Immunometabolic approaches to prevent, detect, and treat neonatal sepsis.

Abstract:

:The first days of postnatal life are energetically demanding as metabolic functions change dramatically to accommodate drastic environmental and physiologic transitions after birth. It is increasingly appreciated that metabolic pathways are not only crucial for nutrition but also play important roles in regulating inflammation and the host response to infection. Neonatal susceptibility to infection is increased due to a functionally distinct immune response characterized by high reliance on innate immune mechanisms. Interactions between metabolism and the immune response are increasingly recognized, as changes in metabolic pathways drive innate immune cell function and activation and consequently host response to pathogens. Moreover, metabolites, such as acetyl-coenzyme A (acetyl-CoA) and succinate have immunoregulatory properties and serve as cofactors for enzymes involved in epigenetic reprogramming or "training" of innate immune cells after an initial infectious exposure. Highly sensitive metabolomic approaches allow us to define alterations in metabolic signatures as they change during ontogeny and as perturbed by immunization or infection, thereby linking metabolic pathways to immune cell effector functions. Characterizing the ontogeny of immunometabolism will offer new opportunities to prevent, diagnose, and treat neonatal sepsis.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Conti MG,Angelidou A,Diray-Arce J,Smolen KK,Lasky-Su J,De Curtis M,Levy O

doi

10.1038/s41390-019-0647-6

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

399-405

issue

2

eissn

0031-3998

issn

1530-0447

pii

10.1038/s41390-019-0647-6

journal_volume

87

pub_type

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