2007
DOI: 10.1038/nature06198
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The equilibria that allow bacterial persistence in human hosts

Abstract: We propose that microbes that have developed persistent relationships with human hosts have evolved cross-signalling mechanisms that permit homeostasis that conforms to Nash equilibria and, more specifically, to evolutionarily stable strategies. This implies that a group of highly diverse organisms has evolved within the changing contexts of variation in effective human population size and lifespan, shaping the equilibria achieved, and creating relationships resembling climax communities. We propose that such … Show more

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Cited by 213 publications
(190 citation statements)
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References 92 publications
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“…The first is dispersal of the etiologic agent, M. tuberculosis, populations of which were sustained at very low levels (N e ≅ 2) for ∼100 y by small numbers of human migrants who had intimate, sustained contact with susceptible hosts. In addition to sustained migration, variable transmission dynamics of TB may have cushioned small bacterial populations against extinction (35). The second process is expansion of the bacterial population, following a shift in host ecology favoring the pathogen.…”
Section: Discussionmentioning
confidence: 99%
“…The first is dispersal of the etiologic agent, M. tuberculosis, populations of which were sustained at very low levels (N e ≅ 2) for ∼100 y by small numbers of human migrants who had intimate, sustained contact with susceptible hosts. In addition to sustained migration, variable transmission dynamics of TB may have cushioned small bacterial populations against extinction (35). The second process is expansion of the bacterial population, following a shift in host ecology favoring the pathogen.…”
Section: Discussionmentioning
confidence: 99%
“…This process seems to be exceptional, however. Much more common are persisting microbes that the host cannot eliminate and which engage the host in an ongoing battle that damages tissues (14) and promotes malignancy. For example, squamous cell carcinomas follow the long-term inflammatory consequences of chronic osteomyelitis with sinus tract formation.…”
Section: Principles Of Microbial Oncogenesismentioning
confidence: 99%
“…Transmission within families occurs for many indigenous organisms (14) and can resemble inheritance patterns (55). Furthermore, whether a microbe is acquired from a family member (and so is preadapted to the next host) or from a genetically unrelated stranger could modify the risk of a disease that may present clinically decades later (46).…”
Section: Biological Considerationsmentioning
confidence: 99%
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