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Trends Immunol. 2016 Jun;37(6):386-398. doi: 10.1016/j.it.2016.04.003. Epub 2016 May 26.

Immune Dysfunction as a Cause and Consequence of Malnutrition.

Trends in immunology

Claire D Bourke, James A Berkley, Andrew J Prendergast

Affiliations

  1. Centre for Genomics and Child Health, Blizard Institute, Queen Mary University of London, London, UK. Electronic address: [email protected].
  2. Kenya Medical Research Institute (KEMRI)-Wellcome Trust Collaborative Research Programme, Centre for Geographic Medicine Research, Kifili, Kenya; Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
  3. Centre for Genomics and Child Health, Blizard Institute, Queen Mary University of London, London, UK; Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.

PMID: 27237815 PMCID: PMC4889773 DOI: 10.1016/j.it.2016.04.003

Abstract

Malnutrition, which encompasses under- and overnutrition, is responsible for an enormous morbidity and mortality burden globally. Malnutrition results from disordered nutrient assimilation but is also characterized by recurrent infections and chronic inflammation, implying an underlying immune defect. Defects emerge before birth via modifications in the immunoepigenome of malnourished parents, and these may contribute to intergenerational cycles of malnutrition. This review summarizes key recent studies from experimental animals, in vitro models, and human cohorts, and proposes that immune dysfunction is both a cause and a consequence of malnutrition. Focusing on childhood undernutrition, we highlight gaps in current understanding of immune dysfunction in malnutrition, with a view to therapeutically targeting immune pathways as a novel means to reduce morbidity and mortality.

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: enteropathy; immunodeficiency; infection; inflammation; malnutrition; metabolism

References

  1. Int J Epidemiol. 2014 Feb;43(1):216-23 - PubMed
  2. Nat Commun. 2015 Apr 28;6:6342 - PubMed
  3. PLoS One. 2014 Aug 25;9(8):e105017 - PubMed
  4. PLoS One. 2013 May 29;8(5):e64636 - PubMed
  5. J Leukoc Biol. 2015 Jul;98(1):129-36 - PubMed
  6. Adv Nutr. 2011 Sep;2(5):377-95 - PubMed
  7. J Nutr. 2009 Nov;139(11):2154S-218S - PubMed
  8. Proc Natl Acad Sci U S A. 2010 Jun 29;107(26):11971-5 - PubMed
  9. Science. 2013 Feb 1;339(6119):548-54 - PubMed
  10. Lancet. 2008 Feb 2;371(9610):417-40 - PubMed
  11. Nat Med. 2016 Jan;22(1):72-7 - PubMed
  12. Mucosal Immunol. 2008 Mar;1(2):92-5 - PubMed
  13. Nat Commun. 2015 Aug 04;6:7806 - PubMed
  14. Science. 2014 Jan 24;343(6169):432-7 - PubMed
  15. JAMA. 2014 Aug 6;312(5):490-1 - PubMed
  16. J Exp Med. 2008 Sep 1;205(9):2139-49 - PubMed
  17. Infect Immun. 2015 May;83(5):2118-26 - PubMed
  18. Hum Mol Genet. 2009 Nov 1;18(21):4046-53 - PubMed
  19. BMC Med. 2014 Aug 14;12:133 - PubMed
  20. Lancet. 2003 Apr 26;361(9367):1418-23 - PubMed
  21. J Clin Invest. 2002 Oct;110(8):1093-103 - PubMed
  22. Cell. 2011 Oct 28;147(3):629-40 - PubMed
  23. BMJ Open. 2013 Aug 30;3(8):e003476 - PubMed
  24. Nat Immunol. 2003 Jan;4(1):49-54 - PubMed
  25. Am J Clin Nutr. 1998 Sep;68(3):691-8 - PubMed
  26. Am J Clin Nutr. 2013 May;97(5):911-8 - PubMed
  27. Lancet. 2013 Aug 3;382(9890):427-51 - PubMed
  28. J Exp Med. 2013 Sep 23;210(10):1961-76 - PubMed
  29. PLoS One. 2014 Oct 20;9(10):e109434 - PubMed
  30. Nat Commun. 2014 Apr 29;5:3746 - PubMed
  31. Am J Physiol Endocrinol Metab. 2011 Mar;300(3):E571-80 - PubMed
  32. Lancet. 2005 Mar 26-Apr 1;365(9465):1147-52 - PubMed
  33. Immunity. 2010 Jul 23;33(1):71-83 - PubMed
  34. Philos Trans R Soc Lond B Biol Sci. 2015 Jun 19;370(1671):null - PubMed
  35. Science. 2016 Feb 19;351(6275):858-63 - PubMed
  36. Front Immunol. 2015 Mar 17;6:99 - PubMed
  37. Cell Mol Gastroenterol Hepatol. 2015 Dec 11;2(2):158-174.e1 - PubMed
  38. J Clin Invest. 1997 Feb 15;99(4):643-50 - PubMed
  39. Front Neurosci. 2013 Jul 31;7:120 - PubMed
  40. Science. 2010 Dec 17;330(6011):1695-9 - PubMed
  41. Diabetes. 2011 May;60(5):1528-34 - PubMed
  42. Clin Infect Dis. 2014 Nov 1;59 Suppl 4:S193-206 - PubMed
  43. J Nutr. 2003 Jan;133(1):316S-321S - PubMed
  44. Nature. 2014 Jun 19;510(7505):417-21 - PubMed
  45. Philos Trans R Soc Lond B Biol Sci. 2015 Jun 19;370(1671):null - PubMed
  46. Paediatr Int Child Health. 2014 Nov;34(4):250-65 - PubMed
  47. Mucosal Immunol. 2012 Sep;5(5):472-9 - PubMed
  48. Ann N Y Acad Sci. 2014 Dec;1332:22-38 - PubMed
  49. Annu Rev Immunol. 2011;29:415-45 - PubMed
  50. Obes Surg. 2016 Feb;26(2):361-8 - PubMed
  51. PLoS One. 2014 Feb 18;9(2):e86928 - PubMed
  52. Am J Trop Med Hyg. 2012 May;86(5):756-63 - PubMed
  53. Proc Natl Acad Sci U S A. 2015 Sep 22;112(38):11941-6 - PubMed
  54. Science. 2011 Jul 1;333(6038):101-4 - PubMed
  55. J Immunol. 2012 Jan 1;188(1):77-84 - PubMed
  56. Nat Rev Gastroenterol Hepatol. 2013 Apr;10(4):220-9 - PubMed
  57. Cell Metab. 2014 Jun 3;19(6):941-51 - PubMed
  58. BMJ. 2011 Aug 25;343:d5094 - PubMed
  59. PLoS One. 2013 May 10;8(5):e64220 - PubMed
  60. Hum Mol Genet. 2012 May 1;21(9):2086-101 - PubMed
  61. Pediatrics. 2010 Mar;125(3):e473-80 - PubMed
  62. PLoS One. 2015 Dec 28;10(12):e0144639 - PubMed
  63. FASEB J. 2012 May;26(5):1782-90 - PubMed
  64. Clin Exp Immunol. 2014 Mar;175(3):468-75 - PubMed
  65. Sci Transl Med. 2015 Feb 25;7(276):276ra24 - PubMed
  66. Paediatr Int Child Health. 2014 Dec;34 Suppl 1:S1-S29 - PubMed
  67. Cell. 2012 Apr 13;149(2):274-93 - PubMed
  68. Cell Stem Cell. 2015 Oct 1;17(4):486-98 - PubMed
  69. N Engl J Med. 2013 Jan 31;368(5):425-35 - PubMed
  70. Am J Respir Crit Care Med. 2012 Nov 1;186(9):838-45 - PubMed
  71. J Immunol. 2009 Aug 15;183(4):2818-26 - PubMed
  72. Obes Rev. 2015 Apr;16(4):341-9 - PubMed
  73. Cell. 2015 Mar 26;161(1):119-32 - PubMed
  74. Am J Trop Med Hyg. 2013 Feb;88(2):390-6 - PubMed
  75. Nat Immunol. 2013 Jul;14(7):660-7 - PubMed
  76. Science. 2008 Dec 5;322(5907):1562-5 - PubMed
  77. Int J Obes (Lond). 2013 Mar;37(3):333-40 - PubMed
  78. Cell. 2012 Mar 16;148(6):1258-70 - PubMed
  79. Clin Exp Immunol. 2009 Jan;155(1):96-106 - PubMed
  80. Proc Natl Acad Sci U S A. 2015 Feb 17;112(7):1929-36 - PubMed
  81. Early Hum Dev. 2006 Aug;82(8):485-91 - PubMed
  82. Nat Med. 2015 Jul;21(7):709-18 - PubMed
  83. Cell Host Microbe. 2011 May 19;9(5):355-61 - PubMed
  84. Acta Paediatr. 2009 Jul;98 (7):1168-75 - PubMed
  85. Clin Infect Dis. 2015 Dec 15;61 Suppl 7:S726-32 - PubMed
  86. Cell Host Microbe. 2012 Aug 16;12(2):223-32 - PubMed
  87. Lancet. 2009 Sep 19;374(9694):1032-5 - PubMed
  88. Cell Metab. 2015 Aug 4;22(2):312-9 - PubMed
  89. PLoS One. 2013 Nov 26;8(11):e80299 - PubMed
  90. Sci Transl Med. 2012 Jun 6;4(137):137ps12 - PubMed
  91. J Biol Chem. 2013 Aug 9;288(32):22893-8 - PubMed
  92. Br J Nutr. 1999 May;81(5):345-7 - PubMed
  93. Cell Metab. 2016 Feb 9;23 (2):369-78 - PubMed
  94. Nutr Rev. 2012 Nov;70(11):642-53 - PubMed
  95. J Clin Endocrinol Metab. 2014 Jun;99(6):2128-37 - PubMed
  96. Nat Rev Immunol. 2011 Feb;11(2):109-17 - PubMed

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