What Can Go Wrong When Applying Immune Modulation Therapies to Target Persistent Bacterial Infections

Sofiya Micheva-Viteva1, Elizabeth Hong-Geller1

  • 1Bioscience Division, Los Alamos National Laboratory, Los Alamos, NM 87545, USA.

Journal of Cellular Immunology
|May 13, 2020
PubMed

Insights

Vitamin B3 (nicotinamide) may help clear persistent bacterial infections by boosting the immune system. However, immune modulation therapies require careful consideration of host-pathogen interactions.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Immunology

Background:

  • Antibiotics often fail to eradicate pathogens, leading to persistent infections and disease recurrence.
  • Bacterial persister cells, not necessarily drug-resistant, survive antibiotics and host immunity.
  • Chronic infections involve complex pathogen adaptations and host immune responses.

Purpose of the Study:

  • To investigate the efficacy of high-dose vitamin B3 (nicotinamide) in clearing chronic bacterial infections.
  • To evaluate nicotinamide as an immune prophylactic treatment against *Burkholderia pseudomallei*.
  • To highlight the risks and need for tailored immune modulation therapies.

Main Methods:

  • Experimental studies using murine models of chronic infection.
  • Administration of mega-doses of vitamin B3 (nicotinamide).
  • Assessment of immune clearance and prophylactic effects against *Burkholderia pseudomallei*.

Main Results:

  • Discusses various outcomes from experimental studies using nicotinamide in murine models.
  • Nicotinamide was tested for immune clearance and prophylactic treatment.
  • Highlights variance in host immune responses to pathogens.

Conclusions:

  • Supplemental therapies, like vitamin B3, may enhance antibiotic efficacy and immune clearance of persistent pathogens.
  • Immune modulation therapies require careful tailoring to specific host-pathogen interactions.
  • Awareness of risks associated with immune modulation is crucial for effective infectious disease management.

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