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Nutrition, Immunity, and Infection Nutrition, Immunity, and Infection Edited By Philip C. Calder and Anil D. Kulkarni CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2018 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4822-5397-9 (Hardback) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www. copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750- 8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Names: Calder, Philip C., editor. | Kulkarni, Anil D. (Anil Digambar), editor. Title: Nutrition, immunity, and infection / editors, Philip C. Calder and Anil D. Kulkarni. Other titles: Nutrition, immunity, and infection (Calder) Description: Boca Raton : Taylor & Francis, 2018. | Includes bibliographical references. Identifiers: LCCN 2017017013 | ISBN 9781482253979 (hardback : alk. paper) Subjects: | MESH: Nutritional Physiological Phenomena--immunology | Immune System--physiology | Nutrition Disorders--immunology | Immunity--physiology | Infection--immunology Classification: LCC QR181 | NLM QU 145 | DDC 616.07/9--dc23 LC record available at https://lccn.loc.gov/2017017013 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Preface...............................................................................................................................................ix About the Editors ..............................................................................................................................xi Contributors ...................................................................................................................................xiii Chapter 1 Introduction to the Immune System .............................................................................1 Philip C. Calder and Gerald Sonnenfeld Chapter 2 The Gut-Associated Lymphoid System ......................................................................19 Marie C. Lewis Chapter 3 Obesity, Immunity, and Infection ...............................................................................33 Scott D. Neidich and Melinda A. Beck Chapter 4 Role of Immune Cells in Adipose Tissue ...................................................................43 Jack Warburton and Fátima Pérez de Heredia Chapter 5 Influence of Infection and Inflammation on Nutrient Status .....................................57 David I. Thurnham and Christine A. Northrop-Clewes Chapter 6 Undernutrition, Infection, and Poor Growth in Infants and Children .......................83 D. Joe Millward Chapter 7 Immunity in Anorexia Nervosa................................................................................111 Esther Nova and Ascensión Marcos Chapter 8 Prebiotics, Probiotics, and Response to Vaccination ...............................................125 Caroline E. Childs Chapter 9 The Immunological Benefits of Complex Oligosaccharides in Human Milk ..........145 Ling Xiao, Bernd Stahl, Gert Folkerts, Johan Garssen, Leon Knippels, and Belinda van’t Land Chapter 10 Mechanisms of Immune Regulation by Vitamin A and Its Metabolites .................159 Randi Larsen Indrevær, Agnete Bratsberg Eriksen, and Heidi Kiil Blomhoff Chapter 11 Vitamin A, Immunity, and Infection ........................................................................181 Charles B. Stephensen v vi Contents Chapter 12 Vitamin E, Immunity, and Infection ........................................................................197 Dayong Wu and Simin Nikbin Meydani Chapter 13 Iron, Immunity, and Infection ..................................................................................213 Hal Drakesmith Chapter 14 Selenium as a Regulator of Inflammation and Immunity ........................................231 Aaron H. Rose and Peter R. Hoffmann Chapter 15 Zinc Regulation of the Immune Response ...............................................................245 Veronika Kloubert and Lothar Rink Chapter 16 Short-Chain Fatty Acids, G Protein-Coupled Receptors, and Immune Cells..........279 José Luís Fachi, Renan O. Corrêa, Fabio T. Sato, Angélica T. Vieira, Hosana G. Rodrigues, and Marco Aurélio R. Vinolo Chapter 17 Omega-3 Fatty Acids and T-Cell Responses ............................................................295 Tim Y. Hou, David N. McMurray, and Robert S. Chapkin Chapter 18 Novel Immunoregulatory Mediators Produced from Omega-3 Fatty Acids ............315 Patricia R. Souza, Hefin R. Jones, and Lucy V. Norling Chapter 19 Roles of Arginine in Cell-Mediated and Humoral Immunity ..................................335 Wenkai Ren, Yulong Yin, Beiyan Zhou, Fuller W. Bazer, and Guoyao Wu Chapter 20 Nitric Oxide and the Immune System ......................................................................349 Fernanda Salomao Costa, Anil Kulkarni, Alamelu Sundaresan, Davide Cattano, and Marie-Francoise Doursout Chapter 21 Glutamine and the Immune System .........................................................................357 Vinicius Fernandes Cruzat and Philip Newsholme Chapter 22 Glutathione, Immunity, and Infection ......................................................................375 Enrique Vera Tudela, Manpreet Singh, and Vishwanath Venketaraman Chapter 23 Dietary Nucleotides and Immunity ..........................................................................387 Luis Fontana, Olga Martínez-Augustin, and Ángel Gil Chapter 24 Gangliosides and Immune Regulation .....................................................................405 Ricardo Rueda, Esther Castanys-Muñoz, and Enrique Vázquez Contents vii Chapter 25 AHCC Nutritional Supplement and the Immune Response .....................................427 Takehito Miura and Anil D. Kulkarni Chapter 26 Environmental Stressors, Immunity, and Nutrition .................................................435 L. Olamigoke, E. Mansoor, D. Grimm, J. Bauer, V. Mann, and A. Sundaresan Chapter 27 Nutrition, Immunity, and Infection: Ayurvedic and Conventional Perspectives .....443 Kavita D. Chandwani, Shinil K. Shah, Erik B. Wilson, and Anil D. Kulkarni Chapter 28 Poor Maternal Nutritional Status or HIV Infection and Infant Outcomes: Evidence from India and Africa ...............................................................................453 Sarah Helen Kehoe and Marie-Louise Newell Chapter 29 Postpregnancy Ethnic Nutritional Practices in India: A Critical Perspective of Immunity and Infection ...................................................465 P. R. Janci Rani, N. Tharani Devi, and Murali Rangarajan Index ..............................................................................................................................................521 Preface The immune system is the core of defense against pathogenic organisms. It includes barrier func- tions, multiple cell types with specialized defense roles, and a myriad of chemicals, some involved directly in defense and others in regulation of the immune response. It is evident that a well-func- tioning immune system is central to protection against becoming infected and to the body’s response to being infected. But the immune system does more than that: it is involved in surveillance against tumor cells, in the response to injury, and in the tolerance of foods, commensal organisms, and, in pregnancy, the fetus, each of which is foreign to the individual. Failure of the immune system to respond properly predisposes to infection and makes infections more severe, increases risk of can- cer, diminishes the ability to heal wounds, and can result in adverse reactions to foods and to nor- mally benign environmental exposures including harmless microorganisms. Such immune failures underlie immune-mediated conditions that can be pathological and in some cases fatal. Nutrition is one of the determinants of immune competence, and the immune system is adversely affected by malnutrition. Malnutrition may come in several forms; one of these is sometimes called protein-energy malnutrition; this is frank undernutrition and is caused by inadequate access to food. The second form of malnutrition is specific essential nutrient deficiencies, such as deficiency of zinc, iron, or vitamin A. Such nutrient deficiencies may be multiple in a single individual and may coincide with protein-energy malnutrition. The immune system has a high demand for energy, so requiring fuels, and for biosynthesis and cell replication, so requiring the substrates that act as building blocks. Such intense metabolic activity requires cofactors and regulators; these are often vitamins and minerals. Thus, it is easy to see that either protein-energy malnutrition or essential nutrient deficiencies will impair the immune response, making the individual more susceptible to infection. The third form of malnutrition is overnutrition, principally in the form of an excessive intake of macronutrients resulting in overweight and obesity. It is now known that obesity is also linked to immune impairments. Billions of individuals worldwide, many of them children, suffer from each of protein-energy malnutrition, essential nutrient deficiencies, and overweight and obe- sity. Research has shown that reversing malnutrition improves immune competence with a subse- quent improvement in resistance to infection. Thus, poor nutrition impacting the immune system is a global public health problem with immense consequences on childhood growth and development, on morbidity and mortality, and on social structures and health economies. In order to properly address this problem, a detailed understanding of the nutrition–immunity–infection interaction is required. This book addresses different aspects of the nutrition–immunity–infection triad. It brings together the state of the art descriptions of different components of that triad with the aim of pro- viding an integrated view overall. Life-course considerations are included and there is recognition that nutrition is culture and context specific, which may have an overall impact on the outcome of dietary exposures and particular interventions. We are indebted to the authors of the individual chapters for their contributions to this important book, and we thank the publishers for their continued support throughout this project. Philip C. Calder and Anil D. Kulkarni ix

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