Answers are grounded in this paper and cite their sources.
Adaptive immunity depends on the extraordinary longevity of the T-cell compartment, yet the mechanisms that sustain immune competence across decades remain incompletely understood. Traditional models emphasize homeostatic proliferation and cellular replacement as the basis of T-cell maintenance. Here, we propose an alternative framework in which long-term immune resilience depends primarily on preservation of stemness through cellular quiescence. Evidence from human aging studies indicates that naïve and stem-like memory T cells achieve exceptional longevity by limiting rather than maximizing turnover. Aging is therefore best understood as a progressive loss of stem-like cellular states, characterized by erosion of a TCF1-centered regulatory network that integrates FOXO1-dependent quiescence, BACH2-mediated restraint of differentiation, Wnt-dependent stemness reprogramming, and lysosomal-metabolic fitness. Exemplified by this model, intrinsic differences in the ability to maintain this network may account for the unequal aging of CD4 and CD8 T cells. Preserving T-cell stemness may represent a central goal of immune rejuvenation strategies.
No takes yet. Share an insight, caveat, or question.
Yang et al. (2026) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: