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Published on: July 9, 2021
Telling apart friend from foe: discriminating between commensals and pathogens at mucosal sites
1Sir William Dunn School of Pathology, University of Oxford, Oxford, UK. naren.srinivasan@path.ox.ac.uk
Abstract:
From the moment we are born, we are exposed to a vast variety of microbes. The intestine in particular is perhaps inhabited by the largest number of microbes, consisting of both established commensals as well as sporadic pathogens. Mucosal surfaces form an important barrier against microbial invasion. Together with the physical barrier that they provide, mucosal surfaces also rely on innate immune functions to sense luminal microbes and signal accordingly to generate protective immune responses. However, since innate immune recognition is microbial specific and antigen-independent, the contact with both beneficial commensals and harmful pathogens creates the need for discrimination between the two. The mechanisms governing the ability of the mucosal immune system to discriminate between commensals and pathogens have long been unclear; however, recent discoveries have shed some light on this distinction. This review will summarize the current theories put forth to explain how the mucosal immune system maintains tolerance towards commensals while retaining the ability to mount inflammatory responses against pathogens.
Insights
The mucosal immune system distinguishes between beneficial microbes and harmful pathogens. Recent findings explain how the gut maintains tolerance to commensals while responding to pathogens.
Area of Science:
- Immunology
- Microbiology
- Gastroenterology
Background:
- The human intestine hosts a dense microbial community, including commensals and pathogens.
- Mucosal surfaces act as a barrier, employing innate immunity to detect microbes.
- Discriminating between beneficial and harmful microbes is crucial for immune homeostasis.
Purpose of the Study:
- To review current theories on how the mucosal immune system differentiates between commensals and pathogens.
- To explain the mechanisms underlying immune tolerance to commensals.
- To elucidate how inflammatory responses are mounted against pathogens.
Main Methods:
- This review synthesizes recent discoveries and theoretical frameworks.
- It examines the innate immune system's role in microbial recognition.
- Focuses on signaling pathways involved in immune discrimination.
Main Results:
- Innate immune recognition is microbial-specific and antigen-independent.
- Mechanisms for distinguishing commensals from pathogens are increasingly understood.
- The immune system balances tolerance and inflammation.
Conclusions:
- The mucosal immune system employs sophisticated mechanisms to tolerate commensals.
- It retains the capacity to initiate protective inflammatory responses against pathogens.
- Understanding these mechanisms is key to gut health and disease.
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