Abstract Infections caused by Candida spp. are frequent in critically hospitalized patients, especially among premature neonates, representing one of the most common healthcare-related infections. Although there is considerable production of current knowledge about the mechanisms of immune response, aspects involved in the newborn's innate defense are not fully understood. The aim of this study was to describe the innate immune mechanisms involved in the defense of neonates against invasive candidiasis. This is an integrative literature review from the Scopus, Scifinder, Medline, Web of Science databases and the electronic libraries ScienceDirect and Scielo, in the period between 2002 and 2020, with rescue based on primary descriptor Immunity Innate plus secondary descriptors Candidiasis Invasive AND Infant Newborn. We have observed the involvement of various mechanisms in the neonatal response against invasive candidiasis, including the recognition, signaling, recruitment, and initiation of an effective immune response. These mechanisms encompass the presence of antimicrobial peptides, phagocytosis, synthesis of reactive oxygen species, inflammatory mediators, and complex cell signaling systems mediated by Pattern Recognition Receptors (PRRs). With this study, it is expected to contribute to the expansion of knowledge about the immunological mechanisms involved in the innate immune response of the newborn against disseminated infections caused by Candida species, and in the same sense, highlight the importance of this knowledge as a reflex in the decrease in mortality in the neonatal period. spp patients healthcarerelated healthcare related newborns s understood candidiasis Scopus Scifinder Medline Scielo 200 2020 Newborn recognition recruitment peptides phagocytosis species mediators PRRs. PRRs . (PRRs) sense 20 202 (PRRs 2

Resumo As infecções causadas por Candida spp. são frequentes em pacientes hospitalizados em estado crítico, especialmente entre neonatos prematuros, representando uma das infecções relacionadas à assistência à saúde mais comuns. Embora haja considerável produção de conhecimento atual sobre os mecanismos de resposta imune, os aspectos envolvidos na defesa inata do recém-nascido não são totalmente compreendidos. O objetivo deste estudo foi descrever os mecanismos imunes inatos envolvidos na defesa dos neonatos contra a candidíase invasiva. Trata-se de uma revisão integrativa da literatura a partir das bases de dados Scopus, Scifinder, Medline, Web of Science e nas bibliotecas eletrônicas ScienceDirect e Scielo, no período de 2002 a 2020, com resgate baseado no descritor primário “Imunidade Inata” e descritores secundários “Candidíase Invasiva” e “Recém-Nascido”. Observamos o envolvimento de vários mecanismos na resposta neonatal contra a candidíase invasiva, incluindo o reconhecimento, sinalização, recrutamento e início de uma resposta imune efetiva. Esses mecanismos englobam a presença de peptídeos antimicrobianos, fagocitose, síntese de espécies reativas de oxigênio, mediadores inflamatórios e sistemas complexos de sinalização celular mediados por Receptores de Reconhecimento de Padrões (PRRs). Com este estudo, espera-se contribuir para a expansão do conhecimento sobre os mecanismos imunológicos envolvidos na resposta imune inata do recém-nascido contra infecções disseminadas causadas por espécies de Candida e, da mesma forma, destacar a importância desse conhecimento como reflexo na redução da mortalidade no período neonatal. spp crítico prematuros comuns recémnascido recém nascido compreendidos invasiva Tratase Trata se Scopus Scifinder Medline Scielo 200 2020 Imunidade Inata Candidíase Invasiva RecémNascido. RecémNascido Recém Nascido . “Recém-Nascido” reconhecimento efetiva antimicrobianos fagocitose oxigênio PRRs. PRRs (PRRs) esperase espera forma 20 202 “Recém-Nascido (PRRs 2

Several yeast species of Candida genus can colonize the skin as well as the mucous membrane of the vagina and the digestive tract for short or long periods. Depending on the host's immunological state and the yeast's virulence, colonization can become an infection, invading the colonized tissues and also disseminating. AIDS is characterized by the host's intensive and progressive immunodepression which manifests as diverse symptoms, mainly lesions in the mouth. Oral candidiasis is the most prevalent opportunistic infection in individuals infected with human immunodeficiency virus (HIV) and is an important indicator of the disease progress and the immunosuppression increase. The factors involved in the equilibrium between Candida spp. and HIV-infected subjects are sometimes contradictory and were evaluated in the present study specially for colonization.