New insights into intestinal macrophages in necrotizing enterocolitis: the multi-functional role and promising

Jiaqi Wei1, Zhaoli Meng2, Zhenyu Li1

  • 1Department of Neonatology, First Hospital of Jilin University, Changchun, China.

Frontiers in Immunology
|October 16, 2023
PubMed

Insights

Necrotizing enterocolitis (NEC) in preterm infants involves intestinal macrophages (IMφs). Dysregulation of these immune cells contributes to NEC pathogenesis, suggesting IMφs as therapeutic targets.

Area of Science:

  • Immunology
  • Neonatal Medicine
  • Gastroenterology

Background:

  • Necrotizing enterocolitis (NEC) is a critical inflammatory intestinal disease affecting preterm infants.
  • The exact pathogenesis of NEC is not fully understood, limiting effective treatment options.
  • Preterm infants' immature immune systems increase susceptibility to gut inflammatory disorders.

Purpose of the Study:

  • To review the role of intestinal macrophages (IMφs) in the pathogenesis of NEC.
  • To discuss the diverse functions and molecular mechanisms of IMφs in preterm infants.
  • To explore potential therapeutic strategies for NEC targeting IMφs.

Main Methods:

  • Literature review focusing on IMφs and NEC.
  • Analysis of the functional plasticity and diversity of IMφs in early life.
  • Examination of molecular mechanisms underlying IMφ homeostasis and disruption.

Main Results:

  • Intestinal macrophages (IMφs) are key players in innate immunity and intestinal health.
  • Environmental, dietary, and bacterial factors can disrupt IMφ homeostasis.
  • Disrupted IMφ function is implicated in the development of NEC.

Conclusions:

  • IMφs play a crucial, multi-functional role in NEC pathogenesis.
  • Understanding IMφ mechanisms offers insights into NEC development in preterm infants.
  • Targeting IMφs presents a promising avenue for novel NEC therapeutics.

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