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Immunological Reviews
Article . 2021 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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Immunological Reviews
Article
License: CC BY NC ND
Data sources: UnpayWall
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Host‐directed therapy to combat mycobacterial infections*

Authors: Kilinç, Gül; Saris, Anno; Ottenhoff, Tom H. M.; Haks, Mariëlle C.;

Host‐directed therapy to combat mycobacterial infections*

Abstract

AbstractUpon infection, mycobacteria, such asMycobacterium tuberculosis(Mtb) and nontuberculous mycobacteria (NTM), are recognized by host innate immune cells, triggering a series of intracellular processes that promote mycobacterial killing. Mycobacteria, however, have developed multiple counter‐strategies to persist and survive inside host cells. By manipulating host effector mechanisms, including phagosome maturation, vacuolar escape, autophagy, antigen presentation, and metabolic pathways, pathogenic mycobacteria are able to establish long‐lasting infection. Counteracting these mycobacteria‐induced host modifying mechanisms can be accomplished by host‐directed therapeutic (HDT) strategies. HDTs offer several major advantages compared to conventional antibiotics: (a) HDTs can be effective against both drug‐resistant and drug‐susceptible bacteria, as well as potentially dormant mycobacteria; (b) HDTs are less likely to induce bacterial drug resistance; and (c) HDTs could synergize with, or shorten antibiotic treatment by targeting different pathways. In this review, we will explore host‐pathogen interactions that have been identified forMtbfor which potential HDTs impacting both innate and adaptive immunity are available, and outline those worthy of future research. We will also discuss possibilities to target NTM infection by HDT, although current knowledge regarding host‐pathogen interactions for NTM is limited compared toMtb. Finally, we speculate that combinatorial HDT strategies can potentially synergize to achieve optimal mycobacterial host immune control.

Country
Netherlands
Related Organizations
Keywords

nontuberculous mycobacteria, drug resistance, Nontuberculous Mycobacteria, Mycobacterium tuberculosis, Anti-Bacterial Agents, host‐directed therapy, Host-Pathogen Interactions, Autophagy, Invited Reviews, Mycobacterium avium

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    influence
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
128
Top 1%
Top 10%
Top 1%
Green
hybrid