Cytokines and growth factors in the developing intestine and during necrotizing enterocolitis.

Document Type

Article

Publication Date

2-1-2017

Abstract

Cytokines and growth factors play diverse roles in the uninflamed fetal/neonatal intestinal mucosa and in the development of inflammatory bowel injury during necrotizing enterocolitis (NEC). During gestational development and the early neonatal period, the fetal/premature intestine is exposed to high levels of many "inflammatory" cytokines and growth factors, first via swallowed amniotic fluid in utero and then, after birth, in colostrum and mother's milk. This article reviews the dual, seemingly counter-intuitive roles of cytokines, where these agents play a "trophic" role and promote maturation of the uninflamed mucosa, but can also cause inflammation and promote intestinal injury during NEC.

Publication Title

Seminars in perinatology

ISSN

1558-075X

Volume

41

Issue

1

First Page

52

Last Page

60

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