2020
DOI: 10.1002/1873-3468.13768
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Strategies used by Leptospira spirochetes to evade the host complement system

Abstract: Leptospires are highly invasive spirochetes equipped with efficient strategies for dissemination in the host. The Leptospira genus currently comprises 64 species divided into two major clades: the saprophytes composed of nonpathogenic, free-living organisms, and the pathogens encompassing all the species that cause mild or severe infections in humans and animals. While saprophytes are highly susceptible to the lytic action of the complement system, pathogenic (virulent) strains have evolved virulence strategie… Show more

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Cited by 25 publications
(30 citation statements)
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“…Although leptospiral LPS that is believed to be an adhesin for crawling induces the expression of proinflammatory cytokine genes through the recognition by the host TLR, the host-dependent difference in the TLR recognition was shown between human and murine cells: TLR1 and TLR2 predominantly mediate the activation in human cells, whereas TLR2 and TLR4 act for the recognition in mouse cells (Werts et al, 2001;Nahori et al, 2005). Pathogenic leptospires evade the host immunity through the interaction with the complement system (Barbosa and Isaac, 2020). Also, the binding of L. interrogans to thrombin inhibits fibrin coagulation, which results in hemorrhage (Fernandes et al, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…Although leptospiral LPS that is believed to be an adhesin for crawling induces the expression of proinflammatory cytokine genes through the recognition by the host TLR, the host-dependent difference in the TLR recognition was shown between human and murine cells: TLR1 and TLR2 predominantly mediate the activation in human cells, whereas TLR2 and TLR4 act for the recognition in mouse cells (Werts et al, 2001;Nahori et al, 2005). Pathogenic leptospires evade the host immunity through the interaction with the complement system (Barbosa and Isaac, 2020). Also, the binding of L. interrogans to thrombin inhibits fibrin coagulation, which results in hemorrhage (Fernandes et al, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…Leptospirosis, locally known as the rat-urine disease, is a re-emerging infectious zoonotic disease with a worldwide distribution [ 1 3 ]. In Malaysia, leptospirosis has been reported as early as in the 1920s among civilians and military troops [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…To date, at least 41,736 cases with 502 deaths have been recorded corresponding to an average of 16 cases per 100,000 population annually (data from Ministry of Health, Malaysia) [ 5 ]. Because of its global distribution, with greater incidence in resource-poor populations and countries, leptospirosis gains more attention [ 1 3 , 6 , 7 ]. Leptospira , the etiologic agent of this disease not only affects humans but also infects and habituates a wide range of animals.…”
Section: Introductionmentioning
confidence: 99%
“…Additional complement resistance mechanisms involve capturing plasminogen and secreting metalloproteases that cleave complement components ( 80 ). Plasmin is a tightly controlled protease that plays a central role in the fibrinolytic system by dissolving fibrin clots after wound repair.…”
Section: Evasion Of Innate Immunity Including Complementmentioning
confidence: 99%