2009
DOI: 10.1016/j.it.2009.09.002
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Neonatal immunity: faulty T-helpers and the shortcomings of dendritic cells

Abstract: Immunity in the newborn is characterized by minimal Th1 function but an excess of Th2 activity. Since Th1 lymphocytes are important to counter microbes and Th2 cells favor allergies, the newborn faces susceptibility to microbial infections and allergic reactions. Delayed maturation of certain dendritic cells leads to limited IL-12 production during the neonatal period. The Th2 cytokine locus of neonatal CD4+ T cells is epigenetically poised for rapid and robust production of IL-4 and IL-13. Together, these cir… Show more

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Cited by 219 publications
(221 citation statements)
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References 52 publications
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“…This suppression is much more potent for Th1 than for Th2-type cytokine production by cord blood cells, consistent with generally Th2 cytokine bias of cord blood lymphocytes (18,63,64). IL-10 or TGF-b do not mediate this T reg suppression, consistent with some but not all prior studies (36,38).…”
Section: Cd4supporting
confidence: 82%
“…This suppression is much more potent for Th1 than for Th2-type cytokine production by cord blood cells, consistent with generally Th2 cytokine bias of cord blood lymphocytes (18,63,64). IL-10 or TGF-b do not mediate this T reg suppression, consistent with some but not all prior studies (36,38).…”
Section: Cd4supporting
confidence: 82%
“…An adaptive immune response is essentially lacking because the newborn immune system has no memory, leaving the newborn dependent on innate immune defence mechanisms. It has long been established that infants are born with a T-helper cell (Th) type 2 bias due to a limited capacity to produce Th1 cytokines [14]. Although most cell types are present in normal concentrations in the newborn's blood, they lack the capacity to mount adult-like Th1 instructive signals, and to produce interleukin (IL)-12 p70 in particular [15].…”
Section: Early Immune Maturation and Respiratory Healthmentioning
confidence: 99%
“…In the current study, we investigated the role of DNA methylation and its association with patterns of gene expression under two scenarios: (1) during the steady-state development of naive CD4 þ T-cells shortly after birth; (2) following the activation of T-cells during entry into the cell cycle. Our data provide insights into the molecular pathways of early T-cell programming, and characterize developmental pathways potentially susceptible to disruption through early-life environmental exposures.…”
Section: Introductionmentioning
confidence: 99%