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Updated: Jul 24, 2025

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Early-life respiratory infections and developmental immunity determine lifelong lung health
Clare M Lloyd1, Sejal Saglani2
1National Heart and Lung Institute, Faculty of Medicine, Imperial College, London, UK. c.lloyd@imperial.ac.uk.
Insights
Early respiratory infections in children can impact lifelong lung health. Understanding the developing infant immune system, microbiome, and lung interactions is key to preventing long-term respiratory issues.
Area of Science:
- Pediatric immunology
- Microbiome research
- Respiratory medicine
Background:
- Infants and young children frequently experience respiratory infections.
- The developing immune system and maturing lungs in early life are vulnerable to infections.
- Disturbances during this critical developmental window can lead to lifelong lung health consequences.
Purpose of the Study:
- To outline the molecular mechanisms of lung immune and structural cell interactions with microorganisms.
- To define a healthy respiratory ecosystem in infants.
- To understand how environmental exposures affect this ecosystem and lung health.
Main Methods:
- Review of current understanding of molecular mechanisms.
- Analysis of the interplay between immune cells, structural cells, and the respiratory microbiome.
- Examination of environmental factors influencing the respiratory ecosystem.
Main Results:
- The infant immune system develops alongside the respiratory microbiome and lung maturation.
- Early life respiratory infections and microbiome disturbances can alter developmental trajectories.
- Environmental exposures significantly impact the respiratory immune network.
Conclusions:
- Clarifying the components of a healthy respiratory ecosystem is crucial.
- Understanding molecular interactions aids in mitigating harmful effects of infections.
- Restoring lung immune health requires addressing microbiome and environmental influences.
Abstract:
Respiratory infections are common in infants and young children. However, the immune system develops and matures as the child grows, thus the effects of infection during this time of dynamic change may have long-term consequences. The infant immune system develops in conjunction with the seeding of the microbiome at the respiratory mucosal surface, at a time that the lungs themselves are maturing. We are now recognizing that any disturbance of this developmental trajectory can have implications for lifelong lung health. Here, we outline our current understanding of the molecular mechanisms underlying relationships between immune and structural cells in the lung with the local microorganisms. We highlight the importance of gaining greater clarity as to what constitutes a healthy respiratory ecosystem and how environmental exposures influencing this network will aid efforts to mitigate harmful effects and restore lung immune health.
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