Infection Immunology Research Group, Helmholtz Centre for Infection Research, Inhoffenstrasse 7, 38124 Braunschweig, Germany.
Int J Med Microbiol. 2018 Aug;308(6):625-630. doi: 10.1016/j.ijmm.2017.09.013. Epub 2017 Sep 15.
Staphylococcus aureus poses a significant public-health problem. Infection caused by S. aureus can manifest as acute or long-lasting persistent diseases that are often refractory to antibiotic and are associated with significant morbidity and mortality. To develop more effective strategies for preventing or treating these infections, it is crucial to understand why the immune response is incapable to eradicate the bacterium. When S. aureus first infect the host, there is a robust activation of the host innate immune responses. Generally, S. aureus can survive this initial interaction due to the expression of a wide array of virulence factors that interfere with the host innate immune defenses. After this initial interaction the acquired immune response is the arm of the host defenses that will try to clear the pathogen. However, S. aureus is capable of maintaining infection in the host even in the presence of a robust antigen-specific immune response. Thus, understanding the mechanisms underlying the ability of S. aureus to escape immune surveillance by the acquired immune response will help uncover potentially important targets for the development of immune-based adjunctive therapies and more efficient vaccines. There are several lines of evidence that lead us to believe that S. aureus can directly or indirectly disable the acquired immune response. This review will discuss the different immune evasion strategies used by S. aureus to modulate the different components of the acquired immune defenses.
金黄色葡萄球菌(Staphylococcus aureus)引发了严重的公共卫生问题。金黄色葡萄球菌感染可表现为急性或长期持续性疾病,这些疾病通常对抗生素有抗药性,并且与较高的发病率和死亡率相关。为了制定更有效的预防或治疗这些感染的策略,了解为什么免疫反应无法清除细菌至关重要。当金黄色葡萄球菌首次感染宿主时,宿主先天免疫反应会被强烈激活。通常,由于金黄色葡萄球菌表达了广泛的毒力因子,这些因子会干扰宿主先天免疫防御,因此金黄色葡萄球菌能够在最初的相互作用中存活下来。初始相互作用后,获得性免疫反应是宿主防御的一部分,将试图清除病原体。然而,即使存在强大的抗原特异性免疫反应,金黄色葡萄球菌也能够在宿主体内存活并引发感染。因此,了解金黄色葡萄球菌逃避获得性免疫反应免疫监视的机制将有助于揭示潜在的重要靶点,用于开发基于免疫的辅助治疗方法和更有效的疫苗。有几条证据线使我们相信金黄色葡萄球菌可以直接或间接使获得性免疫反应失效。这篇综述将讨论金黄色葡萄球菌用来调节获得性免疫防御的不同成分的不同免疫逃避策略。