Evidence map›Paper›PMID 42327730›Full record

ReviewFrontiers in immunology2026

The immune system of preterm infants: an overview.

Mirjam J Esser, Sanne J C M Claassen, Melania P Ebrahimi, Stan Berkers, Tim G A M Wolfs, Magdalena A Berkowska, Gertjan J A Driessen, Else M Bijker

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mirjam J EsserDepartment of Pediatrics, Maastricht University Medical Center, MosaKids Children's Hospital, Maastricht, Netherlands.
Sanne J C M ClaassenResearch Institute for Oncology and Reproduction (GROW), Maastricht University, Maastricht, Netherlands.
Melania P EbrahimiDepartment of Pediatrics, Maastricht University Medical Center, MosaKids Children's Hospital, Maastricht, Netherlands.
Stan BerkersDepartment of Pediatrics, Maastricht University Medical Center, MosaKids Children's Hospital, Maastricht, Netherlands.
Tim G A M WolfsResearch Institute for Oncology and Reproduction (GROW), Maastricht University, Maastricht, Netherlands.
Magdalena A BerkowskaDepartment of Immunology, Erasmus Medical Center (MC), University Medical Center, Rotterdam, Netherlands.
Gertjan J A DriessenDepartment of Pediatrics, Maastricht University Medical Center, MosaKids Children's Hospital, Maastricht, Netherlands.
Else M BijkerDepartment of Pediatrics, Maastricht University Medical Center, MosaKids Children's Hospital, Maastricht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Every year, approximately 13 million infants are born preterm (<37 weeks gestation). Preterm-born infants experience disproportionately high infection-related morbidity and mortality, reflecting the immaturity of their immune system, especially early in life. This review provides an up-to-date overview of the phenotype and function of the immune system in preterm infants compared with term infants, with an emphasis on adaptive immunity. At birth, both innate and adaptive immune cells of preterm infants show phenotypic and functional immaturity. In addition, antibody levels are reduced, and immunogenicity of some vaccine components is diminished, contributing to impaired pathogen clearance and suboptimal vaccine responses. During the first year of life, rapid maturation occurs and differences with term infants become less pronounced or disappear. This review provides readers with a framework for understanding the immunologic mechanisms underlying the increased infection risk in preterm-born infants. Recognizing the all-encompassing nature of immune immaturity in preterm infants is essential for the development of integrated strategies to further improve health outcomes.

Indexed as

Immune SystemInfant, PrematureAdaptive ImmunityAnimalsHumansImmunity, InnateInfant, Newbornadaptive immunityantibodiesB cellsimmune systeminnate immunitypretermT cellsvaccination

Identifiers

PMID42327730
PMCPMC13279218

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.