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Published on: January 12, 2018
Intrauterine Inflammation, Epigenetics, and Microbiome Influences on Preterm Infant Health
11Department of Pediatrics/Neonatology, University of Chicago, 900 E 57th Street, Chicago, IL 60637 USA.
Insights
Intrauterine infection, epigenetics, and the microbiome significantly impact preterm infant health by altering immune responses. Understanding these factors is crucial for improving outcomes in vulnerable newborns.
Area of Science:
- Perinatal and neonatal health research
- Microbiome and epigenetics in infant development
Background:
- The microbiome plays a critical role in perinatal and postnatal health.
- Intrauterine infection is a major cause of preterm birth with lasting effects.
Purpose of the Study:
- To review mechanisms linking intrauterine infection, epigenetics, and the microbiome to preterm infant health outcomes.
- To explore how these factors influence host immune and inflammatory responses.
Main Methods:
- Literature review focusing on intrauterine infection, epigenetics, and microbiome.
- Analysis of existing studies on epigenetic modifications and host-microbiome interactions.
Main Results:
- Intrauterine infection alters offspring gene expression, epigenetic programming, and postnatal inflammation.
- Epigenetic modifications, such as of Toll-like receptors (TLRs), are linked to intrauterine inflammation.
- A crosstalk exists between the host epigenome and the microbiome.
- The gut microbiome influences inflammatory pathway maturation, impacting preterm infant development.
Conclusions:
- Preterm infant outcomes are intricately linked to the modulation of host immune and inflammatory responses.
- Acute intrauterine infection, epigenetic factors, and the microbiome are key modulators of these responses.
Purpose Of Review:
Significant research reveals that the microbiome modulates perinatal and postnatal health. This review aims to examine mechanisms by which intrauterine infection, the epigenome, and microbiome specifically influence preterm infant health outcomes.
Recent Findings:
Intrauterine infection is a primary cause of preterm birth and can cause alterations in gene expression and epigenetic programming as well as postnatal inflammatory responses in the offspring. Insights from our own studies demonstrate epigenetic modifications of TLRs associated with exposure to intrauterine inflammation, as well as a cross talk between host epigenome and microbiome. Lastly, the gut microbiome modulates maturation of inflammatory pathways, which influences the development of preterm infants.
Summary:
We present a unifying theme that preterm infant outcomes are associated with modulation of host immune and inflammatory responses, which are influenced by acute intrauterine infection, epigenetic, and microbiome factors.
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