606
    RVK:
    RVK:
    Language: English
    Publisher: The American Association of Immunologists
    Publication Date: 2012
    detail.hit.zdb_id: 1475085-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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