Roe Kevin
San Jose, California, USA.
Heliyon. 2022 Nov 30;8(12):e11371. doi: 10.1016/j.heliyon.2022.e11371. eCollection 2022 Dec.
When multiple intracellular pathogens, such as viruses, bacteria, fungi and protozoan parasites, infect the same host cell, they can help each other. A pathogen can substantially help another pathogen by disabling cellular immune defenses, using non-coding ribonucleic acids and/or pathogen proteins that target interferon-stimulated genes and other genes that express immune defense proteins. This can enable reactivation of a latent first pathogen and accelerate T-cell exhaustion and/or T-cell suppression regarding a second pathogen. In a worst-case scenario, accelerated T-cell exhaustion and/or T-cell suppression regarding the second pathogen can impair T-cell functionality and allow a first-time, immunologically novel second pathogen infection to escape all adaptive immune system defenses, including antibodies. The interactions of herpesviruses with concurrent intracellular pathogens in epithelial cells and B-cells, the interactions of the human immunodeficiency virus with in macrophages and the interactions of with other pathogens in almost any type of animal cell are considered. The reactivation of latent pathogens and the acceleration of T-cell exhaustion for the second pathogen can explain several puzzling aspects of viral epidemics, such as COVID-19 and their unusual comorbidity mortality rates and post-infection symptoms.
当多种细胞内病原体,如病毒、细菌、真菌和原生动物寄生虫,感染同一宿主细胞时,它们能够相互协助。一种病原体可以通过破坏细胞免疫防御来极大地帮助另一种病原体,利用非编码核糖核酸和/或靶向干扰素刺激基因及其他表达免疫防御蛋白的基因的病原体蛋白。这能够使潜伏的第一种病原体重新激活,并加速针对第二种病原体的T细胞耗竭和/或T细胞抑制。在最坏的情况下,针对第二种病原体的加速T细胞耗竭和/或T细胞抑制会损害T细胞功能,并使首次出现的、具有免疫学新颖性的第二种病原体感染逃脱所有适应性免疫系统防御,包括抗体。文中考虑了疱疹病毒与上皮细胞和B细胞中同时存在的细胞内病原体的相互作用、人类免疫缺陷病毒与巨噬细胞中的相互作用以及几乎在任何类型动物细胞中与其他病原体的相互作用。潜伏病原体的重新激活以及针对第二种病原体的T细胞耗竭加速可以解释病毒流行的几个令人困惑的方面,如2019冠状病毒病(COVID-19)及其异常的合并症死亡率和感染后症状。