“…In aging and immune disorders, increased aberrant CD4+CD28 null occurs [14,16,18,[22][23][24], with predominantly NKG2D expression [19,20,25,26]. Several studies have indicated that these senescent CD4+ T cells are associated with pathogenic features in chronic inflammatory diseases, including autoimmune diseases [18,19,22], cardiovascular diseases (CVD) [18,20], diabetes mellitus (DM) [26], and advanced age [16,18,[23][24][25]. These immunosenescence cells can also produce proinflammatory cytokines, such as IFN-γ, IL-6, TNF-α, and IL-17 [14,[18][19][20]26].…”