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Hijacking of the Host's Immune Surveillance Radars by Burkholderia pseudomallei
Vanitha Mariappan1, Kumutha Malar Vellasamy2, Muttiah Barathan2
1Center for Toxicology and Health Risk Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Abstract:
Burkholderia pseudomallei (B. pseudomallei) causes melioidosis, a potentially fatal disease for which no licensed vaccine is available thus far. The host-pathogen interactions in B. pseudomallei infection largely remain the tip of the iceberg. The pathological manifestations are protean ranging from acute to chronic involving one or more visceral organs leading to septic shock, especially in individuals with underlying conditions similar to COVID-19. Pathogenesis is attributed to the intracellular ability of the bacterium to 'step into' the host cell's cytoplasm from the endocytotic vacuole, where it appears to polymerize actin filaments to spread across cells in the closer vicinity. B. pseudomallei effectively evades the host's surveillance armory to remain latent for prolonged duration also causing relapses despite antimicrobial therapy. Therefore, eradication of intracellular B. pseudomallei is highly dependent on robust cellular immune responses. However, it remains ambiguous why certain individuals in endemic areas experience asymptomatic seroconversion, whereas others succumb to sepsis-associated sequelae. Here, we propose key insights on how the host's surveillance radars get commandeered by B. pseudomallei.
Insights
Burkholderia pseudomallei causes melioidosis, a serious disease lacking a vaccine. This study explores how the bacterium evades host defenses and infects cells, impacting immune responses.
Area of Science:
- Microbiology
- Immunology
- Pathogenesis
Background:
- Burkholderia pseudomallei (B. pseudomallei) causes melioidosis, a severe disease with no available vaccine.
- Host-pathogen interactions and B. pseudomallei pathogenesis, including intracellular invasion and immune evasion, are not fully understood.
- Melioidosis presents with diverse pathological manifestations, from acute to chronic, and can lead to septic shock, particularly in immunocompromised individuals.
Purpose of the Study:
- To elucidate the mechanisms by which B. pseudomallei commandeers host surveillance systems.
- To provide insights into the host-pathogen interactions during B. pseudomallei infection.
- To understand the variability in disease outcomes, from asymptomatic seroconversion to fatal sepsis.
Main Methods:
- The study proposes key insights into host-pathogen interactions.
- Focuses on the intracellular mechanisms of B. pseudomallei, including actin polymerization and cell-to-cell spread.
- Examines immune evasion strategies employed by the bacterium.
Main Results:
- B. pseudomallei invades host cells by entering the cytoplasm from endocytotic vacuoles.
- The bacterium utilizes host actin polymerization for intracellular movement and cell-to-cell spread.
- B. pseudomallei exhibits effective immune evasion, leading to latency and potential relapse despite treatment.
Conclusions:
- Understanding how B. pseudomallei manipulates host cells is crucial for developing effective treatments and vaccines.
- Robust cellular immune responses are essential for eradicating intracellular B. pseudomallei.
- Further research is needed to explain the differential disease outcomes observed in endemic populations.
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