Wiertsema · Nutrients 2021 · narrative review · n=?

The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies.

Cited 519 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of mechanisms without systematic methodology or primary human trial data

PubMed 33803407 · doi:10.3390/nu13030886 · record verified 2026-08-30

What was done

This narrative review synthesizes literature on the mechanisms connecting the gut microbiota, the intestinal epithelial layer, local mucosal immunity, and systemic immune function across the lifespan, focusing on infectious disease risk and the role of nutrition in prevention and management.

What was found

The abstract reports no experimental data or quantitative effect sizes. It states that 70-80% of immune cells reside in the gut and describes qualitative associations indicating that gut microbiota modulates local and systemic immune responses to pathogens, which can be influenced by nutritional intake.

Why it matters

It provides a broad conceptual overview of how dietary interventions might support immune function against infectious diseases through gut microbiome modulation.

Limits

As a narrative review, it lacks a systematic search strategy, explicit study selection criteria, and quality appraisal of included literature. No quantitative synthesis, clinical effect sizes, or primary human trial data are presented in the abstract.

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