Role of divalent metals in infectious disease susceptibility and outcome

G Weiss1, P L Carver2

  • 1Department of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Austria.

Abstract

Insights

Divalent metals are crucial for host and microbial survival. Altering metal homeostasis impacts infectious disease, but uncorrected imbalances can harm patients, necessitating careful clinical management.

Area of Science:

  • Infectious disease
  • Host-pathogen interactions
  • Divalent metal homeostasis

Background:

  • Divalent metals (iron, selenium, zinc, manganese, copper) are vital for host and microbial metabolism and growth.
  • Both deficiency and overload of these metals can disrupt cellular function and impact infectious disease dynamics.
  • Host-pathogen interactions involve intricate manipulation of metal availability, termed 'nutritional immunity'.

Purpose of the Study:

  • To review the role of divalent metals in host-pathogen interactions.
  • To examine how metal homeostasis affects infectious disease progression.
  • To assess the clinical benefits and risks of correcting metal disturbances during infections.

Main Methods:

  • Comprehensive literature analysis of PubMed articles.
  • Focus on English-language publications from 1970 to 2016.
  • Review covers mechanistic and clinical perspectives of divalent metals in infections.

Main Results:

  • Microbes utilize divalent metals for growth, pathogenicity, and defense against host responses.
  • Altered metal levels in hosts can influence susceptibility to infections.
  • Clinical correction of metal imbalances requires careful consideration due to potential harm.

Conclusions:

  • Further research is needed to fully understand divalent metal roles in infections.
  • Improved knowledge can enhance clinical management of infected patients.
  • Targeting host or microbial metal metabolism offers potential therapeutic strategies.

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