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REVIEW article

Front. Aging

Sec. Aging and the Immune System

This article is part of the Research TopicEnhancing Vaccine Responsiveness in the Aging Population Through Advanced ImmunologyView all articles

Advanced immunology in Aging population: Unveiling the Complexities of Vaccine Responsiveness

Provisionally accepted
Yan  HanYan Han1Yanhao  HuangYanhao Huang2Yuanyu  ZhouYuanyu Zhou1Wanke  HeWanke He1Gaomei  LuoGaomei Luo1Liu  YangLiu Yang1Yanbin  ChenYanbin Chen1Yiqi  ZhuYiqi Zhu1Wei  JiangWei Jiang1Chanchan  XiaoChanchan Xiao3*Jianhui  YanJianhui Yan1*
  • 1Xiangnan University, Chenzhou, China
  • 2The First Affiliated Hospital of Jinan University, Guangzhou, China
  • 3Jinan University, Guangzhou, China

The final, formatted version of the article will be published soon.

With the accelerating global population aging, vaccine responsiveness in older adults has emerged as an increasingly critical issue. This review systematically explores age-related changes in immune system function and their impacts on vaccine efficacy. Firstly, we outline the characteristics of immunosenescence and its regulatory effects on vaccine effectiveness from three perspectives: cellular, molecular, and signaling pathway levels. Secondly, we summarize methods for predicting vaccine immune responsiveness (such as biomarkers and advanced immunological assays) and current mainstream strategies for enhancing vaccine immune responsiveness, while enumerating several prominent novel vaccine formulations targeting the older adult population. Finally, we discuss existing controversies and future research directions regarding the study of vaccine responsiveness in older adults, and comprehensively evaluate the current research status of vaccine responsiveness in this demographic. By synthesizing extensive evidence, this review aims to provide new insights into addressing the challenges of vaccinating the older adult population and lay a theoretical foundation for developing more effective immunization strategies tailored to this vulnerable group.

Keywords: Aging Population, immunology, vaccine responsiveness, Inflammaging, adjuvant

Received: 09 Aug 2025; Accepted: 28 Oct 2025.

Copyright: © 2025 Han, Huang, Zhou, He, Luo, Yang, Chen, Zhu, Jiang, Xiao and Yan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Chanchan Xiao, xiaocc616@foxmail.com
Jianhui Yan, 239006053@qq.com

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