2006
DOI: 10.1073/pnas.0605302103
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Pathogen escape from host immunity by a genome program for antigenic variation

Abstract: The vector-borne bacterium Borrelia hermsii, a relapsing fever agent, switches gene expression of a surface protein between different antigenic variants, thereby causing sequential waves of immune escape within hosts and increasing the likelihood of transmission. Analogous programmed systems of antigenic variation occur in African trypanosomes and Plasmodium falciparum. In these examples, switch rates to individual variants differ over a wide range. We studied how B. hermsii determines switch rates in two expe… Show more

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Cited by 101 publications
(97 citation statements)
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“…The cyclic rickettsemias observed suggest a mechanism by which the pathogen escapes the cellular and humoral immune responses by switching surface antigens and so being unrecognized for reappearance at a later stage of infection. It is known that tick-borne pathogens have the ability to persist in the body in order to be transmitted between hosts by feeding ticks (5,23,29,30). Earlier studies suggested that differential msp2(p44) expression is associated with host adaptive immunity (24).…”
Section: Discussionmentioning
confidence: 99%
“…The cyclic rickettsemias observed suggest a mechanism by which the pathogen escapes the cellular and humoral immune responses by switching surface antigens and so being unrecognized for reappearance at a later stage of infection. It is known that tick-borne pathogens have the ability to persist in the body in order to be transmitted between hosts by feeding ticks (5,23,29,30). Earlier studies suggested that differential msp2(p44) expression is associated with host adaptive immunity (24).…”
Section: Discussionmentioning
confidence: 99%
“…Thus, the capacity to produce multiple phase-variable capsular polysaccharides creates diverse populations with regard to surface architecture, including some that would be less susceptible to attack by deleterious products. Indeed, many pathogenic bacteria and parasites have evolved mechanisms by which they alter their surface antigenicity to persist in the host (26)(27)(28).…”
Section: Discussionmentioning
confidence: 99%
“…Few membrane-spanning proteins are located in the outer membrane (35,55). The most abundant proteins in the RF outer membrane are the variable major proteins Vmp, lipoproteins that are expressed with different surface epitopes through antigenic variation (2,5,68,69).…”
mentioning
confidence: 99%
“…(i) B. duttonii is present in sub-Saharan Africa and transmitted by the soft-body tick Ornithodoros moubata moubata; this species likely causes more RF cases than anywhere else in the world (38). (ii) B. hermsii is the most common RF-causing pathogen in North America; it is transmitted by the tick Ornithodoros hermsi (31,62) and has been the focus of antigenic variation research (5,68). (iii) B. recurrentis occurs endemically in the highlands of Ethiopia, with sporadic cases in Sudan, and is transmitted by the human body louse Pediculus humanus humanus (20).…”
mentioning
confidence: 99%