杰基尔博士和海德先生:粪肠球菌如何颠覆宿主免疫反应引起感染。

Dr. Jekyll and Mr. Hide: How Enterococcus faecalis Subverts the Host Immune Response to Cause Infection.

机构信息

School of Biological Sciences, Nanyang Technological University, Singapore.

School of Biological Sciences, Nanyang Technological University, Singapore; Singapore Centre for Environmental Life Sciences Engineering, Nanyang Technological University, Singapore.

出版信息

J Mol Biol. 2019 Jul 26;431(16):2932-2945. doi: 10.1016/j.jmb.2019.05.030. Epub 2019 May 25.

Abstract

Enterococcus faecalis, a ubiquitous member of the healthy human gut microbiota, is also a common opportunistic pathogen and leading cause of nosocomial infections. This tenacious microbe is well adapted to infect and persist in multiple niches within the mammalian host and can rapidly tune its metabolism to respond to new environments, enabling infection in sites including the gastrointestinal tract, urinary tract, wounded epithelium, heart, and blood. In order to withstand and persist in the face of host immune responses, E. faecalis has an arsenal of strategies to suppress, evade, or inactivate innate and adaptive immune mechanisms. In this review, we present the variety of ways E. faecalis modulates the immune response, enabling this otherwise innocuous gut commensal to transition and persist as a pathogen.

摘要

屎肠球菌是人类肠道中普遍存在的微生物,也是一种常见的机会致病菌,是导致医院感染的主要病原体。这种顽强的微生物能够很好地适应哺乳动物宿主的多种生态位,并能迅速调整其代谢以应对新环境,从而在胃肠道、泌尿道、受伤的上皮组织、心脏和血液等部位引发感染。为了在宿主免疫反应面前生存和持续存在,屎肠球菌拥有一系列抑制、逃避或使固有和适应性免疫机制失活的策略。在这篇综述中,我们介绍了屎肠球菌调节免疫反应的多种方式,使这种原本无害的肠道共生菌转变并持续成为病原体。

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