Evidence map›Paper›PMID 39112630›Full record

ArticleNature immunology2024

Age-related epithelial defects limit thymic function and regeneration.

Anastasia I Kousa, Lorenz Jahn, Kelin Zhao, Angel E Flores, Dante Acenas, Emma Lederer, Kimon V Argyropoulos, Andri L Lemarquis, David Granadier, Kirsten Cooper and 28 more

Erratum issuedAbstract read
In one paragraph

Article in Nature immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

78 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Mesenchymal cells rebuild the thymus.Nature biotechnology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. [Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. What Do We Know About Immune System Aging from Human and Animal Studies?International journal of molecular sciences · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Aging diminishes thymic output, reduces naive T cells, promotes memory T-cell accumulation, and impairs thymic regeneration.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Article
  20. Review

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors.

Anastasia I Kousa *Program in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-4550-0389
Lorenz Jahn *Program in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-9880-7026
Kelin Zhao *The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Angel E FloresDepartment of Genetics, University of Georgia, Athens, GA, USA.
Dante AcenasTranslational Science and Therapeutics Division, and Immunotherapy Integrated Research Center, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Emma LedererTranslational Science and Therapeutics Division, and Immunotherapy Integrated Research Center, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0009-0008-4103-5388
Kimon V ArgyropoulosDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andri L LemarquisProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
David GranadierTranslational Science and Therapeutics Division, and Immunotherapy Integrated Research Center, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Kirsten CooperTranslational Science and Therapeutics Division, and Immunotherapy Integrated Research Center, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-0711-2713
Michael D'AndreaThe Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-2557-3628
Julie M SheridanThe Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-1478-3662
Jennifer TsaiProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-9267-4584
Lisa SikkemaComputational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Amina LazrakProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Katherine NicholsProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Nichole LeeProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Romina GhaleProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Florent MalardProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Hana AndrlovaProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Enrico VelardiDivision of Pediatric Hematology and Oncology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0001-8383-0453
Salma YoussefProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0009-0005-3499-7755
Marina Burgos da SilvaProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Melissa DocampoProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Roshan SharmaComputational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Linas MazutisComputational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-5552-6427
Verena C WimmerThe Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Kelly L RogersThe Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-6755-0221
Susan DeWolfDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Brianna GipsonProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0009-0005-5837-8676
Antonio L C GomesProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Manu SettyComputational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-0344-2627
Dana Pe'erComputational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-9259-8817
Laura HaleHuman Vaccine Institute, Duke University, Durham, NC, USA.
Nancy R ManleyDepartment of Genetics, University of Georgia, Athens, GA, USA.
Daniel H D GrayThe Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia. dgray@wehi.edu.au.ORCID http://orcid.org/0000-0002-8457-8242
Marcel R M van den BrinkProgram in Immunology, Memorial Sloan Kettering Cancer Center, New York, NY, USA. mvandenbrink@coh.org.ORCID http://orcid.org/0000-0003-0696-4401
Jarrod A DudakovTranslational Science and Therapeutics Division, and Immunotherapy Integrated Research Center, Fred Hutchinson Cancer Center, Seattle, WA, USA. jdudakov@fredhutch.org.ORCID http://orcid.org/0000-0001-6220-5632

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PAMER, ERIC G. · 1985 to 2023
$59.0M
Thymic and Peripheral Aspects of T Cell Aging and RejuvenationP01AG052359 · NIA · UNIVERSITY OF ARIZONA · PI Laura P. Hale · 2017 to 2026
$23.5M
TRAINING IN MOLECULAR AND CELLULAR BIOLOGYT32GM007270 · NIGMS · UNIVERSITY OF WASHINGTON · PI RAIBLE, DAVID W · 1985 to 2020
$21.0M
T32 Predoctoral training grant in geneticsT32GM007103 · NIGMS · UNIVERSITY OF GEORGIA (UGA) · PI DYER, KELLY A · 1985 to 2021
$5.9M
The role of intestinal microbiota in graft-versus-host diseaseR01CA228308 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Philip L Lorenzi, Marcel R M van den Brink · 2018 to 2026
$5.2M
The role of autophagy gene Atg16L1 in allogeneic hematopoietic stem cell transplantation - Resubmission - 1R01HL123340 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CADWELL, KEN HASHIGIWA, VAN DEN BRINK, MARCEL R M · 2015 to 2022
$5.2M
Promoting T cell reconstitution after hematopoietic cell transplantationR35HL171556 · NHLBI · FRED HUTCHINSON CANCER CENTER · PI Jarrod Dudakov · 2024 to 2026
$3.6M
Modulation of signaling from damage-associated molecular patterns to improve radiation-induced thymic dysfunctionU01AI170035 · NIAID · FRED HUTCHINSON CANCER CENTER · PI Jarrod Dudakov · 2022 to 2026
$3.0M
Harnessing endogenous mechanisms of thymic regeneration toboost immune function in recipients of hematopoietic cell transplantR01HL145276 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DUDAKOV, JARROD · 2019 to 2023
$2.8M
Third-party “off the shelf” mature or precursor CAR T cells to prevent or treat malignant relapse after allo HCTR01HL147584 · NHLBI · SLOAN-KETTERING INST CAN RESEARCH · PI VAN DEN BRINK, MARCEL R M · 2019 to 2022
$2.7M
Cancer Council Victoria 1102104Cancer Council Victoria 1146518Department of Health | National Health and Medical Research Council (NHMRC) 1078763Department of Health | National Health and Medical Research Council (NHMRC) 1090236Department of Health | National Health and Medical Research Council (NHMRC) 1121325Department of Health | National Health and Medical Research Council (NHMRC) 1158024Department of Health | National Health and Medical Research Council (NHMRC) 1187367European Molecular Biology Organization (EMBO) ALTF-431-2017NCI NIH HHS K08 CA293271NCI NIH HHS P01 CA023766NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA228308NCI NIH HHS R01 CA228358NHLBI NIH HHS F30 HL165761NHLBI NIH HHS R01 HL123340NHLBI NIH HHS R01 HL145276NHLBI NIH HHS R01 HL147584NHLBI NIH HHS R01 HL165673NHLBI NIH HHS R35 HL171556NIAID NIH HHS U01 AI170035NIA NIH HHS P01 AG052359NIGMS NIH HHS T32 GM007103NIGMS NIH HHS T32 GM007270U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30-CA015704U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01-CA228308U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) F30-HL165761U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01-HL123340U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01-HL145276U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01-HL147584U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01-HL165673U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R35-HL-171556U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) U01-AI70035U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) T32-GM007270U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) P01-AG052359
6 · The paper itself

Abstract

The thymus is essential for establishing adaptive immunity yet undergoes age-related involution that leads to compromised immune responsiveness. The thymus is also extremely sensitive to acute insult and although capable of regeneration, this capacity declines with age for unknown reasons. We applied single-cell and spatial transcriptomics, lineage-tracing and advanced imaging to define age-related changes in nonhematopoietic stromal cells and discovered the emergence of two atypical thymic epithelial cell (TEC) states. These age-associated TECs (aaTECs) formed high-density peri-medullary epithelial clusters that were devoid of thymocytes; an accretion of nonproductive thymic tissue that worsened with age, exhibited features of epithelial-to-mesenchymal transition and was associated with downregulation of FOXN1. Interaction analysis revealed that the emergence of aaTECs drew tonic signals from other functional TEC populations at baseline acting as a sink for TEC growth factors. Following acute injury, aaTECs expanded substantially, further perturbing trophic regeneration pathways and correlating with defective repair of the involuted thymus. These findings therefore define a unique feature of thymic involution linked to immune aging and could have implications for developing immune-boosting therapies in older individuals.

Indexed as

AgingEpithelial CellsForkhead Transcription FactorsRegenerationThymus GlandAnimalsEpithelial-Mesenchymal TransitionFemaleMaleMiceMice, Inbred C57BLSingle-Cell AnalysisThymocytesForkhead Transcription FactorsWhn protein

Identifiers

PMID39112630
PMCPMC11362016

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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.