Living dangerously: Burkholderia pseudomallei modulates phagocyte cell death to survive

Teresa Krakauer1

  • 1Department of Immunology, Molecular Translational Sciences Division, United States Army Medical Research Institute of Infectious Diseases, Fort Detrick, Frederick, MD 21702-5011, United States.

Medical Hypotheses
|November 7, 2018
PubMed

Insights

Burkholderia pseudomallei, the cause of melioidosis, may evade immune responses by hijacking neutrophils to infect other phagocytes. This strategy allows the bacterium to persist within host cells, contributing to disease severity.

Area of Science:

  • Immunology
  • Microbiology
  • Pathogenesis

Background:

  • Melioidosis, caused by Burkholderia pseudomallei, is a significant cause of sepsis and mortality in Southeast Asia and Northern Australia.
  • B. pseudomallei is a facultative intracellular pathogen that employs virulence factors to evade host defenses and survive intracellularly.
  • Neutrophils and macrophages are key phagocytes initiating host defense mechanisms against B. pseudomallei.

Purpose of the Study:

  • To investigate the evasion strategies of B. pseudomallei within host phagocytes.
  • To explore the interaction between neutrophils and macrophages in controlling B. pseudomallei infection.
  • To test the hypothesis that B. pseudomallei utilizes neutrophils as a Trojan horse to infect other phagocytes.

Main Methods:

  • In vitro studies using mouse macrophage cell lines to observe bacterial evasion mechanisms.
  • Analysis of B. pseudomallei interactions with neutrophils and macrophages.
  • Investigating the modulation of phagocyte cell death by B. pseudomallei.

Main Results:

  • B. pseudomallei employs multiple strategies to counteract innate immune processes in macrophages.
  • The bacterium invades and replicates within neutrophils, but its evasion mechanisms in these cells are poorly understood.
  • A proposed evasion strategy involves B. pseudomallei hijacking neutrophils for transport and subsequent infection of new phagocytes.

Conclusions:

  • B. pseudomallei exhibits sophisticated evasion tactics by replicating in both neutrophils and macrophages.
  • Modulating the cell death pathways of these phagocytes enhances bacterial persistence and survival.
  • The bacterium's ability to exploit neutrophils represents a critical survival mechanism in host phagocytes.

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