The keystone-pathogen hypothesis

被引:1228
作者
Hajishengallis, George [1 ]
Darveau, Richard P. [2 ]
Curtis, Michael A. [3 ]
机构
[1] Univ Penn, Sch Dent Med, Dept Microbiol, Philadelphia, PA 19104 USA
[2] Univ Washington, Sch Dent, Dept Periodont, Seattle, WA 98195 USA
[3] Queen Mary Univ London, Barts & London Sch Med & Dent, Blizard Inst, Ctr Immunol & Infect Dis, London E1 2AT, England
基金
英国医学研究理事会; 美国国家卫生研究院;
关键词
BACTEROIDES-FRAGILIS ENTEROTOXIN; HUMAN GUT MICROBIOTA; PORPHYROMONAS-GINGIVALIS; INTESTINAL MICROBIOTA; COLORECTAL-CANCER; COMMENSAL MICROBIOTA; PERIODONTAL-DISEASE; ACTINOBACILLUS-ACTINOMYCETEMCOMITANS; PREVOTELLA-INTERMEDIA; BACTERIAL COMMUNITY;
D O I
10.1038/nrmicro2873
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Recent studies have highlighted the importance of the human microbiome in health and disease. However, for the most part the mechanisms by which the microbiome mediates disease, or protection from it, remain poorly understood. The keystone-pathogen hypothesis holds that certain low-abundance microbial pathogens can orchestrate inflammatory disease by remodelling a normally benign microbiota into a dysbiotic one. In this Opinion article, we critically assess the available literature that supports this hypothesis, which may provide a novel conceptual basis for the development of targeted diagnostics and treatments for complex dysbiotic diseases.
引用
收藏
页码:717 / 725
页数:9
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