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Enhancing immunity during ageing by targeting interactions within the tissue environment

Bracken, Olivia V; De Maeyer, Roel PH; Akbar, Arne N; (2025) Enhancing immunity during ageing by targeting interactions within the tissue environment. Nature Reviews Drug Discovery , 24 (4) pp. 300-315. 10.1038/s41573-024-01126-9. Green open access

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Abstract

Immunity declines with age. This results in a higher risk of age-related diseases, diminished ability to respond to new infections and reduced response to vaccines. The causes of this immune dysfunction are cellular senescence, which occurs in both lymphoid and non-lymphoid tissue, and chronic, low-grade inflammation known as ‘inflammageing’. In this Review article, we highlight how the processes of inflammation and senescence drive each other, leading to loss of immune function. To break this cycle, therapies are needed that target the interactions between the altered tissue environment and the immune system instead of targeting each component alone. We discuss the relative merits and drawbacks of therapies that are directed at eliminating senescent cells (senolytics) and those that inhibit inflammation (senomorphics) in the context of tissue niches. Furthermore, we discuss therapeutic strategies designed to directly boost immune cell function and improve immune surveillance in tissues.

Type: Article
Title: Enhancing immunity during ageing by targeting interactions within the tissue environment
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41573-024-01126-9
Publisher version: https://doi.org/10.1038/s41573-024-01126-9
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10207416
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