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  • Resolving trained immunity ...
    Koeken, Valerie A.C.M.; Crevel, Reinout; Netea, Mihai G.; Li, Yang

    European journal of immunology, April 2021, 2021-Apr, 2021-04-00, 20210401, Volume: 51, Issue: 4
    Journal Article

    Trained immunity is characterized by long‐term functional reprogramming of innate immune cells following challenge with pathogens or microbial ligands during infection or vaccination. This cellular reprogramming leads to increased responsiveness upon restimulation, and is mediated through epigenetic and metabolic modifications. In this review, we describe how molecular mechanisms underlying trained immunity, for example, induced by β‐glucan or Bacille Calmette‐Guérin (BCG) vaccination, can be investigated by using and integrating different layers of information including genome, epigenome, transcriptome, proteome, metabolome, microbiome, immune cell phenotyping, and function. We also describe the most commonly used experimental and computational techniques. Finally, we provide a number of examples of how a systems biology approach was applied to study trained immunity to understand interindividual variation or the complex interplay between molecular layers. In conclusion, trained immunity represents an opportunity for regulating innate immune function, and understanding the complex interplay of mechanisms that mediate trained immunity might enable us to employ it as a clinical tool in the future. Trained immunity is the functional adaptation of innate immune cells to a more responsive state. The underlying mechanisms and interindividual variation could be studied using a multiomics approach, integrating, for example, genome, transcriptome, and proteome data. These insights could ultimately enable us to employ trained immunity as a clinical tool.