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Published on: February 22, 2019
Expanding the Pathogenic Potential Concept To Incorporate Fulminancy, Time, and Virulence Factors
1Department of Molecular Microbiology and Immunology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Abstract:
The pathogenic potential (PP) concept posits that all microorganisms have some pathogenic potential that can be calculated by an equation that includes the fraction symptomatic, inoculum, and mortality fraction. The PP concept dispenses with characterizing microbes as pathogens, nonpathogens, commensals, pathobionts, etc., by providing an alternative approach to the problem of virulence that considers the contributions of both the host and the microbe. Here, the PP concept is extended to incorporate the role of time in virulence by introducing a new parameter, fulminancy, which is a measure of the rapidity of the pathogenic process. Fulminancy allows PP calculations in situations where all hosts are affected equally, but the process occurs later for attenuated strains. Differences in the PP of wild-type and mutant microbes lacking virulence factors can be used to estimate the contribution of virulence factors to the pathogenic process, thus providing a new quantitative approach to these important pathogenicity parameters.
Insights
This study introduces "fulminancy" to quantify the speed of microbial infections, refining the pathogenic potential (PP) concept. This allows for a more accurate assessment of virulence, considering both host and microbe factors over time.
Area of Science:
- Microbiology
- Infectious Disease Epidemiology
- Quantitative Biology
Background:
- Traditional classification of microbes as pathogens or non-pathogens is insufficient for understanding virulence.
- The pathogenic potential (PP) concept offers a quantitative framework considering host and microbial contributions.
- Existing PP models do not fully account for the temporal dynamics of infection.
Purpose of the Study:
- To extend the pathogenic potential (PP) concept by incorporating the role of time in virulence.
- To introduce and define a new parameter, 'fulminancy,' measuring the rapidity of the pathogenic process.
- To provide a quantitative method for assessing the contribution of microbial virulence factors.
Main Methods:
- Introduced the parameter 'fulminancy' into the pathogenic potential (PP) equation.
- Developed a framework to calculate PP incorporating the speed of disease progression.
- Proposed using differences in PP between wild-type and mutant microbes to estimate virulence factor contributions.
Main Results:
- Fulminancy allows for PP calculations in scenarios with equal host impact but varying disease onset times.
- This extension accommodates situations where attenuated strains cause disease more slowly.
- The approach enables quantitative estimation of virulence factor impact on pathogenicity.
Conclusions:
- The extended PP concept, including fulminancy, provides a more comprehensive understanding of microbial virulence.
- This quantitative approach offers new insights into host-microbe interactions and disease dynamics.
- The framework facilitates the study of microbial pathogenicity and the role of specific virulence factors.
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