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: 解开阿里阿德涅之线——病原体与毒力。

Pathogenicity and virulence of : Unraveling Ariadne's Thread.

机构信息

Institute of Pathogenic Biology, Hengyang Medical School; Hunan Provincial Key Laboratory for Special Pathogens Prevention and Control; Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, University of South China, Hengyang, China.

出版信息

Virulence. 2022 Dec;13(1):1161-1183. doi: 10.1080/21505594.2022.2095741.

Abstract

, a pathogen from class Mollicutes, has been linked to sexually transmitted diseases and sparked widespread concern. To adapt to its environment, has evolved specific adhesins and motility mechanisms that allow it to adhere to and invade various eukaryotic cells, thereby causing severe damage to the cells. Even though traditional exotoxins have not been identified, secreted nucleases or membrane lipoproteins have been shown to cause cell death and inflammatory injury in infection. However, as both innate and adaptive immune responses are important for controlling infection, the immune responses that develop upon infection do not necessarily eliminate the organism completely. Antigenic variation, detoxifying enzymes, immunoglobulins, neutrophil extracellular trap-degrading enzymes, cell invasion, and biofilm formation are important factors that help the pathogen overcome the host defence and cause chronic infections in susceptible individuals. Furthermore, can increase the susceptibility to several sexually transmitted pathogens, which significantly complicates the persistence and chronicity of infection. This review aimed to discuss the virulence factors of to shed light on its complex pathogenicity and pathogenesis of the infection.

摘要

支原体,一种来自柔膜体纲的病原体,与性传播疾病有关,引起了广泛关注。为了适应环境,已经进化出特定的黏附素和运动机制,使其能够黏附和侵入各种真核细胞,从而对细胞造成严重损伤。尽管尚未鉴定出传统的外毒素,但已证实分泌的核酸酶或膜脂蛋白在感染中导致细胞死亡和炎症损伤。然而,由于先天和适应性免疫反应对于控制感染都很重要,因此感染后产生的免疫反应不一定能完全消除病原体。抗原变异、解毒酶、免疫球蛋白、中性粒细胞胞外诱捕网降解酶、细胞入侵和生物膜形成是帮助病原体克服宿主防御并导致易感个体慢性感染的重要因素。此外,还可以增加对几种性传播病原体的易感性,这显著增加了感染持续和慢性的复杂性。本综述旨在讨论的毒力因子,以阐明其复杂的致病性和感染的发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b2/9262362/6da9ae8a17e8/KVIR_A_2095741_F0001_OC.jpg

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