R E Kleinman
Massachusetts General Hospital,
Harvard Medical School, Boston, MA ,
USA
The gut immune system is the largest
immune organ in the human body. It
differs from the peripheral immune
system in several ways, including
the active tolerant response to
commensal organisms and dietary
antigens. Infancy and early
childhood is a period when the gut
immune system is rapidly maturing,
and thus is an ideal time to examine
the interactions between enteric
(and peripheral immunity) and
specific nutrients in the diet. The
hygiene hypothesis of immune
development serves as a model for
the importance of early
environmental influences on later
immune responses. Infants supported
by parenteral nutrition and infants
that are severely malnourished
demonstrate signficant deficits in
gut immune function and thus serve
to reinforce the importance of
enteric feeding in the development
of a mature, competent immune
system. Zinc and vitamin A are
examples of dietary nutrients that
have been extensively studied for
their effects on both innate and
adaptive immunity in animal models
and in humans. Human milk has also
been shown to have an important
influence on infant gut and systemic
immune development and nutrients in
milk, such as oligosaccharides and
nucleotides have been the subject of
signficant scientific scrutiny for
their unique influences on immune
development and host resistance to
infection. This discussion reviews
this area of immune development with
particular emphasis on interactions
between dietary nutrients and host
immune response that enhance our
understanding of the function of the
gut immune system.