Population-level virulence factors amongst pathogenic bacteria: relation to infection outcome

Future Microbiol. 2008 Feb;3(1):31-42. doi: 10.2217/17460913.3.1.31.

Abstract

The study of population-level virulence traits among communal bacteria represents an emerging discipline in the field of bacterial pathogenesis. It has become clear over the past decade-and-a-half that bacteria exhibit many of the hallmarks of multicellular organisms when they are growing as biofilms and communicating among each other using quorum- sensing systems. Each of these population-level behaviors provides for multiple expressions of virulence that individual free-swimming bacteria do not possess. Population-level virulence traits are largely associated with chronic or persistent infections, whereas individual bacterial virulence traits are associated with acute infections. Thus, there is a natural dichotomy between acute and chronic infectious processes, which helps to explain the medical community's success in combating the former, but its utter failure in dealing with the latter. The recent recognition of multicellularity among chronic bacterial pathogens will lead the way towards new multimodality therapies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Bacteria / genetics*
  • Bacteria / pathogenicity
  • Bacterial Infections / drug therapy
  • Bacterial Infections / microbiology
  • Bacterial Infections / pathology*
  • Gene Expression Regulation, Bacterial / drug effects
  • Humans
  • Virulence / genetics
  • Virulence Factors / genetics*
  • Virulence Factors / metabolism

Substances

  • Anti-Bacterial Agents
  • Virulence Factors