2013
DOI: 10.1039/c3np70068b
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History, biology and chemistry of Mycobacterium ulcerans infections (Buruli ulcer disease)

Abstract: Mycobacterium ulcerans infections (Buruli ulcer disease) have a long history that can be traced back 150 years. The successive discoveries of the mycobacteria in 1948 and of mycolactone A/B in 1999, the toxin responsible for this dramatic necrotic skin disease, resulted in a paradigm shift concerning the disease itself and in a broader sense, delineated an entirely new role for bioactive polyketides as virulence factors. The fascinating history, biology and chemistry of M. ulcerans infections are discussed in … Show more

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Cited by 53 publications
(49 citation statements)
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“…86 The production and biological roles of structurally distinct mycolactones from pathogenic Mycobacterium species have been thoroughly reviewed. 8789 In vivo testing of mycolactones A and B in guinea pigs resulted in lesions similar to the Buruli ulcers developed by humans infected with M. ulcerans . Despite the severity of Buruli ulcers, the extensive skins lesions are not accompanied by pain.…”
Section: Natural Products In Human Diseasementioning
confidence: 99%
“…86 The production and biological roles of structurally distinct mycolactones from pathogenic Mycobacterium species have been thoroughly reviewed. 8789 In vivo testing of mycolactones A and B in guinea pigs resulted in lesions similar to the Buruli ulcers developed by humans infected with M. ulcerans . Despite the severity of Buruli ulcers, the extensive skins lesions are not accompanied by pain.…”
Section: Natural Products In Human Diseasementioning
confidence: 99%
“…Neben der antioxidativen Wirkung vieler virulenzrelevanter Naturstoffe können diese auch menschliche Zellen schädigen. Einer der bekanntesten, hochtoxischen Virulenzfaktoren ist das Mycolacton A/B von Mycobacterium ulcerans 14. Hauptsächlich in armen und ländlichen Teilen Afrikas verbreitet, ruft das Bakterium die Krankheit Buruli ulcera hervor, bei der die Haut abstirbt.…”
Section: Polyenstruktur Schützt Bakterienunclassified
“…Mycolactone is an exotoxin produced by Mycobacterium ulcerans and the central causative agent behind the neglected tropical skin disease called Buruli ulcer (1). The main characteristics of Buruli ulcer disease are extensive tissue destruction (due to the cell death) and a surprisingly low level of pain or inflammation (2,3). The toxin is thought to be secreted in bacterial outer membrane vesicles and then delivered to host cells (4) where it is cytotoxic and immunosuppressive, disrupting various cellular functions such as cytoskeletal organization, cytokine and chemokine expression and other signaling cascades (5,6).…”
Section: Introductionmentioning
confidence: 99%