Chronic infections with viruses or parasites: breaking bad to make good

Andrew Godkin1, Katherine A Smith1

  • 1Division of Infection and Immunity, Cardiff University, Cardiff, Glamorgan, UK.

Immunology
|December 24, 2016
PubMed

Insights

Chronic infections by viruses and parasites can be beneficial, not just detrimental, to host health. These complex host-microbe interactions may represent a shift from parasitic to mutualistic symbiosis.

Area of Science:

  • Microbiology
  • Immunology
  • Evolutionary Biology

Background:

  • Eukaryotic cells have a history of colonization by microbes and parasites, including ancient endosymbionts like mitochondria.
  • While bacterial commensals benefit host health, the role of chronic viral and parasitic infections in immune homeostasis is under scrutiny.
  • Persistent infections do not always lead to disease, with healthy hosts often carrying chronic viral and parasitic loads without illness.

Purpose of the Study:

  • To explore the concept that chronic viral and parasitic infections can be beneficial to the human host.
  • To examine the progression of host-microbe relationships from parasitic to commensal and mutualistic symbiosis.
  • To provide examples of complex interactions between viruses, parasites, and hosts that confer advantages.

Main Methods:

  • Literature review and synthesis of existing research on host-microbe interactions.
  • Analysis of case studies involving chronic viral and parasitic infections in humans.
  • Conceptual exploration of symbiotic relationships.

Main Results:

  • Evidence suggests that some chronic viral and parasitic infections can be commensal or even mutualistic, offering advantages to the host.
  • Host-microbe interactions are dynamic and can evolve over time, potentially benefiting the host.
  • The distinction between detrimental pathogens and beneficial symbionts is not always clear-cut.

Conclusions:

  • Chronic infections by viruses and parasites may play a role in maintaining host health and immune homeostasis.
  • The host-microbe relationship can shift along a spectrum from parasitism to mutualism, conferring benefits.
  • Further research is needed to fully understand the beneficial aspects of persistent infections.

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