Immunometabolism and Pulmonary Infections: Implications for Protective Immune Responses and Host-Directed Therapies.

immunological memory immunometabolism inflammation lung infections protective immune responses

Journal

Frontiers in microbiology
ISSN: 1664-302X
Titre abrégé: Front Microbiol
Pays: Switzerland
ID NLM: 101548977

Informations de publication

Date de publication:
2019
Historique:
received: 02 03 2019
accepted: 16 04 2019
entrez: 29 5 2019
pubmed: 28 5 2019
medline: 28 5 2019
Statut: epublish

Résumé

The biology and clinical efficacy of immune cells from patients with infectious diseases or cancer are associated with metabolic programming. Host immune- and stromal-cell genetic and epigenetic signatures in response to the invading pathogen shape disease pathophysiology and disease outcomes. Directly linked to the immunometabolic axis is the role of the host microbiome, which is also discussed here in the context of productive immune responses to lung infections. We also present host-directed therapies (HDT) as a clinically viable strategy to refocus dysregulated immunometabolism in patients with infectious diseases, which requires validation in early phase clinical trials as adjuncts to conventional antimicrobial therapy. These efforts are expected to be continuously supported by newly generated basic and translational research data to gain a better understanding of disease pathology while devising new molecularly defined platforms and therapeutic options to improve the treatment of patients with pulmonary infections, particularly in relation to multidrug-resistant pathogens.

Identifiants

pubmed: 31134013
doi: 10.3389/fmicb.2019.00962
pmc: PMC6514247
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

962

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Auteurs

Martin Rao (M)

ImmunoSurgery Unit, Champalimaud Centre for the Unknown, Lisbon, Portugal.

Ernest Dodoo (E)

Department of Oncology and Haematology, Krankenhaus Nordwest, Frankfurt, Germany.

Alimuddin Zumla (A)

Division of Infection and Immunity, University College London, NIHR Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, United Kingdom.

Markus Maeurer (M)

ImmunoSurgery Unit, Champalimaud Centre for the Unknown, Lisbon, Portugal.
Department of Oncology and Haematology, Krankenhaus Nordwest, Frankfurt, Germany.

Classifications MeSH