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New challenges in studying nutrition-disease interactions in the developing world
Andrew M. Prentice, … , Cesar G. Victora, Jeffrey I. Gordon
Andrew M. Prentice, … , Cesar G. Victora, Jeffrey I. Gordon
Published April 1, 2008
Citation Information: J Clin Invest. 2008;118(4):1322-1329. https://doi.org/10.1172/JCI34034.
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Review Series

New challenges in studying nutrition-disease interactions in the developing world

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Abstract

Latest estimates indicate that nutritional deficiencies account for 3 million child deaths each year in less-developed countries. Targeted nutritional interventions could therefore save millions of lives. However, such interventions require careful optimization to maximize benefit and avoid harm. Progress toward designing effective life-saving interventions is currently hampered by some serious gaps in our understanding of nutrient metabolism in humans. In this Personal Perspective, we highlight some of these gaps and make some proposals as to how improved research methods and technologies can be brought to bear on the problems of undernourished children in the developing world.

Authors

Andrew M. Prentice, M. Eric Gershwin, Ulrich E. Schaible, Gerald T. Keusch, Cesar G. Victora, Jeffrey I. Gordon

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Figure 4

Optimizing nutritional status — a delicate and dynamic balance between the host and its pathogens.

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Optimizing nutritional status — a delicate and dynamic balance between t...
The optimal level for any individual’s nutrient status is determined by a complex web of interacting parameters including their genetic background, environmental exposures, and interactions with other nutrients. In developing countries, and for certain nutrients (especially iron), host-pathogen competition for the nutrient adds an extra layer of complexity. Attempts to increase iron status conflict with the likelihood that excess iron might precipitate infections. The figure indicates that the optimum level (indicated by the nadir in the curve) varies according to host genotype (e.g., resistance factors involved in nutrient handling) and the genotypes of various pathogens (e.g., mechanisms of iron sequestration and consequent responses). By removing pathogen threats, as has largely been achieved in developed countries, it becomes possible to safely increase the optimum level of nutrient status with a view to improving cognitive and developmental outcomes.

Copyright © 2023 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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