Expanding the Pathogenic Potential Concept To Incorporate Fulminancy, Time, and Virulence Factors

Arturo Casadevall1

  • 1Department of Molecular Microbiology and Immunology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.

Msphere
|January 26, 2022
PubMed

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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