National Academy of Sciences, Proceedings of the National Academy of Sciences, 5(113), p. 1333-1338, 2016
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Significance Compromised CD8 + T-cell immunity is associated with significant morbidity and mortality in the elderly. Whereas the number of naïve CD8 + T cells declines with age, the drivers of loss and consequences for clonal composition are unclear. We show that aging disproportionately impacts small naïve CD8 + T-cell populations. For one CD8 + T-cell population, loss of diversity was minimally attributable to expansion but rather was associated with diminished cell number and selective retention of cells exhibiting markers of heightened self, but not foreign, recognition. Thus, vaccine formulations for the elderly may benefit from targeting naïve antigen-specific populations with relatively high precursor frequency and self-reactivity, and retention of high-quality T cells may be achieved through repeated low-level T-cell receptor stimulation.