Antimicrobial Proteins and Peptides in Early Life: Ontogeny and Translational Opportunities.

Abstract:

:While developing adaptive immune responses, young infants are especially vulnerable to serious infections, including sepsis, meningitis, and pneumonia. Antimicrobial proteins and peptides (APPs) are key effectors that function as broad-spectrum anti-infectives. This review seeks to summarize the clinically relevant functional qualities of APPs and the increasing clinical trial evidence for their use to combat serious infections in infancy. Levels of APPs are relatively low in early life, especially in infants born preterm or with low birth weight (LBW). There are several rationales for the potential clinical utility of APPs in the prevention and treatment of infections in infants: (a) APPs may be most helpful in those with reduced levels; (b) during sepsis microbial products signal via pattern recognition receptors causing potentially harmful inflammation that APPs may counteract; and (c) in the era of antibiotic resistance, development of new anti-infective strategies is essential. Evidence supports the potential clinical utility of exogenous APPs to reduce infection-related morbidity in infancy. Further studies should characterize the ontogeny of antimicrobial activity in mucosal and systemic compartments, and examine the efficacy of exogenous-APP formulations to inform translational development of APPs for infant groups.

journal_name

Front Immunol

journal_title

Frontiers in immunology

authors

Battersby AJ,Khara J,Wright VJ,Levy O,Kampmann B

doi

10.3389/fimmu.2016.00309

subject

Has Abstract

pub_date

2016-08-18 00:00:00

pages

309

issn

1664-3224

journal_volume

7

pub_type

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