Nunez Natalia, Réot Louis, Menu Elisabeth
CEA, Université Paris-Sud, Inserm, U1184 "Immunology of Viral Infections and Autoimmune Diseases" (IMVA-HB), IDMIT Department, IBFJ, 92265 Fontenay-aux-Roses, France.
MISTIC Group, Department of Virology, Institut Pasteur, 75015 Paris, France.
Vaccines (Basel). 2021 Jun 1;9(6):584. doi: 10.3390/vaccines9060584.
Interactions between the immune system and the microbiome play a crucial role on the human health. These interactions start in the prenatal period and are critical for the maturation of the immune system in newborns and infants. Several factors influence the composition of the infant's microbiota and subsequently the development of the immune system. They include maternal infection, antibiotic treatment, environmental exposure, mode of delivery, breastfeeding, and food introduction. In this review, we focus on the ontogeny of the immune system and its association to microbial colonization from conception to food diversification. In this context, we give an overview of the mother-fetus interactions during pregnancy, the impact of the time of birth and the mode of delivery, the neonate gastrointestinal colonization and the role of breastfeeding, weaning, and food diversification. We further review the impact of the vaccination on the infant's microbiota and the reciprocal case. Finally, we discuss several potential therapeutic interventions that might help to improve the newborn and infant's health and their responses to vaccination. Throughout the review, we underline the main scientific questions that are left to be answered and how the non-human primate model could help enlighten the path.
免疫系统与微生物群之间的相互作用对人类健康起着至关重要的作用。这些相互作用始于孕期,对新生儿和婴儿免疫系统的成熟至关重要。几个因素会影响婴儿微生物群的组成,进而影响免疫系统的发育。这些因素包括母体感染、抗生素治疗、环境暴露、分娩方式、母乳喂养和食物引入。在本综述中,我们重点关注从受孕到食物多样化期间免疫系统的个体发育及其与微生物定植的关联。在此背景下,我们概述了孕期母婴相互作用、出生时间和分娩方式的影响、新生儿胃肠道定植以及母乳喂养、断奶和食物多样化的作用。我们还综述了疫苗接种对婴儿微生物群的影响以及反之情况。最后,我们讨论了几种可能有助于改善新生儿和婴儿健康及其对疫苗接种反应的潜在治疗干预措施。在整个综述中,我们强调了有待回答的主要科学问题以及非人灵长类动物模型如何有助于照亮前进的道路。
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