RT Journal Article T1 Immune defects associated with lower SARS-CoV-2 BNT162b2 mRNA vaccine response in aged people. A1 Vitallé, Joana A1 Pérez-Gómez, Alberto A1 Ostos, Francisco José A1 Gasca-Capote, Carmen A1 Jiménez-León, María Reyes A1 Bachiller, Sara A1 Rivas-Jeremías, Inmaculada A1 Silva-Sánchez, Maria Del Mar A1 Ruiz-Mateos, Anabel M A1 Martín-Sánchez, María Ángeles A1 López-Cortes, Luis Fernando A1 Rafii-El-Idrissi Benhnia, Mohammed A1 Ruiz-Mateos, Ezequiel K1 Adaptive immunity K1 Cellular senescence K1 Immunology K1 Innate immunity K1 Vaccines AB The immune factors associated with impaired SARS-CoV-2 vaccine response in elderly people are mostly unknown. We studied individuals older than 60 and younger than 60 years, who had been vaccinated with SARS-CoV-2 BNT162b2 mRNA, before and after the first and second dose. Aging was associated with a lower anti-RBD IgG levels and a decreased magnitude and polyfunctionality of SARS-CoV-2-specific T cell response. The dramatic decrease in thymic function in people > 60 years, which fueled alteration in T cell homeostasis, and their lower CD161+ T cell levels were associated with decreased T cell response 2 months after vaccination. Additionally, deficient DC homing, activation, and TLR-mediated function, along with a proinflammatory functional profile in monocytes, were observed in the > 60-year-old group, which was also related to lower specific T cell response after vaccination. These findings might be relevant for the improvement of the current vaccination strategies and for the development of new vaccine prototypes. YR 2022 FD 2022-09-08 LK http://hdl.handle.net/10668/20206 UL http://hdl.handle.net/10668/20206 LA en DS RISalud RD Apr 5, 2025