TY - CHAP M1 - Book, Section TI - Ontogeny of the Immune System A1 - Lewis, David B. A2 - Stevenson, David K. A2 - Cohen, Ronald S. A2 - Sunshine, Philip Y1 - 2015 N1 - T2 - Neonatology: Clinical Practice and Procedures AB - The fetus and neonate are more vulnerable than older children and adults to severe infection with pathogens, including pyogenic bacteria, fungi, viruses, and intracellular protozoa.1 Although this vulnerability indicates substantial limitations in innate and adaptive immunity in prenatal and early postnatal life, the mechanistic basis for these is only partially understood. Hematopoietic stem cell transplantation also provides compelling evidence for impairment of neonatal T-cell and natural killer (NK) cell immunity: Allogeneic hematopoietic cell transplantation with cord blood is associated with a significantly lower risk of acute graft-vs-host disease—a disease that is mainly mediated by donor-derived naïve T cells—compared to bone marrow and peripheral blood transplants containing adult T cells.2 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1109795819 ER -