Wednesday, September 19, 2012

 

Vaccines and antibiotic resistance.


Vaccines and antibiotic resistance.


Sept 2012

Source

Novartis Vaccines, Research Center, via Fiorentina 1, 53100, Siena, Italy.

Abstract

Vaccines and antibiotics have significantly contributed to improve health and also to increase the longevity of human beings. The fast-acting effect of antibiotics makes them indispensable to treat infected patients. Likewise, when the causative agent of the infection is unknown and in cases of superinfections with different species of bacteria, antibiotics appear to be the only therapeutic option. On the contrary, vaccines are usually not efficacious in people already infected and their action is generally limited to a much narrowed range of pathogens. However, vaccines have contributed to the eradication of some of the most deadly infectious agents worldwide, can generate immunity to infections lasting for several years or life-long, and are able to induce herd immunity. Nonetheless, infectious diseases are still among the leading causes of morbidity and mortality worldwide. This is mainly owing to the emergence of bacterial resistance to antibiotics and the lack of efficacious medications to treat several other infectious diseases. Development of new vaccines appears to be a promising solution to these issues. Indeed, with the advent of new discovery approaches and adjuvants, today is possible to make vaccines virtually against every pathogen. In addition, while vaccine-resistant bacteria have never been reported, accumulating literature is providing evidence that vaccination can reduce the raise of antibiotic resistant strains by decreasing their use.

Elsevier

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Sunday, June 10, 2007

 

Role of the innate immune system in host defence against bacterial infections: focus on the Toll-like receptors.

Role of the innate immune system in host defence against bacterial infections: focus on the Toll-like receptors.

J Intern Med. 2007 Jun;

Albiger B, Dahlberg S, Henriques-Normark B, Normark S.

Medical Microbiology, Department of Laboratory Medicine, Lund University, Malmö, Sweden.
The innate immunity plays a critical role in host protection against pathogens and it relies amongst others on pattern recognition receptors such as the Toll-like receptors (TLRs) and the nucleotide-binding oligomerization domains proteins (NOD-like receptors, NLRs) to alert the immune system of the presence of invading bacteria. Since their recent discovery less than a decade ago, both TLRs and NLRs have been shown to be crucial in host protection against microbial infections but also in homeostasis of the colonizing microflora. They recognize specific microbial ligands and with the use of distinct adaptor molecules, they activate different signalling pathways that in turns trigger subsequent inflammatory and immune responses that allows a immediate response towards bacterial infections and the initiation of the long-lasting adaptive immunity.


In this review, we will focus on the role of the TLRs against bacterial infections in humans in contrast to mice that have been used extensively in experimental models of infections and discuss their role in controlling normal flora or nonpathogenic bacteria. We also highlight how bacteria can evade recognition by TLRs.

PMID: 17547708 [PubMed - in process]

What is the role of Toll-like receptors in bacterial infections?

Semin Immunol. 2007 Feb

Gerold G, Zychlinsky A, de Diego JL.
Department of Cellular Microbiology, Max Planck Institute for Infection Biology, Berlin, Germany.
gerold@mpiib-berlin.mpg.de

Innate immunity relies on signalling by Toll-like receptors (TLRs) to alert the immune system of the presence of invading bacteria. TLR activation leads to the release of cytokines that allow for effective innate and adaptive immune responses. However, the contribution of different TLRs depends on the site of the infection and the pathogen. This review will describe the involvement of TLRs in the development of three different bacterial infections as well as our current understanding of the role of TLRs during microbial pathogenesis.

Science Direct

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