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Super Shedding in Enteric Pathogens: A Review.

Florent Kempf1, Roberto La Ragione2,3, Barbara Chirullo4

  • 1INRAE, Université de Tours, ISP, F-37380 Nouzilly, France.

Microorganisms
|November 11, 2022
PubMed
Summary

Super shedding, where a few individuals shed high pathogen levels, is key in enteric disease epidemics. Understanding its complex causes, including host, pathogen, and microbiota interactions, is vital for control.

Keywords:
bacterial polymorphismcontrol strategiesenteric pathogensgut microbiotahost responsesuper shedding

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Area of Science:

  • Microbiology
  • Epidemiology
  • Immunology

Background:

  • Super shedding involves a small host group shedding high pathogen levels, particularly enteric pathogens.
  • This phenomenon is of significant interest due to its role in disease transmission.

Purpose of the Study:

  • To explore the multifaceted mechanisms underlying the super shedding phenomenon.
  • To emphasize the critical role of host-pathogen-gut microbiota interactions in enteric pathogen super shedding.

Main Methods:

  • Review of existing literature on super shedding and enteric pathogens.
  • Analysis of proposed mechanisms including environmental, host, pathogen, and microbiota factors.

Main Results:

  • Super shedding is observed across various pathogens, notably enteric ones.
  • Multiple factors contribute, including host immunity, pathogen genetics, and gut microbiota composition.
  • The interplay at the host-pathogen-gut microbiota interface is crucial for the super shedding phenotype.

Conclusions:

  • Super shedding is a significant factor in enteric disease epidemics.
  • Developing targeted control strategies is necessary, informed by a comprehensive understanding of super shedding mechanisms.