Microbiota-mediated colonization resistance against intestinal pathogens.

Microbiota-mediated colonization resistance against intestinal pathogens.
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DOI:
10.1038/nri3535
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发表时间:
2013-11
期刊:
Nature reviews. Immunology
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其他
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共生细菌栖息在小鼠和人类的粘膜和表皮表面,并对其宿主的代谢和免疫途径产生影响。最近的研究表明,可以操纵肠道微生物群以预防甚至治愈由病原菌引起的感染,特别是对抗生素具有广泛抗性的病原体,例如万古霉素抗性屎肠球菌、革兰氏阴性肠杆菌科和艰难梭菌。在这篇综述中,我们讨论了免疫介导的对耐药肠道病原体的定植抗性如何受到肠道微生物群组成的影响。我们还回顾了最近的进展,不同的肠道细菌科,属和种的能力,恢复殖民抵抗肠道病原体在驱虫治疗主机。
Commensal bacteria inhabit mucosal and epidermal surfaces in mice and humans, and have effects on metabolic and immune pathways in their hosts. Recent studies indicate that the commensal microbiota can be manipulated to prevent and even to cure infections that are caused by pathogenic bacteria, particularly pathogens that are broadly resistant to antibiotics, such as vancomycin-resistant Enterococcus faecium, Gram-negative Enterobacteriaceae and Clostridium difficile. In this Review, we discuss how immune- mediated colonization resistance against antibiotic-resistant intestinal pathogens is influenced by the composition of the commensal microbiota. We also review recent advances characterizing the ability of different commensal bacterial families, genera and species to restore colonization resistance to intestinal pathogens in antibiotic-treated hosts.
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