Abstract

The induction of trained immunity represents an emerging concept defined as the ability of innate immune cells to acquire a memory phenotype, which is a typical hallmark of the adaptive response. Key points modulated during the establishment of trained immunity include epigenetic, metabolic and functional changes in different innate-immune and non-immune cells. Regarding to epigenetic changes, it has been described that long non-coding RNAs (LncRNAs) act as molecular scaffolds to allow the assembly of chromatin-remodeling complexes that catalyze epigenetic changes on chromatin. On the other hand, relevant metabolic changes that occur during this process include increased glycolytic rate and the accumulation of metabolites from the tricarboxylic acid (TCA) cycle, which subsequently regulate the activity of histone-modifying enzymes that ultimately drive epigenetic changes. Functional consequences of established trained immunity include enhanced cytokine production, increased antigen presentation and augmented antimicrobial responses. In this article, we will discuss the current knowledge regarding the ability of different cell subsets to acquire a trained immune phenotype and the molecular mechanisms involved in triggering such a response. This knowledge will be helpful for the development of broad-spectrum therapies against infectious diseases based on the modulation of epigenetic and metabolic cues regulating the development of trained immunity.

Highlights

  • The immune system represents our main line of defense against infections and other diseases

  • Studies related to other factors that trigger trained immunity showed that administration of Bacillus Calmette Guerin (BCG) vaccine on healthy human volunteers up-regulates the production of IL-6 by monocytes and neutrophils upon exposure to S. aureus [45, 46]

  • These data suggest that the development of trained immunity induced by BCG is associated with increased glycolytic activity and favors neutrophil-mediated killing of C. albicans and M. tuberculosis [46, 50]

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Summary

Frontiers in Immunology

Key points modulated during the establishment of trained immunity include epigenetic, metabolic and functional changes in different innate-immune and nonimmune cells. Functional consequences of established trained immunity include enhanced cytokine production, increased antigen presentation and augmented antimicrobial responses. We will discuss the current knowledge regarding the ability of different cell subsets to acquire a trained immune phenotype and the molecular mechanisms involved in triggering such a response. This knowledge will be helpful for the development of broad-spectrum therapies against infectious diseases based on the modulation of epigenetic and metabolic cues regulating the development of trained immunity

INTRODUCTION
MECHANISMS UNDERLYING THE ESTABLISHMENT OF TRAINED IMMUNITY
TRAINED IMMUNITY IN NEUTROPHILS
METABOLIC PATHWAYS INVOLVED IN THE TRAINING OF MONOCYTES AND MACROPHAGES
Rapamycin Wortmannin Ascorbate Metformin
HORMONAL CONTROL OF TRAINED IMMUNITY RESPONSES IN MONOCYTES AND MACROPHAGES
TRAINED IMMUNITY ON ALVEOLAR MACROPHAGES AND INVOLVEMENT OF RESIDENT CELLS
TRAINED IMMUNITY IN NK CELLS
TRAINED IMMUNITY IN INNATE LYMPHOID CELLS
TRAINED IMMUNITY ON HEMATOPOIETIC STEM CELLS
TRAINED IMMUNITY IN BRONCHIAL EPITHELIAL CELLS
TRAINED IMMUNITY IN SKIN STEM CELLS
TRAINED IMMUNITY IN THE GASTROINTESTINAL TRACT
TRAINED IMMUNITY IN NONINFECTIOUS PATHOLOGIES
FUTURE PERSPECTIVES
CONCLUDING REMARKS
Full Text
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