Altered Development of Immunocompetence Following Prenatal or Combined Prenatal-Postnatal Insult: A Timely Review

Abstract

There is an unequal distribution of interest between assessment of immunocompetence at the adult level following the administration of various agents/protocols and evaluation of immunocompetence postnatally subsequent to prenatal insult. This paper reviews the effects of dietary manipulation, selected pharmaceuticals, and certain environmental agents on the functional status of the postnatal immune system after in utero exposure to these agents and protocols. These data are discussed in light of what has also been observed for adult exposure to the same or similar experimental design. A discussion of congenital disorders of immunocompetence is also provided. Alteration in the development of postnatal immunocompetence following prenatal insult may manifest itself in several ways, some of which may reflect a permanent defect while others may be of a transient nature. In either instance, however, it behooves scientists in all arenas to (1) determine the precise nature and magnitude of such developmentally related immunologic deficits and (2) focus on the selection and standardization of the most relevant procedures to be employed in the assessment of immunocompetence.