Lactoferrin is a highly conserved protein from an evolutionary perspective, with a wide range of roles related to protection from infection and promotion of nutritional status. Infection, malnutrition and intestinal pathologies are key inter-related problems, represent important threats to survival and are associated with adverse long-term health outcomes after preterm birth. Lactoferrin is available as a commercial extract from bovine milk and offers potential as a therapeutic intervention for preterm infants modulating infections and intestinal pathologies. In this review we explore the structure, direct antimicrobial effects, modification of host immune function and gastrointestinal effects of lactoferrin. Current trial data are reviewed, and research priorities and challenges identified and discussed. (c) 2013 Elsevier Ltd. All rights reserved.
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Deakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, Australia
Postgrad Inst Med Educ & Res, Dept Med Parasitol, Chandigarh 160012, IndiaDeakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, Australia
Gupta, Isha
Sehgal, Rakesh
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Postgrad Inst Med Educ & Res, Dept Med Parasitol, Chandigarh 160012, IndiaDeakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, Australia
Sehgal, Rakesh
Kanwar, Rupinder K.
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Deakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, AustraliaDeakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, Australia
Kanwar, Rupinder K.
Punj, Vasu
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Univ So Calif, Keck Sch Med, Div Haematol, Los Angeles, CA 90033 USA
Univ So Calif, Keck Sch Med, NCCC Bioinformat, Los Angeles, CA 90033 USADeakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, Australia
Punj, Vasu
Kanwar, Jagat R.
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Deakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, AustraliaDeakin Univ, Sch Med, NLIMBR, Mol & Med Res MMR Strateg Res Ctr,Fac Hlth, Waurn Ponds, Vic 3217, Australia
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Univ Fed Rio de Janeiro, Inst Med Biochem Leopoldo Meis, Natl Inst Sci & Technol Struct Biol & Bioimaging, BR-21941599 Rio De Janeiro, RJ, BrazilUniv Fed Rio de Janeiro, Inst Med Biochem Leopoldo Meis, Natl Inst Sci & Technol Struct Biol & Bioimaging, BR-21941599 Rio De Janeiro, RJ, Brazil
Barros, Caroline A.
Vieira, Tuane C. R. G.
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Univ Fed Rio de Janeiro, Inst Med Biochem Leopoldo Meis, Natl Inst Sci & Technol Struct Biol & Bioimaging, BR-21941599 Rio De Janeiro, RJ, BrazilUniv Fed Rio de Janeiro, Inst Med Biochem Leopoldo Meis, Natl Inst Sci & Technol Struct Biol & Bioimaging, BR-21941599 Rio De Janeiro, RJ, Brazil