Abstract
Aging of the immune system is associated with a dramatic reduction in responsiveness as well as functional dysregulation. This deterioration of immune function with advancing age is associated with an increased incidence of cancer. Although there is a plethora of reports evaluating the effect of immunotherapy in stimulating antitumor immune responses, the majority of these studies do not pay attention to the effect aging has on the immune system. Studies from our group and others indicate that immunotherapies could be effective in the young, are not necessarily effective in the old. To optimally stimulate an antitumor immune response in the old, it is necessary to (1) identify and understand the intrinsic defects of the old immune system and (2) use relevant models that closely reflect those of cancer patients, where self-tolerance and aging are present simultaneously. The present review summarizes some defects found in the old immune system affecting the activation of antitumor immune responses, the strategies used to activate stronger antitumor immune response in the old and the use of a tolerant animal tumor model to target a self-tumor antigen for the optimization of immunotherapeutic interventions in the old.
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This work was supported by Grant CA78579 and AG028751 from the National Institutes of Health and the American Federation for Aging Research (AFAR).
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This article is part of the symposium in writing on "Impact of Ageing on Cancer Immunity and Immunotherapy".
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Lustgarten, J. Cancer, aging and immunotherapy: lessons learned from animal models. Cancer Immunol Immunother 58, 1979–1989 (2009). https://doi.org/10.1007/s00262-009-0677-8
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DOI: https://doi.org/10.1007/s00262-009-0677-8