Evidence map›Paper›PMID 37038200›Full record

ArticleImmunity & ageing : I & A2023

Thymic function and survival at advance ages in nursing home residents from Southern Italy.

Ersilia Paparazzo, Silvana Geracitano, Vincenzo Lagani, Luigi Citrigno, Denise Bartolomeo, Mirella Aurora Aceto, Francesco Bruno, Raffaele Maletta, Giuseppe Passarino, Alberto Montesanto

Open access · goldAbstract readLetter
In one paragraph

Article in Immunity & ageing : I & A, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Long-Term Cancer and Mortality After Thymectomy.European journal of neurology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Ersilia PaparazzoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, Rende, 87036, Italy.
Silvana GeracitanoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, Rende, 87036, Italy.
Vincenzo LaganiBiological and Environmental Sciences and Engineering Division (BESE), King Abdullah University of Science and Technology KAUST, Thuwal, 23952, Saudi Arabia.
Luigi CitrignoNational Research Council (CNR) - Institute for Biomedical Research and Innovation - (IRIB), 87050 Mangone, Cosenza, Italy.
Denise BartolomeoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, Rende, 87036, Italy.
Mirella Aurora AcetoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, Rende, 87036, Italy.
Francesco BrunoRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, Lamezia Terme (CZ), 88046, Italy.
Raffaele MalettaRegional Neurogenetic Centre (CRN), Department of Primary Care, ASP Catanzaro, Lamezia Terme (CZ), 88046, Italy.
Giuseppe PassarinoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, Rende, 87036, Italy.
Alberto MontesantoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, Rende, 87036, Italy. alberto.montesanto@unical.it.
University of Calabria · ITBioAge (Italy) · ITKing Abdullah University of Science and Technology · SANational Research Council · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunosenescence is a complex process characterized by an age-related remodelling of immune system. The prominent effects of the immunosenescence process is the thymic involution and, consequently, the decreased numbers and functions of T cells. Since thymic involution results in a collapse of the T-cell receptor (TCR) repertoire, a reliable biomarker of its activity is represented by the quantification of signal joint T-cell receptor rearrangement excision circles (sjTRECs) levels. Although it is reasonable to think that thymic function could play a crucial role on elderly survival, only a few studies investigated the relationship between an accurate measurement of human thymic function and survival at old ages. METHODS AND

findingsBy quantifying the amount sjTRECs by real-time polymerase chain reaction (PCR), the decrease in thymic output in 241 nursing home residents from Calabria (Southern Italy) was evaluated to investigate the relationship between thymic function and survival at old ages. We found that low sjTREC levels were associated with a significant increased risk of mortality at older ages. Nursing home residents with lower sjTREC exhibit a near 2-fold increase in mortality risk compared to those with sjTREC levels in a normal range.

conclusionThymic function failure is an independent predictor of mortality among elderly nursing home residents. sjTREC represents a biomarker of effective ageing as its blood levels could anticipate individuals at high risk of negative health outcomes. The identification of these subjects is crucial to manage older people's immune function and resilience, such as, for instance, to plan more efficient vaccinal campaigns in older populations.

Indexed as

Advanced ageC-reactive protein (CRP)ImmunoageingImmunosenescenceMortalityNursing homeSurvivalT-cell receptor rearrangement excision circles (sjTRECs)thymus

Identifiers

PMID37038200
PMCPMC10084596
OpenAlexW4363650915

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.