Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis

The Burkholderia cepacia complex (Bcc) is a group of Gram-negative bacteria that are ubiquitous in the environment and have emerged as opportunistic pathogens in immunocompromised patients. The primary patient populations infected with Bcc include individuals with cystic fibrosis (CF), as well as t...

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Main Authors: Laura A. Porter, Joanna B. Goldberg
Format: Article
Language:English
Published: Frontiers Media S.A. 2011-11-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fcimb.2011.00009/full
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author Laura A. Porter
Joanna B. Goldberg
author_facet Laura A. Porter
Joanna B. Goldberg
author_sort Laura A. Porter
collection DOAJ
description The Burkholderia cepacia complex (Bcc) is a group of Gram-negative bacteria that are ubiquitous in the environment and have emerged as opportunistic pathogens in immunocompromised patients. The primary patient populations infected with Bcc include individuals with cystic fibrosis (CF), as well as those with chronic granulomatous disease (CGD). While Bcc infection in CF is better characterized than in CGD, these two genetic diseases are not obviously similar and it is currently unknown if there is any commonality in host immune defects that is responsible for the susceptibility to Bcc. CF is caused by mutations in the CF transmembrane conductance regulator, resulting in manifestations in various organ systems, however the major cause of morbidity and mortality is currently due to bacterial respiratory infections. CGD, on the other hand, is a genetic disorder that is caused by defects in phagocyte NADPH oxidase. Because of the defect in CGD, phagocytes in these patients are unable to produce reactive oxygen species, which results in increased susceptibility to bacterial and fungal infections. Despite this significant defect in microbial clearance, the spectrum of pathogens frequently implicated in infections in CGD is relatively narrow and includes some bacterial species that are considered almost pathognomonic for this disorder. Very little is known about the cause of the specific susceptibility to Bcc over other potential pathogens more prevalent in the environment, and a better understanding of specific mechanisms required for bacterial virulence has become a high priority. This review will summarize both the current knowledge and future directions related to Bcc virulence in immunocompromised individuals with a focus on the roles of bacterial factors and neutrophil defects in pathogenesis.
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spelling doaj.art-121917b33e7f41dba0074055d1c1bfca2022-12-21T20:05:49ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882011-11-01110.3389/fcimb.2011.0000916769Influence of neutrophil defects on Burkholderia cepacia complex pathogenesisLaura A. Porter0Joanna B. Goldberg1University of Virginia Health SystemUniversity of Virginia Health SystemThe Burkholderia cepacia complex (Bcc) is a group of Gram-negative bacteria that are ubiquitous in the environment and have emerged as opportunistic pathogens in immunocompromised patients. The primary patient populations infected with Bcc include individuals with cystic fibrosis (CF), as well as those with chronic granulomatous disease (CGD). While Bcc infection in CF is better characterized than in CGD, these two genetic diseases are not obviously similar and it is currently unknown if there is any commonality in host immune defects that is responsible for the susceptibility to Bcc. CF is caused by mutations in the CF transmembrane conductance regulator, resulting in manifestations in various organ systems, however the major cause of morbidity and mortality is currently due to bacterial respiratory infections. CGD, on the other hand, is a genetic disorder that is caused by defects in phagocyte NADPH oxidase. Because of the defect in CGD, phagocytes in these patients are unable to produce reactive oxygen species, which results in increased susceptibility to bacterial and fungal infections. Despite this significant defect in microbial clearance, the spectrum of pathogens frequently implicated in infections in CGD is relatively narrow and includes some bacterial species that are considered almost pathognomonic for this disorder. Very little is known about the cause of the specific susceptibility to Bcc over other potential pathogens more prevalent in the environment, and a better understanding of specific mechanisms required for bacterial virulence has become a high priority. This review will summarize both the current knowledge and future directions related to Bcc virulence in immunocompromised individuals with a focus on the roles of bacterial factors and neutrophil defects in pathogenesis.http://journal.frontiersin.org/Journal/10.3389/fcimb.2011.00009/fullBurkholderiaBurkholderia cepacia complexCystic FibrosisNeutrophilchronic granulomatous diseaseimmunocompromised
spellingShingle Laura A. Porter
Joanna B. Goldberg
Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis
Frontiers in Cellular and Infection Microbiology
Burkholderia
Burkholderia cepacia complex
Cystic Fibrosis
Neutrophil
chronic granulomatous disease
immunocompromised
title Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis
title_full Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis
title_fullStr Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis
title_full_unstemmed Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis
title_short Influence of neutrophil defects on Burkholderia cepacia complex pathogenesis
title_sort influence of neutrophil defects on burkholderia cepacia complex pathogenesis
topic Burkholderia
Burkholderia cepacia complex
Cystic Fibrosis
Neutrophil
chronic granulomatous disease
immunocompromised
url http://journal.frontiersin.org/Journal/10.3389/fcimb.2011.00009/full
work_keys_str_mv AT lauraaporter influenceofneutrophildefectsonburkholderiacepaciacomplexpathogenesis
AT joannabgoldberg influenceofneutrophildefectsonburkholderiacepaciacomplexpathogenesis