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Nat Rev Immunol. 2013 Nov;13(11):790-801. doi: 10.1038/nri3535. Epub 2013 Oct 7.

Microbiota-mediated colonization resistance against intestinal pathogens.

Author information

1
Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, Box number 9, New York, New York 10065, USA.

Abstract

Commensal bacteria inhabit mucosal and epidermal surfaces in mice and humans, and have effects on metabolic and immune pathways in their hosts. Recent studies indicate that the commensal microbiota can be manipulated to prevent and even to cure infections that are caused by pathogenic bacteria, particularly pathogens that are broadly resistant to antibiotics, such as vancomycin-resistant Enterococcus faecium, Gram-negative Enterobacteriaceae and Clostridium difficile. In this Review, we discuss how immune- mediated colonization resistance against antibiotic-resistant intestinal pathogens is influenced by the composition of the commensal microbiota. We also review recent advances characterizing the ability of different commensal bacterial families, genera and species to restore colonization resistance to intestinal pathogens in antibiotic-treated hosts.

PMID:
24096337
PMCID:
PMC4194195
DOI:
10.1038/nri3535
[Indexed for MEDLINE]
Free PMC Article

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