“…Indeed, a growing list of pathogens has been found to express dedicated adhesins to specifically connect to human CEACAM family members, such as CEACAM1, CEA, and CEACAM6, which are exposed on the apical surface of human epithelial cells. CEACAM-binding microorganisms comprise Neisseria gonorrhoeae (causative agent of the venereal disease gonorrhea), Neisseria meningitidis (bacterial meningitis), Haemophilus influenzae (pneumonia, bacterial meningitis), Haemophilus aegyptius (purulent conjunctivitis), Helicobacter pylori (chronic gastritis, stomach cancer), Moraxella catarrhalis (otitis media, sinusitis), Fusobacterium nucleatum (periodontal disease), pathogenic Escherichia coli strains (Adherent-invasive E. coli, Diffusely adherent E. coli; involved in Crohn's disease), and the yeast Candida albicans (candidiasis, systemic infections) (26)(27)(28)(29)(30)(31)(32)(33)(34)(35). It is important to mention that almost each of these pathogens employs a structurally distinct adhesive protein to bind human CEACAMs, implying that these adhesins have evolved independently multiple times in a striking form of convergent evolution (7,15,32,(36)(37)(38)(39).…”