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Published on: May 4, 2018
Antimicrobial Peptides (AMPs) and the Microbiome in Preterm Infants: Consequences and Opportunities for Future
Janina Marissen1,2, Lilith Reichert1, Christoph Härtel1,3
1Department of Pediatrics, University Hospital Würzburg, 97080 Würzburg, Germany.
Insights
Antimicrobial peptides (AMPs) are vital for infant immunity, regulating the microbiome and protecting against infections. Understanding AMPs in preterm infants offers new disease prevention strategies.
Area of Science:
- Immunology
- Microbiology
- Neonatology
Background:
- Antimicrobial peptides (AMPs) are key innate immune components with diverse physiological roles beyond direct antimicrobial activity.
- AMPs influence angiogenesis, wound healing, immune modulation, and immune cell attraction.
- They are crucial for regulating the microbiome and defending against infections in various body sites.
Purpose of the Study:
- To review the multifaceted roles of AMPs in protecting newborn infants.
- To explore AMPs' function in modulating the microbiome and immune responses in neonates.
- To highlight the significance of AMPs in preterm infants and high-risk populations.
Main Methods:
- Literature review summarizing current knowledge on AMPs in infant health.
- Analysis of AMPs' involvement in microbiome regulation and immune defense.
- Examination of AMPs' role in preterm infants and associated health outcomes.
Main Results:
- AMPs are multifunctional peptides essential for innate immunity and microbiome homeostasis.
- Alterations in microbiome composition and AMP profiles are linked to adverse health outcomes in preterm infants.
- Dysbiosis can lead to inflammation-mediated diseases, impacting preterm infant health.
Conclusions:
- AMPs play a critical role in protecting newborn infants against infections and maintaining a balanced microbiome.
- Understanding AMPs in preterm infants is crucial for developing novel prevention and treatment strategies.
- Targeting AMPs offers potential for innovative therapeutic approaches in high-risk infant populations.
Abstract:
Antimicrobial peptides (AMPs) are crucial components of the innate immune system in various organisms, including humans. Beyond their direct antimicrobial effects, AMPs play essential roles in various physiological processes. They induce angiogenesis, promote wound healing, modulate immune responses, and serve as chemoattractants for immune cells. AMPs regulate the microbiome and combat microbial infections on the skin, lungs, and gastrointestinal tract. Produced in response to microbial signals, AMPs help maintain a balanced microbial community and provide a first line of defense against infection. In preterm infants, alterations in microbiome composition have been linked to various health outcomes, including sepsis, necrotizing enterocolitis, atopic dermatitis, and respiratory infections. Dysbiosis, or an imbalance in the microbiome, can alter AMP profiles and potentially lead to inflammation-mediated diseases such as chronic lung disease and obesity. In the following review, we summarize what is known about the vital role of AMPs as multifunctional peptides in protecting newborn infants against infections and modulating the microbiome and immune response. Understanding their roles in preterm infants and high-risk populations offers the potential for innovative approaches to disease prevention and treatment.
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