Description
Existing immune-aging atlases (Gustavson et al. 2025, Allen AIFI; PMID:37845489) document strong correlational relationships between immune-aging trajectories and vaccine response decline. However, the causal mechanisms remain poorly resolved: it is unclear whether CD8+ T cell exhaustion, naive B cell loss, or chronic low-grade inflammation (inflammaging) is the primary driver of blunted vaccine responses in older adults. The gap is compounded by donor random effects, cross-cohort heterogeneity, and lack of longitudinal perturbation data. Resolving this gap requires causal inference methods (e.g., Mendelian randomisation, propensity score matching, or perturbation assays) applied to the Allen/Sound Life cohort (GSE271896) with appropriate confound correction.
Resolution criteria
Causal pathway identified with explicit statistical evidence (e.g., p<0.05 after Bonferroni correction) in at least one perturbation or MR-based analysis, with competing explanations ruled out by sensitivity analysis.
Evidence summary
Gustavson et al. 2025 (Nature) reports age-associated immune trajectories using the Sound Life cohort (n=1,094 donors). PMID:37845489 provides cross-cohort context for CD8 exhaustion signatures. CELLxGENE collection e9360edf-b0b7-4e01-bce8-e596814f13e7 enables cross-study compositional queries.