The central nervous system (CNS) has long been considered an
immune-privileged site, with minimal interaction between immune cells,
particularly of the adaptive immune system. Previously, the presence of
immune cells in this organ was primarily linked to events involving
disruption of the blood-brain barrier (BBB) or inflammation. However,
current research has shown that immune cells are found patrolling CNS
under homeostatic conditions. Specifically, T cells of the adaptive
immune system are able to cross the BBB and are associated with aging
and cognitive impairment. In addition, T-cell infiltration has been
observed in pathological conditions, where inflammation correlates with
poor prognosis. Despite ongoing research, the role of this population in
the aging brain under both physiological and pathological conditions is
not yet fully understood. In this review, we provide an overview of the
interactions between T cells and other immune and CNS parenchymal cells,
and examine the molecular mechanisms by which these interactions may
contribute to normal brain function and the scenarios in which
disruption of these connections lead to cognitive impairment. A
comprehensive understanding of the role of T cells in the aging brain
and the underlying molecular pathways under normal conditions could pave
the way for new research to better understand brain disorders.