title: Trade-offs between acquired and innate immune defenses in humans.
abstract: Immune defenses provide resistance against infectious disease that is critical to survival. But immune defenses are costly, and limited resources allocated to immunity are not available for other physiological or developmental processes. We propose a framework for explaining variation in patterns of investment in two important subsystems of anti-pathogen defense: innate (non-specific) and acquired (specific) immunity. The developmental costs of acquired immunity are high, but the costs of maintenance and activation are relatively low. Innate immunity imposes lower upfront developmental costs, but higher operating costs. Innate defenses are mobilized quickly and are effective against novel pathogens. Acquired responses are less effective against novel exposures, but more effective against secondary exposures due to immunological memory. Based on their distinct profiles of costs and effectiveness, we propose that the balance of investment in innate versus acquired immunity is variable, and that this balance is optimized in response to local ecological conditions early in development. Nutritional abundance, high pathogen exposure and low signals of extrinsic mortality risk during sensitive periods of immune development should all favor relatively higher levels of investment in acquired immunity. Undernutrition, low pathogen exposure, and high mortality risk should favor innate immune defenses. The hypothesis provides a framework for organizing prior empirical research on the impact of developmental environments on innate and acquired immunity, and suggests promising directions for future research in human ecological immunology.
authors.affiliation: Department of Anthropology, Institute for Policy Research, Northwestern University, Evanston, IL 60208 Child and Brain Development Program, Canadian Institute for Advanced Research, Toronto, Ontario M5G 1Z8, Canada t-mcdade@northwestern.edu.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: McDade
authors.affiliation: Department of Anthropology, Institute for Policy Research, Northwestern University, Evanston, IL 60208.
authors.forename: Alexander V
authors.initials: AV
authors.lastname: Georgiev
authors.affiliation: Department of Anthropology, Institute for Policy Research, Northwestern University, Evanston, IL 60208.
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Kuzawa
keywords: developmental origins of health and disease; ecological immunology; immune function; inflammation