THE IMPACT OF IMMUNE SENESCENCE AND MATURATION ON VACCINERESPONSIVENESS IN THE ELDERLY NIH GUIDE, Volume 26, Number 28, August 22, 1997 PA AVAILABLE: PA-97-097 P.T. Keywords: National Institute on Aging National Institute of Allergy and Infectious Diseases PURPOSE The National Institute on Aging (NIA), and the National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), invite applications to evaluate control measures (i.e., vaccines and therapeutic agents) for infectious diseases in the elderly and to enhance the understanding of the immune response to infection and immunizations in this at risk population. In addition to the clinical evaluation of candidate vaccines and therapeutic agents, there is a special emphasis on defining the mechanisms that lead to the decline in immune function and responsiveness (i.e., immunosenescence) with age. Innovative studies are sought that will develop vaccination strategies applicable for the elderly or that define approaches that direct specific types of immune responses which may lead to enhanced vaccine effectiveness towards various infectious agents. When assessing the immune response to immunization in aged populations, possible approaches may include incorporating established vaccines that may be used in this population such as pneumococcal, influenza, varicella, and hepatitis b. This Program Announcement solicits applications for research designed to enhance the overall understanding of mechanisms that account for the differential sensitivity to vaccines of young and older adult populations. Through the use of clinical research comparing younger and elderly adults using licensed vaccines and therapeutic agents, studies can be conducted to examine differences in: a) vaccine safety/reactogenicity; b) optimal dose and schedule; c) immunogenicity; d) transmissibility of infections from younger and older adults to uninfected individuals and how this is effected by immunization; e) resistance to infection and colonization; f) efficacy; and g) duration of immunity and protection. HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of ?Healthy People 2000?, a PHS-led national activity for setting priority areas. This PA, The Impact of Immune Senescence and Maturation on Vaccine Responsiveness in the Elderly, is related to the priority areas of immunization and infectious diseases, and immunosenescence. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0 or Summary Report: Stock No. 017-001-00473) through the Superintendent of Document, Government Printing Office, Washington, DC 20402-0325 (telephone 202-512-1800). INQUIRIES The PA, which describes the research objectives, application procedures, review considerations, and award criteria for this solicitation, may be obtained electronically through the NIH Grant Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and the NIH Website (http://www.nih.gov), and by mail and email from the program contact listed below. Stanley Slater, M.D. Geriatrics Program National Institute on Aging 7201 Wisconsin Avenue, Room 3E327 Bethesda, MD 20892-9205 Telephone: (301) 496-6761 FAX: (301) 402-1784 Email: slaters@gw.nia.nih.gov .