Susceptibility to infection in early life: a growing role for human genetics.

Details

Serval ID
serval:BIB_F64BB0115109
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Susceptibility to infection in early life: a growing role for human genetics.
Journal
Human genetics
Author(s)
Borghesi A., Marzollo A., Michev A., Fellay J.
ISSN
1432-1203 (Electronic)
ISSN-L
0340-6717
Publication state
Published
Issued date
06/2020
Peer-reviewed
Oui
Volume
139
Number
6-7
Pages
733-743
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
The unique vulnerability to infection of newborns and young infants is generally explained by a constellation of differences between early-life immune responses and immune responses at later ages, often referred to as neonatal immune immaturity. This developmental view, corroborated by robust evidence, offers a plausible, population-level description of the pathogenesis of life-threatening infectious diseases during the early-life period, but provides little explanation on the wide inter-individual differences in susceptibility and resistance to specific infections during the first months of life. In this context, the role of individual human genetic variation is increasingly recognized. A life-threatening infection caused by an opportunistic pathogen in an otherwise healthy infant likely represents the first manifestation of an inborn error of immunity. Single-gene disorders may also underlie common infections in full-term infants with no comorbidities or in preterm infants. In addition, there is increasing evidence of a possible role for common genetic variation in the pathogenesis of infection in preterm infants. Over the past years, a unified theory of infectious diseases emerged, supporting a hypothetical, age-dependent general model of genetic architecture of human infectious diseases. We discuss here how the proposed genetic model can be reconciled with the widely accepted developmental view of early-life infections in humans.
Keywords
Gene Expression Regulation, Developmental, Genes/genetics, Genetic Diseases, Inborn/complications, Genetic Diseases, Inborn/genetics, Genetic Predisposition to Disease, Genetic Variation, Human Genetics, Humans, Infections/etiology, Infections/pathology
Pubmed
Web of science
Create date
17/01/2020 17:11
Last modification date
15/07/2020 6:26
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