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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.
Abstract:
Eukaryotic forms of life have been continually invaded by microbes and larger multicellular parasites, such as helminths. Over a billion years ago bacterial endosymbionts permanently colonized eukaryotic cells leading to recognized organelles with a distinct genetic lineage, such as mitochondria and chloroplasts. Colonization of our skin and mucosal surfaces with bacterial commensals is now known to be important for host health. However, the contribution of chronic virus and parasitic infections to immune homeostasis is being increasingly questioned. Persistent infection does not necessarily equate to exhibiting a chronic illness: healthy hosts (e.g. humans) have chronic viral and parasitic infections with no evidence of disease. Indeed, there are now examples of complex interactions between these microbes and hosts that seem to confer an advantage to the host at a particular time, suggesting that the relationship has progressed along an axis from parasitic to commensal to one of a mutualistic symbiosis. This concept is explored using examples from viruses and parasites, considering how the relationships may be not only detrimental but also beneficial to the human host.
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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