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Bacterial surface lipoproteins mediate epithelial microinvasion by Streptococcus pneumoniae 细菌表面脂蛋白介导肺炎链球菌上皮微侵袭
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-17 DOI: 10.1128/iai.00447-23
Jia Mun ChanElisa Ramos-SevillanoModupeh BettsHolly U. WilsonCaroline M. WeightAmbrine Houhou-OusalahGabriele PollaraJeremy S. BrownRobert S. Heyderman1Research Department of Infection, Division of Infection and Immunity, University College London, London, United Kingdom2UCL Respiratory, Division of Medicine, University College London, London, United Kingdom, Nancy E. Freitag
Infection and Immunity, Ahead of Print.
感染与免疫》,提前出版。
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引用次数: 0
Plasmodium yoelii surface-related antigen (PySRA) modulates the host pro-inflammatory responses via binding to CD68 on macrophage membrane 疟原虫表面相关抗原(PySRA)通过与巨噬细胞膜上的 CD68 结合调节宿主促炎反应
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-16 DOI: 10.1128/iai.00113-24
Xin Feng, Jia-Li Yu, Yi-Fan Sun, Chen-Yan Du, Yao Shen, Lu Zhang, Wei-Zhong Kong, Su Han, Yang Cheng
Malaria is an important mosquito-borne disease that seriously endangers human lifeand health. In 2021, global reports indicate that nearly 247 million malaria casescaused 619,000 deaths (1). Malaria is a highly complex disease with a variety of pathologic manifestations.In the early stages of infection, most patients showed general symptoms such as fever,sweat, and headache. Meanwhile, the symptoms of cerebral malaria, severe anemia, andrespiratory distress occurred with the increase in parasites during the erythrocyticstage, leading to severe malaria (2–4).
疟疾是一种严重危害人类生命和健康的重要蚊媒疾病。据报道,2021 年全球疟疾病例近 2.47 亿例,造成 61.9 万人死亡(1)。疟疾是一种非常复杂的疾病,具有多种病理表现。在感染初期,大多数患者表现为发热、出汗和头痛等全身症状。同时,随着红细胞期寄生虫的增加,会出现脑型疟疾、严重贫血和呼吸困难等症状,从而导致重症疟疾(2-4)。
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引用次数: 0
Flagellin-modulated inflammasome pathways characterize the human alveolar macrophage response to Burkholderia pseudomallei, a lung-tropic pathogen 鞭毛蛋白调节的炎症小体通路是人类肺泡巨噬细胞对肺部致病菌假马勒伯克霍尔德菌反应的特征
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-15 DOI: 10.1128/iai.00060-24
Lara Lovelace-MaconSarah M. BakerDeirdre DuckenSudeshna SealGuilhem RerolleDiane TomitaKelly D. SmithSandra SchwarzT. Eoin West1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA2Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington, USA3Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA4Interfaculty Institute of Microbiology and Infection Medicine, University of Tuebingen, Tuebingen, Germany5Department of Global Health, University of Washington, Seattle, Washington, USA, Victor J. Torres
Infection and Immunity, Ahead of Print.
感染与免疫》,提前出版。
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引用次数: 0
Retraction for Billington et al., “Clostridium perfringens Type E Animal Enteritis Isolates with Highly Conserved, Silent Enterotoxin Gene Sequences” 撤回 Billington 等人的文章:"具有高度保守的沉默肠毒素基因序列的 E 型产气荚膜梭菌动物肠炎分离物"。
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-12 DOI: 10.1128/iai.00066-24
Stephen J. BillingtonEva U. WieckowskiMahfuzur R. SarkerDawn BueschelJ. Glenn SongerBruce A. McClane
Infection and Immunity, Ahead of Print.
感染与免疫》,提前出版。
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引用次数: 0
An infant mouse model of influenza-driven nontypeable Haemophilus influenzae colonization and acute otitis media suitable for preclinical testing of novel therapies 适合对新型疗法进行临床前测试的流感驱动的非类型流感嗜血杆菌定植和急性中耳炎婴儿小鼠模型
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-11 DOI: 10.1128/iai.00453-23
Katherine R. Landwehr, Caitlyn M. Granland, Kelly M. Martinovich, Naomi M. Scott, Elke J. Seppanen, Luke Berry, Deborah Strickland, Alma Fulurija, Peter C. Richmond, Lea-Ann S. Kirkham
Nontypeable Haemophilus influenzae (NTHi) is a Gram-negative bacterium that exhibits opportunistic pathogenic behaviorin humans (1). Asymptomatic nasopharyngeal colonization with NTHi is common and transient in children,with carriage frequencies ranging from ~15% to 100% depending upon age and geographicregion (2–5). NTHi can also cause a range of diseases including sinusitis, conjunctivitis, pharyngitis,meningitis, bacteraemia, pneumonia, and otitis media (OM) (6, 7). Globally, NTHi is the predominant pathogen associated with chronic OM with effusion,recurrent acute OM, or acute OM with failure to treat (8). Early and dense NTHi colonization is associated with the development of acute andrecurrent OM (6, 9–13). Triggers for the development of asymptomatic NTHi colonization into OM are thoughtto involve virus-induced inflammation, which permits proliferation and disseminationof NTHi from the nasopharynx along the Eustachian tube and into the middle ear (14, 15).
非类型流感嗜血杆菌(NTHi)是一种革兰氏阴性细菌,对人类具有机会致病性(1)。无症状的鼻咽部 NTHi 定植在儿童中很常见,而且是一过性的,根据年龄和地理区域的不同,携带率从 ~15% 到 100% 不等(2-5)。NTHi 还可引起一系列疾病,包括鼻窦炎、结膜炎、咽炎、脑膜炎、菌血症、肺炎和中耳炎(OM)(6, 7)。在全球范围内,NTHi 是与慢性中耳炎伴流脓、复发性急性中耳炎或治疗无效的急性中耳炎相关的主要病原体(8)。早期密集的 NTHi 定植与急性和复发性 OM 的发生有关(6,9-13)。无症状的 NTHi 定植发展成 OM 的诱因被认为是病毒引起的炎症,炎症允许 NTHi 从鼻咽部沿着咽鼓管增殖和扩散到中耳(14,15)。
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引用次数: 0
Deciphering the gastrointestinal carriage of Klebsiella pneumoniae 解密肺炎克雷伯氏菌的胃肠道带菌情况
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-10 DOI: 10.1128/iai.00482-23
Andrew S. Bray, M. Ammar Zafar
Carl Friedländer’s identification of bacteria in the lungs of pneumonia patients in1882 marked a pivotal moment, attributing the disease to bacterial causation, namingthe bacterium Friedländer bacillus, which was subsequently named Klebsiella pneumoniae (K. pneumoniae) after microbiologist Edwin Klebs (1–3). In the ensuing 141 years, K. pneumoniae, a gram negative, encapsulated, non-motile, and rod-shaped bacterium, has been extensivelystudied as it can readily colonize human mucosal surfaces and is considered an opportunisticpathogen that can cause the development of pneumonia, bacteremia, pyogenic liver abscesses,and urinary tract infections (UTIs) (Fig. 1A) (4). What has been historically referred to as “Klebsiella pneumoniae” has since been demonstrated to be a complex of very closely related Klebsiella species (5–8), known as the K. pneumoniae species complex (KpSC), which comprises clinically relevant species that include K. pneumoniae, K. quasipneumoniae subsp. quasipneumoniae and similipneumoniae, K. variicola subsp. variicola and tropica, K. quasivariicola, and K. africana. This review will focus on K. pneumoniae sensu stricto, comprising ~85% of KpSC isolates (5, 9–12).
1882 年,卡尔-弗里德兰德(Carl Friedländer)在肺炎患者的肺部发现了细菌,这标志着一个关键时刻的到来,他将肺炎归因于细菌,并将这种细菌命名为弗里德兰德杆菌(Friedländer bacillus),随后又以微生物学家埃德温-克莱布斯(Edwin Klebs)的名字将其命名为肺炎克雷伯氏菌(Klebsiella pneumoniae,K. pneumoniae)(1-3)。在随后的 141 年中,肺炎克雷伯菌这种革兰氏阴性、包囊、无运动性、杆状的细菌受到了广泛的研究,因为它很容易在人体粘膜表面定植,被认为是一种机会性病原体,可导致肺炎、菌血症、化脓性肝脓肿和尿路感染(UTI)(图 1A)(4)。肺炎克雷伯氏菌在历史上一直被称为 "肺炎克雷伯氏菌",后来被证实是由关系非常密切的克雷伯氏菌菌种组成的复合菌群(5-8),即肺炎克雷伯氏菌菌种复合体(KpSC),其中包括肺炎克雷伯氏菌、准肺炎克雷伯氏菌亚种和类肺炎克雷伯氏菌、变异肺炎克雷伯氏菌亚种和热带肺炎克雷伯氏菌、准变异肺炎克雷伯氏菌和非洲肺炎克雷伯氏菌等临床相关菌种。本综述将重点讨论占 KpSC 分离物约 85% 的严格意义上的肺炎双球菌(5, 9-12)。
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引用次数: 0
Suppression of host humoral immunity by Borrelia burgdorferi varies over the course of infection. 包柔氏菌对宿主体液免疫的抑制作用在感染过程中各不相同。
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-09 Epub Date: 2024-03-22 DOI: 10.1128/iai.00018-24
Megan T Williams, Yan Zhang, Mark E Pulse, Rance E Berg, Michael S Allen

Borrelia burgdorferi, the spirochetal agent of Lyme disease, utilizes a variety of strategies to evade and suppress the host immune response, which enables it to chronically persist in the host. The resulting immune response is characterized by unusually strong IgM production and a lack of long-term protective immunity. Previous studies in mice have shown that infection with B. burgdorferi also broadly suppresses host antibody responses against unrelated antigens. Here, we show that mice infected with B. burgdorferi and concomitantly immunized with recombinant severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein had an abrogated antibody response to the immunization. To further define how long this humoral immune suppression lasts, mice were immunized at 2, 4, and 6 weeks post-infection. Suppression of host antibody production against the SARS-CoV-2 spike protein peaked at 2 weeks post-infection but continued for all timepoints measured. Antibody responses against the SARS-CoV-2 spike protein were also assessed following antibiotic treatment to determine whether this immune suppression persists or resolves following clearance of B. burgdorferi. Host antibody production against the SARS-CoV-2 spike protein returned to baseline following antibiotic treatment; however, anti-SARS-CoV-2 IgM remained high, comparable to levels found in B. burgdorferi-infected but untreated mice. Thus, our data demonstrate restored IgG responses following antibiotic treatment but persistently elevated IgM levels, indicating lingering effects of B. burgdorferi infection on the immune system following treatment.

莱姆病的螺旋体病原体鲍曼不动杆菌(Borrelia burgdorferi)利用各种策略逃避和抑制宿主的免疫反应,从而使其能够在宿主体内长期存在。由此产生的免疫反应的特点是产生异常强大的 IgM 和缺乏长期保护性免疫。以前在小鼠身上进行的研究表明,感染 B. burgdorferi 也会广泛抑制宿主对无关抗原的抗体反应。在这里,我们发现,小鼠感染布氏蝙蝠后,同时接受重组严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)尖峰蛋白免疫,其抗体反应会减弱。为了进一步确定这种体液免疫抑制的持续时间,小鼠在感染后 2 周、4 周和 6 周分别进行了免疫。宿主针对 SARS-CoV-2 尖峰蛋白产生的抗体抑制在感染后 2 周达到峰值,但在所有测量的时间点上都持续存在。抗生素治疗后也对针对 SARS-CoV-2 尖峰蛋白的抗体反应进行了评估,以确定这种免疫抑制是否会在 B. burgdorferi 清除后持续或消失。抗生素治疗后,宿主产生的抗 SARS-CoV-2 棘突蛋白抗体恢复到基线水平;但是,抗 SARS-CoV-2 IgM 仍然很高,与感染 B. burgdorferi 但未接受治疗的小鼠体内的水平相当。因此,我们的数据表明,抗生素治疗后 IgG 反应恢复,但 IgM 水平持续升高,这表明 B. burgdorferi 感染对治疗后的免疫系统仍有影响。
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引用次数: 0
Phospholipase C epsilon-1 (PLCƐ1) mediates macrophage activation and protection against tuberculosis. 磷脂酶 C epsilon-1(PLCƐ1)介导巨噬细胞的活化和对结核病的防护。
IF 2.9 3区 医学 Q3 IMMUNOLOGY Pub Date : 2024-04-09 Epub Date: 2024-03-07 DOI: 10.1128/iai.00495-23
Ananya Gupta, Shyamala Thirunavukkarasu, Javier Rangel-Moreno, Mushtaq Ahmed, Rosemary V Swanson, Stanley Kimbung Mbandi, Alan V Smrcka, Deepak Kaushal, Thomas J Scriba, Shabaana A Khader

Tuberculosis (TB) caused by Mycobacterium tuberculosis (Mtb) infects up to a quarter of the world's population. Although immune responses can control Mtb infection, 5%-10% of infected individuals can progress to active TB disease (progressors). A myriad of host factors regulate disease progression in TB and a better understanding of immune correlates of protection and disease is pivotal for the development of new therapeutics. Comparison of human whole blood transcriptomic metadata with that of macaque TB progressors and Mtb-infected diversity outbred mice (DO) led to the identification of differentially regulated gene (DEG) signatures, associated with TB progression or control. The current study assessed the function of Phospholipase C epsilon (PLCƐ1), the top downregulated gene across species in TB progressors, using a gene-specific knockout mouse model of Mtb infection and in vitro Mtb-infected bone marrow-derived macrophages. PLCƐ1 gene expression was downregulated in TB progressors across species. PLCε1 deficiency in the mouse model resulted in increased susceptibility to Mtb infection, coincident accumulation of lung myeloid cells, and reduced ability to mount antibacterial responses. However, PLCε1 was not required for the activation and accumulation of T cells in mice. Our results suggest an important early role for PLCƐ1 in shaping innate immune response to TB and may represent a putative target for host-directed therapy.

由结核分枝杆菌(Mtb)引起的结核病(TB)感染了全球多达四分之一的人口。尽管免疫反应可以控制 Mtb 感染,但仍有 5%-10% 的感染者会发展为活动性结核病(进展者)。结核病的病情发展受多种宿主因素调控,因此更好地了解保护和疾病的免疫相关因素对于开发新的治疗方法至关重要。将人类全血转录组元数据与猕猴结核病进展期小鼠和Mtb感染多样性外交小鼠(DO)的转录组元数据进行比较,发现了与结核病进展或控制相关的差异调控基因(DEG)特征。目前的研究利用Mtb感染的基因特异性敲除小鼠模型和体外Mtb感染的骨髓源巨噬细胞,评估了磷脂酶Cε(PLCƐ1)的功能,它是结核病进展者中跨物种下调最多的基因。PLCƐ1基因表达在结核病进展者中跨物种下调。在小鼠模型中缺乏 PLCε1 会导致对 Mtb 感染的易感性增加、肺髓样细胞聚集以及抗菌反应能力下降。然而,小鼠T细胞的活化和积累并不需要PLCε1。我们的研究结果表明,PLCƐ1 在形成对结核病的先天性免疫反应中扮演着重要的早期角色,可能是宿主导向疗法的一个潜在靶点。
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引用次数: 0
Enterohemorrhagic Escherichia coli effector EspF triggers oxidative DNA lesions in intestinal epithelial cells. 肠出血性大肠杆菌效应因子 EspF 触发肠上皮细胞 DNA 氧化损伤。
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-09 Epub Date: 2024-02-28 DOI: 10.1128/iai.00001-24
Yuting Fang, Muqing Fu, Xinyue Li, Bao Zhang, Chengsong Wan

Attaching/effacing (A/E) pathogens induce DNA damage and colorectal cancer by injecting effector proteins into host cells via the type III secretion system (T3SS). EspF is one of the T3SS-dependent effector proteins exclusive to A/E pathogens, which include enterohemorrhagic Escherichia coli. The role of EspF in the induction of double-strand breaks (DSBs) and the phosphorylation of the repair protein SMC1 has been demonstrated previously. However, the process of damage accumulation and DSB formation has remained enigmatic, and the damage response is not well understood. Here, we first showed a compensatory increase in the mismatch repair proteins MutS homolog 2 (MSH2) and MSH6, as well as poly(ADP-ribose) polymerase 1, followed by a dramatic decrease, threatening cell survival in the presence of EspF. Flow cytometry revealed that EspF arrested the cell cycle at the G2/M phase to facilitate DNA repair. Subsequently, 8-oxoguanine (8-oxoG) lesions, a marker of oxidative damage, were assayed by ELISA and immunofluorescence, which revealed the accumulation of 8-oxoG from the cytosol to the nucleus. Furthermore, the status of single-stranded DNA (ssDNA) and DSBs was confirmed. We observed that EspF accelerated the course of DNA lesions, including 8-oxoG and unrepaired ssDNA, which were converted into DSBs; this was accompanied by the phosphorylation of replication protein A 32 in repair-defective cells. Collectively, these findings reveal that EspF triggers various types of oxidative DNA lesions with impairment of the DNA damage response and may result in genomic instability and cell death, offering novel insight into the tumorigenic potential of EspF.IMPORTANCEOxidative DNA lesions play causative roles in colitis-associated colon cancer. Accumulating evidence shows strong links between attaching/effacing (A/E) pathogens and colorectal cancer (CRC). EspF is one of many effector proteins exclusive to A/E pathogens with defined roles in the induction of oxidative stress, double-strand breaks (DSBs), and repair dysregulation. Here, we found that EspF promotes reactive oxygen species generation and 8-oxoguanine (8-oxoG) lesions when the repair system is activated, contributing to sustained cell survival. However, infected cells exposed to EspF presented 8-oxoG, which results in DSBs and ssDNA accumulation when the cell cycle is arrested at the G2/M phase and the repair system is defective or saturated by DNA lesions. In addition, we found that EspF could intensify the accumulation of nuclear DNA lesions through oxidative and replication stress. Overall, our work highlights the involvement of EspF in DNA lesions and DNA damage response, providing a novel avenue by which A/E pathogens may contribute to CRC.

附着/脱落(A/E)病原体通过 III 型分泌系统(T3SS)向宿主细胞注入效应蛋白,从而诱发 DNA 损伤和结直肠癌。EspF是A/E病原体(包括肠出血性大肠杆菌)独有的依赖T3SS的效应蛋白之一。之前已经证实了 EspF 在诱导双链断裂(DSB)和修复蛋白 SMC1 磷酸化中的作用。然而,损伤积累和 DSB 形成的过程仍是一个谜,损伤反应也不甚了解。在这里,我们首先发现了错配修复蛋白 MutS homolog 2(MSH2)和 MSH6 以及聚(ADP-核糖)聚合酶 1 的代偿性增加,随后急剧减少,这威胁到了存在 EspF 的细胞的存活。流式细胞仪显示,EspF 将细胞周期阻滞在 G2/M 阶段,以促进 DNA 修复。随后,用酶联免疫吸附和免疫荧光法测定了氧化损伤的标志物--8-氧鸟嘌呤(8-oxoG)病变,结果显示 8-oxoG 从细胞质积累到了细胞核。此外,单链 DNA(ssDNA)和 DSB 的状况也得到了证实。我们观察到,EspF 加快了 DNA 病变的进程,包括 8-oxoG 和未修复的 ssDNA,它们被转化为 DSB;在修复缺陷细胞中,这伴随着复制蛋白 A 32 的磷酸化。总之,这些研究结果表明,EspF 会引发各种类型的 DNA 氧化病变,损害 DNA 损伤反应,并可能导致基因组不稳定和细胞死亡,从而为了解 EspF 的致癌潜力提供了新的视角。越来越多的证据表明,附着/脱落(A/E)病原体与结直肠癌(CRC)之间存在密切联系。EspF是A/E病原体独有的多种效应蛋白之一,在诱导氧化应激、双链断裂(DSB)和修复失调方面具有明确的作用。在这里,我们发现当修复系统被激活时,EspF 会促进活性氧的生成和 8-氧鸟嘌呤(8-oxoG)病变,从而有助于细胞的持续存活。然而,当细胞周期停滞在G2/M期,修复系统出现缺陷或DNA病变饱和时,暴露于EspF的感染细胞会出现8-oxoG,导致DSB和ssDNA积累。此外,我们还发现 EspF 能通过氧化和复制应激加剧核 DNA 病变的积累。总之,我们的工作强调了EspF参与DNA病变和DNA损伤反应,为A/E病原体可能导致CRC提供了一条新途径。
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引用次数: 0
Why put yourself on a pedestal? The pathogenic role of the A/E pedestal 为什么把自己放在神坛上?A/E基座的致病作用
IF 3.1 3区 医学 Q1 Immunology and Microbiology Pub Date : 2024-04-09 DOI: 10.1128/iai.00489-23
M. V. Miner, I. Rauch
The study of enterobacterial pathogens is of critical importance, given the nearly63,000 annual diarrheagenic Escherichia coli (E. coli)-related deaths worldwide (1, 2). In particular, enteropathogenic E. coli (EPEC) is a leading cause of infantile diarrhea, often contracted through the fecal-oralroute via food or water (3). Attaching and effacing (A/E) pathogens, like EPEC, are named for their signaturelesion on the intestinal epithelium during infection. The characteristics of theseattaching and effacing lesions are effacement of the intestinal brush border, intimateattachment to the host epithelium, and the formation of actin-rich pedestals belowthe site of bacterial adherence. These pedestals are derived from bacterial-drivenactin nucleation inside the host cell, creating a protrusion in the plasma membrane.Enterohemorrhagic E. coli (EHEC) is another human A/E pathogen that is similar to EPEC but can be distinguishedfrom EPEC by its pathogenic and geographic features. Although EPEC is prevalent inlow- and middle-income countries, EHEC is pervasive in developed countries. EPEC preferentiallyinfects the small intestine, and EHEC preferentially infects the colon. Additionally,only EHEC produces Shiga toxin (Stx) that can inhibit protein synthesis in eukaryoticcells and is a cause of many of the systemic symptoms experienced, including long-termrenal damage and hemolytic uremic syndrome (4, 5). Regardless of their clinical differences, both EPEC and EHEC are often studiedusing the murine pathogen Citrobacter rodentium (C. rodentium) as a proxy (6–8). All three pathogens encode the Locus of enterocyte effacement (LEE) pathogenicityisland, which encodes a type III secretion system and is required for virulence. C. rodentium possesses the same LEE pathogenicity island-encoded effectors that are required forEPEC and EHEC virulence (9–11). However, the three AE pathogens have other effectors that are not a part of theLEE pathogenicity island, contributing to distinct characteristics in each pathogen.These A/E lesion pathogens are a continuous object of study due, in part, to theirunique ability to form pedestals and the unknown role the pedestals play in infection.
鉴于全球每年有近 6.3 万例与腹泻致病性大肠杆菌(E. coli)相关的死亡病例(1, 2),研究肠道细菌病原体至关重要。尤其是肠致病性大肠杆菌(EPEC)是婴儿腹泻的主要病因,通常是通过食物或水的粪口途径感染的(3)。附着和脱落(A/E)病原体,如 EPEC,因其在感染期间在肠道上皮细胞上的特征性附着而得名。这些附着和脱落病变的特征是肠道刷状缘脱落、与宿主上皮亲密附着以及在细菌附着部位下方形成富含肌动蛋白的基座。肠出血性大肠杆菌(EHEC)是另一种人类 A/E病原体,与 EPEC 相似,但可通过其致病性和地理特征与 EPEC 区分开来。虽然 EPEC 常见于中低收入国家,但 EHEC 却普遍存在于发达国家。EPEC 主要感染小肠,而 EHEC 主要感染结肠。此外,只有 EHEC 能产生志贺毒素(Stx),该毒素可抑制真核细胞的蛋白质合成,是导致许多全身症状的原因,包括长期肾损害和溶血性尿毒症综合征(4,5)。尽管 EPEC 和 EHEC 在临床上存在差异,但它们经常被用作鼠类病原体棒状杆菌(C. rodentium)的替代物进行研究(6-8)。这三种病原体都编码肠细胞脱落(LEE)致病基因,该基因编码 III 型分泌系统,是致病力所必需的。鼠伤寒杆菌也拥有同样的由 LEE 致病性岛编码的效应器,这些效应器是EPEC 和 EHEC 致病性所必需的(9-11)。然而,这三种 AE 病原体还具有不属于 LEE 致病性岛的其他效应器,从而使每种病原体都具有不同的特征。这些 A/E 病变病原体是一个持续的研究对象,部分原因是它们具有形成基座的独特能力,而基座在感染中所起的作用尚不清楚。
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引用次数: 0
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