| Literature DB >> 26028590 |
Ruthie B Birger1, Roger D Kouyos2,3, C Jessica E Metcalf1,4, Ted Cohen5, Emily C Griffiths6, Silvie Huijben7, Michael J Mina1,8, Victoriya Volkova9, Bryan Grenfell1,4.
Abstract
Across a range of pathogens, resistance to chemotherapy is a growing problem in both public health and animal health. Despite the ubiquity of coinfection, and its potential effects on within-host biology, the role played by coinfecting pathogens on the evolution of resistance and efficacy of antimicrobial chemotherapy is rarely considered. In this review, we provide an overview of the mechanisms of interaction of coinfecting pathogens, ranging from immune modulation and resource modulation, to drug interactions. We discuss their potential implications for the evolution of resistance, providing evidence in the rare cases where it is available. Overall, our review indicates that the impact of coinfection has the potential to be considerable, suggesting that this should be taken into account when designing antimicrobial drug treatments.Entities:
Keywords: coinfection; drug resistance; immune modulation; parasite interactions; resource competition
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Year: 2015 PMID： 26028590 PMCID： PMC4835347 DOI： 10.1016/j.tim.2015.05.002
Source DB: PubMed Journal: Trends Microbiol ISSN： 0966-842X Impact factor: 17.079