2016
DOI: 10.1016/j.imbio.2016.06.014
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Complement resistance mechanisms of Klebsiella pneumoniae

Abstract: The current emergence of antibiotic-resistant bacteria causes major problems in hospitals worldwide. To survive within the host, bacterial pathogens exploit several escape mechanisms to prevent detection and killing by the immune system. As a major player in immune defense, the complement system recognizes and destroys bacteria via different effector mechanisms. The complement system can label bacteria for phagocytosis or directly kill Gram-negative bacteria via insertion of a pore-forming complex in the bacte… Show more

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Cited by 106 publications
(89 citation statements)
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“…These surface structures mark the interface between individual members of the microbiota (and their host), and thus are likely to play an important role during microorganism–microorganism and microorganism–host interactions in the gut. This is certainly the case for numerous pathogens whose capsules aid in immune system evasion via mechanisms that include disruption of neutrophil chemotaxis (for example, Salmonella typhi 61 ) and evasion of host complement system (for example, Klebsiella pneumoniae 62 ). By contrast, Bacteroides use a process called phase variation that controls the expression of their capsular polysaccharide biosynthetic loci in an on/off manner 63 (Fig.…”
Section: Bacteroides Reveal Microbiota Biochemistrymentioning
confidence: 99%
“…These surface structures mark the interface between individual members of the microbiota (and their host), and thus are likely to play an important role during microorganism–microorganism and microorganism–host interactions in the gut. This is certainly the case for numerous pathogens whose capsules aid in immune system evasion via mechanisms that include disruption of neutrophil chemotaxis (for example, Salmonella typhi 61 ) and evasion of host complement system (for example, Klebsiella pneumoniae 62 ). By contrast, Bacteroides use a process called phase variation that controls the expression of their capsular polysaccharide biosynthetic loci in an on/off manner 63 (Fig.…”
Section: Bacteroides Reveal Microbiota Biochemistrymentioning
confidence: 99%
“…[52][53][54] K. pneumoniae carries a fulllength O antigen resistant toward complementmediated killing, which protects by binding C3b to C3 away from the bacterial membrane leading to a disruption in the membrane attack complex. 55 On the other hand, LPS could also induce strong immune activation by activating TLR4, leading to the release of cytokines and chemokines which result in an influx of neutrophils and macrophages to the site of infection. 56 Upon colonization of the GIT, K. pneumoniae causes insult to the intestinal mucosa by secreting a potent genotoxin called colibactin which is also produced by certain other members of the Enterobacteriaceae family, including E. coli.…”
Section: Pathogenic Mechanisms and Virulence Factors Of K Pneumoniae Imentioning
confidence: 99%
“…We identified complement-resistant E. coli strains that blocked MAC-mediated killing by preventing efficient anchoring of C5b-7 to the bacterial cell envelope and subsequent insertion of MAC pores. Although several mechanisms of bacterial complement evasion have been described (3336), these are mostly not MAC-specific because they block initial complement activation steps such as recognition or the deposition of functional convertases (35,37,38). Preventing efficient anchoring of C5b-7 to thus affect insertion of MAC pores into the bacterial cell envelope has not, to our knowledge, been reported before on E. coli .…”
Section: Discussionmentioning
confidence: 99%