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Published on: June 15, 2019
Decoding Host-Pathogen Dynamics in Klebsiella pneumoniae Infections: Mechanisms of Cell Death Regulation and
Shwetha Susan Thomas1, Krishnakripa Kannan1, Kuniyil Abhinand1
1School of Biotechnology, Amrita Vishwa Vidyapeetham, Amritapuri, Kollam 690525, Kerala, India.
Abstract:
Pathogenic microbes utilize virulence strategies to subvert host immune responses, highlighting a continuous race between the pathogen and the host. The emergence of multidrug- resistant and hypervirulent strains of Klebsiella pneumoniae (Kp) poses a critical threat to public health. This critical evaluation identifies key gaps in understanding the interplay between Kp and host innate immunity. This review provides a comprehensive overview of the mechanisms by which Kp triggers various forms of cell death. Dysregulated cell death may exacerbate cytokine release, contributing to the hyperinflammatory response characteristic of sepsis. The rise in antimicrobial resistance (AMR) in Kp necessitates the exploration of alternative therapeutic approaches. This review highlights that immunomodulatory approaches targeting cell death regulators or immune checkpoints may offer host-directed strategies against Kp-induced sepsis. Although novel immunotherapies offer potential to restore immune balance, their clinical applicability remains constrained by limited translational evidence.
Insights
Multidrug-resistant Klebsiella pneumoniae (Kp) exploits host immunity, causing sepsis. Targeting cell death pathways offers novel host-directed therapies against Kp infections, but clinical translation needs more evidence.
Area of Science:
- Microbiology
- Immunology
- Pathogen-host interactions
Background:
- Pathogenic microbes, including Klebsiella pneumoniae (Kp), employ virulence factors to evade host immune responses.
- The rise of multidrug-resistant and hypervirulent Kp strains presents a significant global health challenge.
- Understanding Kp's interaction with host innate immunity is crucial for developing effective treatments.
Purpose of the Study:
- To identify critical knowledge gaps in the interplay between Kp and host innate immunity.
- To provide a comprehensive overview of Kp-induced cell death mechanisms.
- To explore immunomodulatory strategies as potential host-directed therapies against Kp-induced sepsis.
Main Methods:
- Critical evaluation of existing literature on Kp virulence and host immune responses.
- Review of mechanisms by which Kp triggers various forms of host cell death.
- Analysis of dysregulated cell death's role in sepsis pathogenesis.
Main Results:
- Kp subverts host immunity through various virulence strategies.
- Dysregulated cell death induced by Kp can lead to excessive cytokine release and hyperinflammation, characteristic of sepsis.
- Antimicrobial resistance in Kp necessitates alternative therapeutic strategies.
Conclusions:
- Immunomodulatory approaches targeting cell death regulators or immune checkpoints show promise as host-directed therapies against Kp sepsis.
- Novel immunotherapies could help restore immune balance during Kp infections.
- Clinical application of these immunotherapies is currently limited by insufficient translational evidence.
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