A bug’s life in the granuloma

The granuloma is the defining feature of the host response to infection with Mycobacterium tuberculosis (Mtb). Despite knowing of its existence for centuries, much remains unclear regarding the host and bacterial factors that contribute to granuloma formation, heterogeneity of presentation, and the...

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Veröffentlicht in:Seminars in immunopathology 2016-03, Vol.38 (2), p.213-220
Hauptverfasser: Martin, Constance J., Carey, Allison F., Fortune, Sarah M.
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container_title Seminars in immunopathology
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creator Martin, Constance J.
Carey, Allison F.
Fortune, Sarah M.
description The granuloma is the defining feature of the host response to infection with Mycobacterium tuberculosis (Mtb). Despite knowing of its existence for centuries, much remains unclear regarding the host and bacterial factors that contribute to granuloma formation, heterogeneity of presentation, and the forces at play within. Mtb is highly adapted to life within the granuloma and employs many unique strategies to both create a niche within the host as well as survive the stresses imposed upon it. Adding to the complexity of the granuloma is the vast range of pathology observed, often within the same individual. Here, we explore some of the many ways in which Mtb crafts the immune response to its liking and builds a variety of granuloma features that contribute to its survival. We also consider the multitude of ways that Mtb is adapted to life in the granuloma and how variability in the deployment of these strategies may result in different fates for both the bacterium and the host. It is through better understanding of these complex interactions that we may begin to strategize novel approaches for tuberculosis treatments.
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subjects Adaptation, Biological
Animals
Antigens, Bacterial - immunology
Antitubercular Agents - pharmacology
Antitubercular Agents - therapeutic use
Biomedical and Life Sciences
Biomedicine
Disease Progression
DNA Methylation
Energy Metabolism
Exosomes - metabolism
Genetic Predisposition to Disease
Granuloma - etiology
Granuloma - metabolism
Granuloma - pathology
Host-Pathogen Interactions - immunology
Humans
Immune System - cytology
Immune System - immunology
Immune System - microbiology
Immune System - pathology
Immunology
Internal Medicine
Macrophages - immunology
Macrophages - metabolism
Macrophages - microbiology
Macrophages - pathology
Mycobacterium tuberculosis
Mycobacterium tuberculosis - drug effects
Mycobacterium tuberculosis - physiology
Necrosis
Oxidative Stress
Phenotype
Review
Tuberculosis - complications
Tuberculosis - metabolism
Tuberculosis - microbiology
Tuberculosis - pathology
title A bug’s life in the granuloma
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