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review article

Susceptibility to infection in early life: a growing role for human genetics

Borghesi, Alessandro  
•
Marzollo, Antonio
•
Michev, Alexandre
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June 1, 2020
Human Genetics

The unique vulnerability to infection of newborns and young infants is generally explained by a constellation of differences between early-life immune responses and immune responses at later ages, often referred to as neonatal immune immaturity. This developmental view, corroborated by robust evidence, offers a plausible, population-level description of the pathogenesis of life-threatening infectious diseases during the early-life period, but provides little explanation on the wide inter-individual differences in susceptibility and resistance to specific infections during the first months of life. In this context, the role of individual human genetic variation is increasingly recognized. A life-threatening infection caused by an opportunistic pathogen in an otherwise healthy infant likely represents the first manifestation of an inborn error of immunity. Single-gene disorders may also underlie common infections in full-term infants with no comorbidities or in preterm infants. In addition, there is increasing evidence of a possible role for common genetic variation in the pathogenesis of infection in preterm infants. Over the past years, a unified theory of infectious diseases emerged, supporting a hypothetical, age-dependent general model of genetic architecture of human infectious diseases. We discuss here how the proposed genetic model can be reconciled with the widely accepted developmental view of early-life infections in humans.

  • Details
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Type
review article
DOI
10.1007/s00439-019-02109-2
Web of Science ID

WOS:000538041100005

Author(s)
Borghesi, Alessandro  
Marzollo, Antonio
Michev, Alexandre
Fellay, Jacques  
Date Issued

2020-06-01

Publisher

SPRINGER

Published in
Human Genetics
Volume

139

Issue

6-7

Start page

733

End page

743

Subjects

Genetics & Heredity

•

Genetics & Heredity

•

group-b streptococcus

•

chronic granulomatous-disease

•

severe combined immunodeficiency

•

pyogenic bacterial-infections

•

ectodermal dysplasia

•

maternal antibody

•

immune-deficiency

•

early-diagnosis

•

igg subclasses

•

newborn

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPFELLAY  
Available on Infoscience
June 20, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/169507
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