History of Nutritional Immunology:
Introduction and Overview
Nutritional
immunology, or immunonutrition, is a newly recognized scientific subdiscipline
interrelating the seemingly disparate
fields of immunology and nutrition. But despite their apparent independence,
myriad observations, some quite old and some quite new, clearly show that the
immune system cannot function optimally if malnutrition is present.
Malnutrition also produces adverse effects on antigenically nonspecific mechanisms
of host defense. The clinical and public health importance of nutritional
immunology is also receiving attention. Immune system dysfunctions that result
from malnutrition are, in fact, Nutritionally Acquired Immune Deficiency Syndromes
(NAIDS). NAIDS afflicts millions of people in the Third World, as well as
thousands in modern centers, i.e., patients with cachexia secondary to serious
disease, neoplasia or trauma. As estimated during the 1990 World Summit for Children at the United Nations,
attended by President George Bush and more than 50 other heads of state, 40,000
deaths occur each day worldwide in children under the age of five. Because
malnutrition is the common denominator in most of these deaths, it must be assumed
that NAIDS is playing its deadly role. On the brighter side, however, and
unlike the much more highly publicized acquired immune deficiency syndrome
(AIDS), i.e., virus-induced AIDS, the im-munological dysfunctions of NAIDS can
generally be reversed quickly by correcting the nutritional problems that
allowed NAIDS to develop in the first place. Emergence of nutritional
immunology as a new scientific subdiscipline of vast public health and clinical
importance naturally raises questions about its historic origins (1, 2), which
are linked closely to scientific findings in both parent sciences.
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