Department of Pathology, The Ohio State University College of Medicine, Columbus, OH 43210.
Microbiol Spectr. 2019 Jan;7(1). doi: 10.1128/microbiolspec.GPP3-0021-2018.
In the past decade, the field of the cellular microbiology of group A () infection has made tremendous advances and touched upon several important aspects of pathogenesis, including receptor biology, invasive and evasive phenomena, inflammasome activation, strain-specific autophagic bacterial killing, and virulence factor-mediated programmed cell death. The noteworthy aspect of -mediated cell signaling is the recognition of the role of M protein in a variety of signaling events, starting with the targeting of specific receptors on the cell surface and on through the induction and evasion of NETosis, inflammasome, and autophagy/xenophagy to pyroptosis and apoptosis. Variations in reports on -mediated signaling events highlight the complex mechanism of pathogenesis and underscore the importance of the host cell and strain specificity, as well as / experimental parameters. The severity of infection is, therefore, dependent on the virulence gene expression repertoire in the host environment and on host-specific dynamic signaling events in response to infection. Commonly known as an extracellular pathogen, finds host macrophages as safe havens wherein it survives and even multiplies. The fact that endothelial cells are inherently deficient in autophagic machinery compared to epithelial cells and macrophages underscores the invasive nature of and its ability to cause severe systemic diseases. is still one of the top 10 causes of infectious mortality. Understanding the orchestration of dynamic host signaling networks will provide a better understanding of the increasingly complex mechanism of diseases and novel ways of therapeutically intervening to thwart severe and often fatal infections.
在过去的十年中,A 组 () 感染的细胞微生物学领域取得了巨大的进展,涉及到发病机制的几个重要方面,包括受体生物学、侵袭和逃避现象、炎症小体激活、菌株特异性自噬细菌杀伤和毒力因子介导的程序性细胞死亡。值得注意的是,-介导的细胞信号转导的一个方面是认识到 M 蛋白在各种信号事件中的作用,从靶向细胞表面上的特定受体开始,通过诱导和逃避 NETosis、炎症小体和自噬/异噬作用,到细胞焦亡和细胞凋亡。关于 -介导的信号转导事件的报告中的差异突出了发病机制的复杂机制,并强调了宿主细胞和菌株特异性以及 / 实验参数的重要性。因此,感染的严重程度取决于宿主环境中的毒力基因表达谱以及对感染的宿主特异性动态信号转导事件。通常被称为细胞外病原体, 发现宿主巨噬细胞是安全的避难所,它在那里存活甚至繁殖。与上皮细胞和巨噬细胞相比,内皮细胞固有地缺乏自噬机制,这突出了 的侵袭性质及其引起严重全身疾病的能力。 仍然是传染性死亡率最高的十大原因之一。了解动态宿主信号网络的协调将更好地理解 疾病日益复杂的机制,并为治疗性干预提供新的途径,以阻止严重且常常致命的感染。