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Geriatric Immunology




  Clare Ryan, DVM, PhD, DACVIM
     Badger Veterinary Hospital
      Client Education Seminar
          February 7, 2013
Geriatric
   ≥ 20 years old
Equine Geriatric Population

   Maximum lifespan is
    35-40 years

   15% of the equine
    population over 20
    years of age (1997)
“Age is not a disease”

   But with age come
    some changes:

       Decline in body
        condition and muscle
        tone

       Changes to the
        immune system can
        lead to increased
        infection
Immune System:
 White Blood Cells



      Neutrophils- eat invading organisms


      Macrophages- eat invading organisms


      Lymphocytes- make “memory” responses


          http://www.nobelprize.org/educational/medicine/immunity/index.html
Immune System Signals: Cytokines


   Tell immune cells to ramp inflammation up or down
Immunization (Vaccination)
Immunizations Create
Immune System “Memory”
Immune System “Memory”
“Immunosenescence”

   A decline in immune function and immune
    response that occurs with aging.

   Researchers believe immunosenescence
    accounts for the increase in cancer and
    infections such as influenza and pneumonia
    in people of old age.
White Blood Cells in the Elderly


   Decreased numbers of
    lymphocytes



   Decreased function of
    lymphocytes
Immunization Responses in the Elderly


   Decreased response to immunization
   Decreased duration of immune response
Geriatric Horses

   Reduced response to immunization with
    Rabies and Influenza vaccines
Vaccinating Geriatric Horses

   In the past, some people recommended not
    vaccinating geriatric horses, or not
    vaccinating them as frequently

   Geriatric horses need to be vaccinated!!
Supporting the Geriatric Immune
                   System

   Keep adequate (but not too high) body condition
   Adequate parasite control
   Reduce exposure to infection
   Minimize stress
   Vaccinate according to risk
   No proven benefit to using immune stimulants in
    geriatric horses (yet)
   Nutrition
Questions?
Aging horses:
“Inflamm-aging”

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Geriatric immunology slides