Abstract
Early-life programming is becoming an established concept stating that the environment during early development affects health and disease in adulthood, probably via epigenetic mechanisms. Accumulating evidence suggests that nutrition during pregnancy and early postnatal life is one of the most important environmental cues that programs emerging organ systems of the offspring. The immune system may be particularly vulnerable. The immune system of infants is actively downregulated during pregnancy and therefore the first few months of life represent a period of heightened susceptibility to infection. After birth, there is an age-dependent maturation of the immune system in a layered manner. Exposure to environmental microbial components is suggested to play an important role in the maturation process. This book chapter outlines the role of early-life nutrition in programming of immune function, focusing on immune defenses against infection. Food or nutrient deprivation as well as overconsumption lead to reduced immune responsiveness, increased inflammatory status which results in ineffective immune responses against infections. Nutritional intervention using prebiotics, probiotics, and long-chain polyunsaturated fatty acids (LCPUFAs) has been provided to support an optimal immune development and hence may provide a better defense against infections.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- LCPUFAs:
-
Long-chain Polyunsaturated fatty acids
- DOHaD:
-
Developmental Origins of Health and Disease
- HMOS:
-
Human milk oligosaccharides
- Ig:
-
Immunoglobulin
- lcFOS:
-
Long-chain Fructo-oligosaccharides
- NK:
-
Natural killer
- scGOS:
-
Short-chain Galacto-oligosaccharides
References
Food and Agriculture Organization of the United Nations, World Health Organization (2001) Health and nutritional properties of probiotics in food including powder milk with lactic acid bacteria. FAO and WHO Joint and Expert Committee Report. ftp://ftp.fao.org/es/esn/food/probioreporten
Aksu G, Genel F, Koturoglu G et al (2006) Serum immunoglobulin (IgG, IgM, IgA) and IgG subclass concentrations in healthy children: a study using nephelometric technique. Turk J Pediatr 48:19–24
Allen LH (2005) Multiple micronutrients in pregnancy and lactation: an overview. Am J Clin Nutr 81:1206S–1212S
Andersen AD, Molbak L, Michaelsen KF et al (2011) Molecular fingerprints of the human fecal microbiota from 9 to 18 months old and the effect of fish oil supplementation. J Pediatr Gastroenterol Nutr 53:303–309
Arroyo R, Martin V, Maldonado A et al (2010) Treatment of infectious mastitis during lactation: antibiotics versus oral administration of Lactobacilli isolated from breast milk. Clin Infect Dis 50:1551–1558
Arslanoglu S, Moro GE, Boehm G (2007) Early supplementation of prebiotic oligosaccharides protects formula-fed infants against infections during the first 6 months of life. J Nutr 137:2420–2424
Arslanoglu S, Moro GE, Schmitt J et al (2008) Early dietary intervention with a mixture of prebiotic oligosaccharides reduces the incidence of allergic manifestations and infections during the first two years of life. J Nutr 138:1091–1095
Backhed F, Ding H, Wang T et al (2004) The gut microbiota as an environmental factor that regulates fat storage. Proc Natl Acad Sci U S A 101:15718–15723
Barker DJ, Osmond C, Golding J et al (1989) Growth in utero, blood pressure in childhood and adult life, and mortality from cardiovascular disease. BMJ 298:564–567
Beach RS, Gershwin ME, Hurley LS (1982) Gestational zinc deprivation in mice: persistence of immunodeficiency for three generations. Science 218:469–471
Birch EE, Khoury JC, Berseth CL et al (2010) The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children. J Pediatr 156:902–906, 906 e901
Boehm G, Moro G (2008) Structural and functional aspects of prebiotics used in infant nutrition. J Nutr 138:1818S–1828S
Bonneville M, O’brien RL, Born WK (2010) Gammadelta T cell effector functions: a blend of innate programming and acquired plasticity. Nat Rev Immunol 10:467–478
Bruzzese E, Volpicelli M, Squeglia V et al (2009) A formula containing galacto- and fructo-oligosaccharides prevents intestinal and extra-intestinal infections: an observational study. Clin Nutr 28:156–161
Burcelin R, Garidou L, Pomie C (2012) Immuno-microbiota cross and talk: the new paradigm of metabolic diseases. Semin Immunol 24:67–74
Calder PC, Yaqoob P, Thies F et al (2002) Fatty acids and lymphocyte functions. Br J Nutr 87(Suppl 1):S31–S48
Canani RB, Costanzo MD, Leone L et al (2011) Epigenetic mechanisms elicited by nutrition in early life. Nutr Res Rev 24:198–205
Caulfield LE, De Onis M, Blossner M et al (2004) Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles. Am J Clin Nutr 80:193–198
Chandra RK (1975) Antibody formation in first and second generation offspring of nutritionally deprived rats. Science 190:289–290
Chaturvedi P, Warren CD, Buescher CR et al (2001) Survival of human milk oligosaccharides in the intestine of infants. Adv Exp Med Biol 501:315–323
Collado MC, Isolauri E, Laitinen K et al (2010) Effect of mother’s weight on infant’s microbiota acquisition, composition, and activity during early infancy: a prospective follow-up study initiated in early pregnancy. Am J Clin Nutr 92:1023–1030
Collado MC, Laitinen K, Salminen S et al (2012) Maternal weight and excessive weight gain during pregnancy modify the immunomodulatory potential of breast milk. Pediatr Res 72:77–85
Collinson AC, Moore SE, Cole TJ et al (2003) Birth season and environmental influences on patterns of thymic growth in rural Gambian infants. Acta Paediatr 92:1014–1020
Cunningham-Rundles S, Mcneeley DF, Moon A (2005) Mechanisms of nutrient modulation of the immune response. J Allergy Clin Immunol 115:1119–1128; quiz 1129
Dorshkind K, Montecino-Rodriguez E (2007) Fetal B-cell lymphopoiesis and the emergence of B-1-cell potential. Nat Rev Immunol 7:213–219
Dunstan JA, Mori TA, Barden A et al (2003) Maternal fish oil supplementation in pregnancy reduces interleukin-13 levels in cord blood of infants at high risk of atopy. Clin Exp Allergy 33:442–448
Fadel S, Sarzotti M (2000) Cellular immune responses in neonates. Int Rev Immunol 19:173–193
Furuhjelm C, Warstedt K, Larsson J et al (2009) Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy. Acta Paediatr 98:1461–1467
Gibbons DL, Haque SF, Silberzahn T et al (2009) Neonates harbour highly active gammadelta T cells with selective impairments in preterm infants. Eur J Immunol 39:1794–1806
Gibson GR, Roberfroid MB (1995) Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J Nutr 125:1401–1412
Godfrey KM, Barker DJ (1995) Maternal nutrition in relation to fetal and placental growth. Eur J Obstet Gynecol Reprod Biol 61:15–22
Goldman AS, Smith CW (1973) Host resistance factors in human milk. J Pediatr 82:1082–1090
Gordon JI, Dewey KG, Mills DA et al (2012) The human gut microbiota and undernutrition. Sci Transl Med 4:137ps112
Gottrand F (2008) Long-chain polyunsaturated fatty acids influence the immune system of infants. J Nutr 138:1807S–1812S
Gueimonde M, Laitinen K, Salminen S et al (2007) Breast milk: a source of bifidobacteria for infant gut development and maturation? Neonatology 92:64–66
Haberg SE, London SJ, Stigum H et al (2009) Folic acid supplements in pregnancy and early childhood respiratory health. Arch Dis Child 94:180–184
Hales CN, Barker DJ (2001) The thrifty phenotype hypothesis. Br Med Bull 60:5–20
Herzenberg LA (1989) Toward a layered immune system. Cell 59:953–954
Hojsak I, Snovak N, Abdovic S et al (2010) Lactobacillus GG in the prevention of gastrointestinal and respiratory tract infections in children who attend day care centers: a randomized, double-blind, placebo-controlled trial. Clin Nutr 29:312–316
Hollingsworth JW, Maruoka S, Boon K et al (2008) In utero supplementation with methyl donors enhances allergic airway disease in mice. J Clin Invest 118:3462–3469
Holscher HD, Faust KL, Czerkies LA et al (2012) Effects of prebiotic-containing infant formula on gastrointestinal tolerance and fecal microbiota in a randomized controlled trial. J Parenter Enteral Nutr 36:95S–105S
Hunt KM, Williams JE, Shafii B et al (2013) Mastitis is associated with increased free fatty acids, somatic cell count, and interleukin-8 concentrations in human milk. Breastfeed Med 8:105–110
Inagaki T, Tachibana M, Magoori K et al (2009) Obesity and metabolic syndrome in histone demethylase JHDM2a-deficient mice. Genes Cells 14:991–1001
Ivanov I, Littman DR (2011) Modulation of immune homeostasis by commensal bacteria. Curr Opin Microbiol 14:106–114
Jaffar S, Leach A, Greenwood A et al (2000) Season of birth is not associated with delayed childhood mortality in Upper River Division, The Gambia. Trop Med Int Health 5:628–632
Jones KD, Berkley JA, Warner JO (2010) Perinatal nutrition and immunity to infection. Pediatr Allergy Immunol 21:564–576
Knol J, Boehm G, Lidestri M, Negretti F, Jelinek J, Agosti M, Stahl B, Marinin A, Mosca F (2005) Increase of faecal bifidobacteria due to dietary oligosaccharides induces a reduction of clinically relevant pathogen germs in the faeces of formula-fed preterm infants. Acta Paediatr Suppl 94:31–33
Krauss-Etschmann S, Hartl D, Rzehak P et al (2008) Decreased cord blood IL-4, IL-13, and CCR4 and increased TGF-beta levels after fish oil supplementation of pregnant women. J Allergy Clin Immunol 121:464–470 e466
Kynast-Wolf G, Hammer GP, Muller O et al (2006) Season of death and birth predict patterns of mortality in Burkina Faso. Int J Epidemiol 35:427–435
Levy O (2007) Innate immunity of the newborn: basic mechanisms and clinical correlates. Nat Rev Immunol 7:379–390
Lumeng CN, Saltiel AR (2011) Inflammatory links between obesity and metabolic disease. J Clin Invest 121:2111–2117
Lumey LH, Stein AD (1997) Offspring birth weights after maternal intrauterine undernutrition: a comparison within sibships. Am J Epidemiol 146:810–819
Mackey-Lawrence NM, Petri WA Jr (2012) Leptin and mucosal immunity. Mucosal Immunol 5:472–479
Mancuso P, Myers MG Jr, Goel D et al (2012) Ablation of leptin receptor-mediated ERK activation impairs host defense against Gram-negative pneumonia. J Immunol 189:867–875
Martin R, Nauta AJ, Ben Amor K, Knippels LMJ, Knol J, Garssen J (2010) Early life: gut microbiota and immune development in infancy. Benef Microbes 1:367–382
Martin R, Jimenez E, Heilig H et al (2009) Isolation of bifidobacteria from breast milk and assessment of the bifidobacterial population by PCR-denaturing gradient gel electrophoresis and quantitative real-time PCR. Appl Environ Microbiol 75:965–969
Martin R, Langa S, Reviriego C et al (2003) Human milk is a source of lactic acid bacteria for the infant gut. J Pediatr 143:754–758
Martino DJ, Prescott SL (2010) Silent mysteries: epigenetic paradigms could hold the key to conquering the epidemic of allergy and immune disease. Allergy 65:7–15
Maurer AD, Reimer RA (2011) Maternal consumption of high-prebiotic fibre or -protein diets during pregnancy and lactation differentially influences satiety hormones and expression of genes involved in glucose and lipid metabolism in offspring in rats. Br J Nutr 105:329–338
Mcdade TW, Beck MA, Kuzawa C et al (2001) Prenatal undernutrition, postnatal environments, and antibody response to vaccination in adolescence. Am J Clin Nutr 74:543–548
Milner JJ, Beck MA (2012) The impact of obesity on the immune response to infection. Proc Nutr Soc 71:298–306
Minns LM, Kerling EH, Neely MR et al (2010) Toddler formula supplemented with docosahexaenoic acid (DHA) improves DHA status and respiratory health in a randomized, double-blind, controlled trial of US children less than 3 years of age. Prostaglandins Leukot Essent Fatty Acids 82:287–293
Mold JE, Venkatasubrahmanyam S, Burt TD et al (2010) Fetal and adult hematopoietic stem cells give rise to distinct T cell lineages in humans. Science 330:1695–1699
Moore SE, Cole TJ, Collinson AC et al (1999) Prenatal or early postnatal events predict infectious deaths in young adulthood in rural Africa. Int J Epidemiol 28:1088–1095
Moore SE, Cole TJ, Poskitt EM et al (1997) Season of birth predicts mortality in rural Gambia. Nature 388:434
Moore SE, Collinson AC, Prentice AM (2001) Immune function in rural Gambian children is not related to season of birth, birth size, or maternal supplementation status. Am J Clin Nutr 74:840–847
Moore SE, Jalil F, Ashraf R et al (2004) Birth weight predicts response to vaccination in adults born in an urban slum in Lahore, Pakistan. Am J Clin Nutr 80:453–459
Moro G, Minoli I, Mosca M et al (2002) Dosage-related bifidogenic effects of galacto- and fructooligosaccharides in formula-fed term infants. J Pediatr Gastroenterol Nutr 34:291–295
Nielsen S, Nielsen DS, Lauritzen L et al (2007) Impact of diet on the intestinal microbiota in 10-month-old infants. J Pediatr Gastroenterol Nutr 44:613–618
Obermeier S, Rudloff S, Pohlentz G et al (1999) Secretion of 13C-labelled oligosaccharides into human milk and infant’s urine after an oral [13C]galactose load. Isotopes Environ Health Stud 35:119–125
Palmer AC (2011) Nutritionally mediated programming of the developing immune system. Adv Nutr 2:377–395
Penttila IA (2010) Milk-derived transforming growth factor-beta and the infant immune response. J Pediatr 156:S21–S25
Perez PF, Dore J, Leclerc M et al (2007) Bacterial imprinting of the neonatal immune system: lessons from maternal cells? Pediatrics 119:e724–e732
Prescott SL, Dunstan JA (2007) Prenatal fatty acid status and immune development: the pathways and the evidence. Lipids 42:801–810
Rautava S, Salminen S, Isolauri E (2009) Specific probiotics in reducing the risk of acute infections in infancy—a randomised, double-blind, placebo-controlled study. Br J Nutr 101:1722–1726
Roseboom TJ, Van Der Meulen JH, Osmond C et al (2001) Adult survival after prenatal exposure to the Dutch famine 1944–45. Paediatr Perinat Epidemiol 15:220–225
Savy M, Edmond K, Fine PE et al (2009) Landscape analysis of interactions between nutrition and vaccine responses in children. J Nutr 139:2154S–2218S
Shadid R, Haarman M, Knol J et al (2007) Effects of galactooligosaccharide and long-chain fructooligosaccharide supplementation during pregnancy on maternal and neonatal microbiota and immunity—a randomized, double-blind, placebo-controlled study. Am J Clin Nutr 86:1426–1437
Siegrist CA (2001) Neonatal and early life vaccinology. Vaccine 19:3331–3346
Simondon KB, Elguero E, Marra A et al (2004) Season of birth is not associated with risk of early adult death in rural Senegal. Int J Epidemiol 33:130–136
Stephensen CB (2001) Vitamin A, infection, and immune function. Annu Rev Nutr 21:167–192
Szajewska H, Weizman Z, Abu-Zekry M et al (2012) Inulin and fructo-oligosaccharides for the prevention of antibiotic-associated diarrhea in children: report by the ESPGHAN Working Group on Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr 54:828–829
Thienprasert A, Samuhaseneetoo S, Popplestone K et al (2009) Fish oil n-3 polyunsaturated fatty acids selectively affect plasma cytokines and decrease illness in Thai schoolchildren: a randomized, double-blind, placebo-controlled intervention trial. J Pediatr 154:391–395
Turnbaugh PJ, Ley RE, Mahowald MA et al (2006) An obesity-associated gut microbiome with increased capacity for energy harvest. Nature 444:1027–1031
Van Vlies N, Hogenkamp A, Fear AL, Van Esch BC, Oosting A, Van De Heijning B, Van Der Beek E, Calder PC, Garssen J (2011) Perinatal programming of murine immune responses by polyunsaturated fatty acids. J Dev Origins Health Dis 2:112–123
Vos AP, Knol J, Stahl B et al (2010) Specific prebiotic oligosaccharides modulate the early phase of a murine vaccination response. Int Immunopharmacol 10:619–625
Walker A (2010) Breast milk as the gold standard for protective nutrients. J Pediatr 156:S3–S7
Waterland RA, Kellermayer R, Laritsky E et al (2010) Season of conception in rural gambia affects DNA methylation at putative human metastable epialleles. PLoS Genet 6:e1001252
Wolvers D, Antoine JM, Myllyluoma E et al (2010) Guidance for substantiating the evidence for beneficial effects of probiotics: prevention and management of infections by probiotics. J Nutr 140:698S–712S
Yabuhara A, Kawai H, Komiyama A (1990) Development of natural killer cytotoxicity during childhood: marked increases in number of natural killer cells with adequate cytotoxic abilities during infancy to early childhood. Pediatr Res 28:316–322
Yeganegi M, Watson CS, Martins A et al (2009) Effect of Lactobacillus rhamnosus GR-1 supernatant and fetal sex on lipopolysaccharide-induced cytokine and prostaglandin-regulating enzymes in human placental trophoblast cells: implications for treatment of bacterial vaginosis and prevention of preterm labor. Am J Obstet Gynecol 200(532):e531–e538
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 American Association of Pharmaceutical Scientists
About this chapter
Cite this chapter
Nauta, A.J., Garssen, J. (2014). Nutritional Programming of Immune Defense Against Infections in Early Life. In: Folkerts, G., Garssen, J. (eds) Pharma-Nutrition. AAPS Advances in the Pharmaceutical Sciences Series, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-319-06151-1_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-06151-1_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-06150-4
Online ISBN: 978-3-319-06151-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)