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Published on: February 23, 2014
Pneumococcal pathogenesis: "innate invasion" yet organ-specific damage
Justin A Thornton1, Kelly Durick-Eder, Elaine I Tuomanen
1Department of Infectious Diseases, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN, 38105, USA.
Abstract:
Streptococcus pneumoniae encounters a variety of unique cellular situations during colonization of the nasopharynx or invasion into the lungs, the bloodstream, or the central nervous system. The ligand/receptor pairings that enable this progression of disease appear to be shared by many respiratory pathogens suggesting that a primitive "innate invasion" mechanism may underlie the well-known species-specific mechanisms of pathogenesis. That the acute phase of the innate immune response includes elements to interrupt this path supports this concept. However, it also appears that each cell type or organ responds differently to activation of this innate invasion pathway leaving some organs, such as the lung, intact post-infection but others, such as the brain, largely destroyed. This review posits a concept of innate invasion but cautions that organ-specific responses complicate opportunities for a simple approach to protect from organ damage.
Insights
Streptococcus pneumoniae uses shared "innate invasion" mechanisms for pathogenesis, but organ-specific immune responses complicate protection strategies against infection and damage.
Area of Science:
- Microbiology
- Immunology
- Pathogenesis
Background:
- Streptococcus pneumoniae causes diverse infections, from nasopharyngeal colonization to invasive diseases.
- Pathogen invasion mechanisms may involve conserved ligand/receptor interactions common to respiratory pathogens.
- The innate immune response can target these invasion pathways.
Purpose of the Study:
- To review the concept of an
- innate invasion
- mechanism in bacterial pathogenesis.
Main Methods:
- Literature review of Streptococcus pneumoniae pathogenesis.
- Analysis of host-pathogen interactions and immune responses.
- Examination of organ-specific outcomes following infection.
Main Results:
- Evidence suggests a primitive
- innate invasion
- mechanism underlies pathogenesis, shared by multiple respiratory pathogens.
- The innate immune system possesses mechanisms to interrupt this invasion.
- Organ responses to innate invasion activation vary significantly, impacting tissue damage.
Conclusions:
- The concept of
- innate invasion
- provides a unifying framework for understanding pathogen progression.
- Organ-specific immune responses present challenges for developing universal protective strategies.
- Targeting innate invasion pathways requires consideration of differential organ susceptibility to damage.
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