Abstract

Bacteria and viruses often occupy the same niches, however, interest in their potential collaboration in promoting wellness or disease states has only recently gained traction. While the interaction of some bacteria and viruses is well characterized (e.g., influenza virus), researchers are typically more interested in the location of the infection than the manner of cooperation. There are two overarching types of bacterial-virus disease causing interactions: direct interactions that in some way aid the viruses, and indirect interactions aiding bacteria. The virus-promoting direct interactions occur when the virus exploits a bacterial component to facilitate penetration into the host cell. Conversely, indirect interactions result in increased bacterial pathogenesis as a consequence of viral infection. Enteric viruses mainly utilize the direct pathway, while respiratory viruses largely affect bacteria in an indirect fashion. This review focuses on some key examples of how virus-bacteria interactions impact the infection process across the two organ systems, and provides evidence supporting this as an emerging theme in infectious disease.

Highlights

  • Commensal bacteria colonize a variety of body systems, the respiratory and gastrointestinal microflora are the most widely studied

  • Previous reviews have provided a great detail on the mechanisms of virus-bacterial interactions occurring either within the upper respiratory or gastrointestinal tracts [5,6,7,8,9]; these similarities and differences are observed in isolation, rather than highlighting the interactions across organ systems

  • Polymicrobial interactions move from the exception to the norm, and researchers must realize viruses and bacteria are no longer mutually exclusive disease-causing agents

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Summary

Introduction

Commensal bacteria colonize a variety of body systems, the respiratory and gastrointestinal microflora are the most widely studied. Previous reviews have provided a great detail on the mechanisms of virus-bacterial interactions occurring either within the upper respiratory or gastrointestinal tracts [5,6,7,8,9]; these similarities and differences are observed in isolation, rather than highlighting the interactions across organ systems. Bacterial advantages are usually gained through indirect interactions in which the virus inflicts host cell damage critical to virus infection, but is in turn beneficial to other pathogens. In these instances, there is no direct physical interaction between the virus and the bacteria; rather, the viral infection makes one or more host cell types more susceptible to bacterial colonization. Viral neuraminidase cleaves epithelial cell sialic acid exposing bacterial receptors; damages epithelial cells [6,21,38]

Direct Interactions
Indirect Interactions
Influence of Bacteria and Virus Features on Interactions
Findings
Conclusions
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