Pathogenicity and virulence of Bordetella pertussis and its adaptation to its strictly human host

Thomas Belcher1, Violaine Dubois1, Alex Rivera-Millot1

  • 1Univ. Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, U1019 - UMR 8204 - CIIL - Center for Infection and Immunity of Lille, Lille, France.

Virulence
|September 30, 2021
PubMed

Insights

Whooping cough (Bordetella pertussis) evolved from a progenitor species, losing environmental survival but gaining virulence factors. This review details its adaptation to humans and immune evasion strategies.

Area of Science:

  • Microbiology
  • Evolutionary Biology
  • Immunology

Background:

  • Bordetella pertussis is a highly contagious human pathogen responsible for whooping cough.
  • It evolved from a progenitor species that also gave rise to Bordetella parapertussis and Bordetella bronchiseptica.
  • Unlike its relatives, B. pertussis has lost environmental survival capabilities due to genome decay.

Purpose of the Study:

  • To review the evolutionary adaptation mechanisms of Bordetella pertussis to the human respiratory tract.
  • To illustrate how B. pertussis overcomes host innate and vaccine-induced adaptive immunity.
  • To provide evidence of ongoing evolutionary adaptation in this successful human pathogen.

Main Methods:

  • Review of in vitro studies.
  • Analysis of data from human clinical cases.
  • Examination of findings from animal models of pertussis.

Main Results:

  • B. pertussis has acquired sophisticated virulence factors and adapted its metabolism for human colonization.
  • The pathogen effectively evades innate immune defenses.
  • Mechanisms interfering with vaccine-induced adaptive immunity have been identified.

Conclusions:

  • Bordetella pertussis demonstrates remarkable evolutionary adaptation to thrive as a human-specific pathogen.
  • Its success is attributed to genome decay, virulence factor acquisition, and immune evasion strategies.
  • Ongoing evolution suggests continued adaptation to the human host and vaccination pressures.

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