SUMMARY
Pore-forming toxins (PFTs) are the most common bacterial cytotoxic proteins and are required for virulence in a large number of important pathogens, including
Streptococcus pneumoniae
, group A and B streptococci,
Staphylococcus aureus
,
Escherichia coli
, and
Mycobacterium tuberculosis
. PFTs generally disrupt host cell membranes, but they can have additional effects independent of pore formation. Substantial effort has been devoted to understanding the molecular mechanisms underlying the functions of certain model PFTs. Likewise, specific host pathways mediating survival and immune responses in the face of toxin-mediated cellular damage have been delineated. However, less is known about the overall functions of PFTs during infection
in vivo
. This review focuses on common themes in the area of PFT biology, with an emphasis on studies addressing the roles of PFTs in
in vivo
and
ex vivo
models of colonization or infection. Common functions of PFTs include disruption of epithelial barrier function and evasion of host immune responses, which contribute to bacterial growth and spreading. The widespread nature of PFTs make this group of toxins an attractive target for the development of new virulence-targeted therapies that may have broad activity against human pathogens.