的致病性和毒力。

Pathogenicity and virulence of .

机构信息

Department of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

California Animal Health and Food Safety Laboratory, School of Veterinary Medicine, University of California Davis, San Bernardino, CA, USA.

出版信息

Virulence. 2021 Dec;12(1):723-753. doi: 10.1080/21505594.2021.1886777.

Abstract

is an extremely versatile pathogen of humans and livestock, causing wound infections like gas gangrene (clostridial myonecrosis), enteritis/enterocolitis (including one of the most common human food-borne illnesses), and enterotoxemia (where toxins produced in the intestine are absorbed and damage distant organs such as the brain). The virulence of this Gram-positive, spore-forming, anaerobe is largely attributable to its copious toxin production; the diverse actions and roles in infection of these toxins are now becoming established. Most toxin genes are encoded on conjugative plasmids, including the pCW3-like and the recently discovered pCP13-like plasmid families. Production of toxins is highly regulated via processes involving two-component regulatory systems, quorum sensing and/or sporulation-related alternative sigma factors. Non-toxin factors, such as degradative enzymes like sialidases, are also now being implicated in the pathogenicity of this bacterium. These factors can promote toxin action and, perhaps , and also enhance intestinal colonization, e.g. NanI sialidase increases adherence to intestinal tissue and generates nutrients for its growth, at least . The possible virulence contributions of many other factors, such as adhesins, the capsule and biofilms, largely await future study.

摘要

产气荚膜梭菌是一种对人类和家畜具有极强适应性的病原体,可引起气性坏疽(梭状芽孢杆菌肌坏死)、肠炎/结肠炎(包括最常见的人类食源性疾病之一)和肠毒血症(肠道中产生的毒素被吸收并损害大脑等远处器官)等感染。这种革兰氏阳性、形成孢子的厌氧菌的毒力在很大程度上归因于其丰富的毒素产生;这些毒素在感染中的不同作用和角色现在正逐渐得到确定。大多数毒素基因都编码在可接合质粒上,包括 pCW3 样和最近发现的 pCP13 样质粒家族。毒素的产生通过涉及双组分调控系统、群体感应和/或孢子形成相关替代σ因子的过程进行高度调控。非毒素因子,如唾液酸酶等降解酶,现在也被认为与该细菌的致病性有关。这些因子可以促进毒素的作用,并且可能增强肠道定植,例如 NanI 唾液酸酶增加对肠道组织的黏附并为其生长生成营养物质,至少是这样。许多其他因素(如黏附素、荚膜和生物膜)的可能致病贡献在很大程度上有待进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388c/8043184/bb7a679dcec9/KVIR_A_1886777_F0001_OC.jpg

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