RT Journal Article T1 Immunological features beyond CD4/CD8 ratio values in older individuals. A1 Garrido-Rodríguez, Vanesa A1 Herrero-Fernández, Inés A1 Castro, María José A1 Castillo, Ana A1 Rosado-Sánchez, Isaac A1 Galvá, María Isabel A1 Ramos, Raquel A1 Olivas-Martínez, Israel A1 Bulnes-Ramos, Ángel A1 Cañizares, Julio A1 Leal, Manuel A1 Pacheco, Yolanda María K1 CD4/CD8 T-cell ratio K1 TREC K1 Treg K1 inflammation K1 thymic output AB The CD4/CD8 T-cell ratio is emerging as a relevant marker of evolution for many pathologies and therapies. We aimed to explore immunological features beyond CD4/CD8 ratio values in older subjects (>65 years old) who were classified as having lower (65 years old) who were classified as having lower (2) ratio values. The lower group showed a lower thymic output (sj/β-TREC ratio) and frequency of naïve T-cells, concomitant with increased mature T-cells. In these subjects, the CD4 T-cell subset was enriched in CD95+ but depleted of CD98+ cells. The regulatory T-cell (Treg) compartment was enriched in CTLA-4+ cells. The CD8 T-cell pool exhibited increased frequencies of CD95+ cells but decreased frequencies of integrin-β7+ cells. Interestingly, in the intermediate group, the CD4 pool showed greater differences than the CD8 pool, mostly for cellular senescence. Regarding inflammation, only hsCRP was elevated in the lower group; however, negative correlations between the CD4/CD8 ratio and β2-microglobulin and sCD163 were detected. These subjects displayed trends of more comorbidities and less independence in daily activities. Altogether, our data reveal different thymic output and immune profiles for T-cells across CD4/CD8 ratio values that can define immune capabilities, affecting health status in older individuals. Thus, the CD4/CD8 ratio may be used as an integrative marker of biological age. YR 2021 FD 2021-05-26 LK http://hdl.handle.net/10668/17835 UL http://hdl.handle.net/10668/17835 LA en DS RISalud RD Apr 10, 2025