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Updated: May 23, 2026

Investigation of Microbial Cooperation via Imaging Mass Spectrometry Analysis of Bacterial Colonies Grown on Agar and in Tissue During Infection
Published on: November 18, 2022
Infectious (Non)tolerance--frustrated commensalism gone awry?
Jesse C Nussbaum1, Richard M Locksley
1Department of Medicine, University of California, San Francisco, 94143, USA.
Abstract:
Despite advances in medicine, infectious diseases remain major causes of death and disability worldwide. Acute or chronic infectious agents mediate host tissue damage and cause a spectrum of disease as diverse as overwhelming sepsis and shock within hours to persistent tissue inflammation causing organ failure or even cancer over years. Although pathogen exposure can cause disease via host-derived inflammation, pathogens share recognized elements with harmless human commensals. Mouse models and organisms with simpler flora are revealing the dialogue between multicellular hosts and commensal flora. In some instances the persistent inflammation associated with pathogens can be interpreted within a framework of frustrated commensalism in which the host and pathogen cannot complete the requisite dialogue that establishes homeostasis. In contrast, coevolved commensals interact cooperatively with the host immune system, resulting in immunotolerance. Attempts to more thoroughly understand the molecular nature of the dialogue may uncover novel approaches to the control of inflammation and tissue damage.
Insights
Infectious diseases cause significant global health issues. Understanding the host-pathogen dialogue, especially with commensal flora, may reveal new ways to control inflammation and tissue damage.
Area of Science:
- Microbiology
- Immunology
- Pathogenesis
Background:
- Infectious diseases are a leading cause of mortality and morbidity globally.
- Pathogens can trigger host inflammation, leading to diverse diseases from sepsis to cancer.
- Pathogens share molecular features with harmless commensal microbes, complicating host-pathogen interactions.
Purpose of the Study:
- To explore the complex dialogue between multicellular hosts and their commensal flora.
- To understand how this dialogue influences host immune responses and disease outcomes.
- To identify novel therapeutic targets for controlling inflammation and tissue damage in infectious diseases.
Main Methods:
- Utilizing mouse models and simpler organisms to study host-commensal flora interactions.
- Analyzing the molecular mechanisms underlying host-pathogen and host-commensal dialogues.
- Investigating the concept of 'frustrated commensalism' in persistent inflammatory diseases.
Main Results:
- Commensal flora engage in cooperative interactions with the host immune system, promoting immunotolerance.
- Pathogen interactions can lead to 'frustrated commensalism,' characterized by incomplete dialogue and persistent inflammation.
- The host immune system's response is critical in differentiating between pathogenic and commensal microbes.
Conclusions:
- Understanding the molecular basis of host-microbe dialogue is crucial for managing infectious diseases.
- Novel strategies targeting this dialogue could offer new avenues for controlling inflammation and preventing organ damage.
- Further research into host-pathogen and host-commensal interactions is warranted for therapeutic advancements.
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