“…As perfectly detailed in the review by Bindu et al (2022), the innate immune reprogramming happening after priming is given via epigenetic and metabolic modifications of trained cells which can lead either to an increase or a decrease in immunity (Boraschi and Italiani, 2018). The mechanisms of this reprogramming are not completely understood yet, though some evidence supports the existence of multiple regulators (Ghisletti et al, 2010;Smale et al, 2014;Fanucchi et al, 2019;Natoli and Ostuni, 2019). In addition, new studies have also suggested changes in DNA methylation patterns and changes in cellular metabolism as a mediator of trained immunity (Donohoe and Bultman, 2012;Cheng et al, 2014;Arts et al, 2016;Verma et al, 2017;Das et al, 2019;Penkov et al, 2019).…”