SlideShare une entreprise Scribd logo
1  sur  14
Interaction of free living protozoa with
     human pathogenic bacteria
• Bacteria live in harsh environments, characterized by a constant
competition for nutrients and the menace of bacterivorous predators such
as protozoa and nematodes.

• In the course of their evolution, some bacteria developed sophisticated
defence mechanisms, including the formation of biofilms, the capacity to
avoid lysosomal killing and to replicate intracellularly within protozoa.
Source- Environmental predators as models for bacterial pathogenesis by Hubert Hilbi, Stefan S. Weber,
Curdin Ragaz, Yves Nyfeler and Simon Urwyler
Why protozoa?
 Consumption by protozoa is considered to be a major source of
  bacterial mortality in environment.

 Bacterial pathogens have evolved survival mechanisms, especially
  the ability to subvert being killed within phagolysosomes. They are
  able to survive the complex and often inhospitable habitat and,
  ultimately, create idiosyncratic niches inside their host cells where
  they are able to flourish.

 Thus protozoa have been termed as ‘biological gymnasia’ whereby
  intraprotozoan bacterial pathogens train for their encounter with the
  more evolved mammalian cells.
Source- From protozoa to mammalian cells: a new paradigm in the life cycle of intracellular
bacterial pathogens by Omar S. Harb, Lian-Yong Gao and Yousef Abu Kwaik
Bacterial Species                Protozoan Host

    Legionella spp.                Acanthamoeba spp.

     Vibrio cholerae        Acanthamoeba and Naegleria spp

    Chlamydia spp.                 Acanthamoeba spp.

    Salmonella spp.             Acanthamoeba rhysodes

Pseudomonas aeruginosa     Acanthamoeba spp. And Dictostelium

  Francisella tularensis         Tetrahymena pyriformis

Mycobacterium marinuma           Dictostelium discoideum
Initial Interaction between L. pneumophila and the host
                           cell


   Replication of L. pneumophila within the host cell



                Killing of the host cell
Attachment by bacterial ligand (pilus)


  Receptor on the
  cell surface



Cytoskeleton proteins



                                                                           Unknown




Source- Invasion of Protozoa by Legionella pneumophila and Its Role in Bacterial Ecology and
Pathogenesis by Yousef Abu Kwaik, Lian-Yong Gao, Barabara J. Stone, Chandrasekar Venkatraman,
and Omar S. Harb
Legionella-containing
                        vacuole (LCV)                               intracellular multiplication/
                                                                    defective organelle transport


                                                                                  Lysosome




 Vesicular trafficking




                                                                                     ER- derived
                                                                                     replicative
                                                                                     vacuole


Source- Environmental predators as models for bacterial pathogenesis by Hubert Hilbi, Stefan S. Weber,
Curdin Ragaz, Yves Nyfeler and Simon Urwyler
Source- From protozoa to mammalian cells: a new paradigm in the life cycle of intracellular bacterial
pathogens by Omar S. Harb, Lian-Yong Gao and Yousef Abu Kwaik
Role of protozoa in Legionnaires’ Disease
 Following intracellular replication within protozoa, L. pneumophila
  exhibit a dramatic increase in resistance to harsh conditions, including
  high temperature and acidity, which may facilitate bacterial survival in
  the environment.

 Intracellular L. pneumophila within protozoa are more resistant to
  chemical disinfection and biocides than in vitro-grown bacteria.

 Protozoa have been shown to release vesicles of respirable size that
  contain numerous L. pneumophila organisms, the vesicles are
  resistant to freeze-thawing and sonication. Following their release
  from the protozoan host, the bacteria exhibit a dramatically enhanced
  ability to infect mammalian cells.
Advantages of studying the interactions between
     pathogenic bacteria and its protozoan host
 The virulence mechanisms of pathogenic bacteria such as Legionella,
  Mycobacterium, Pseudomonas or Vibrio were found to be not only relevant for
  the interactions of the bacteria with protozoa but also with mammalian hosts
  including humans. Thus, non-mammalian model hosts provide valuable insight
  into the pathogenesis of environmental bacteria.
 A better understanding of these interactions might contribute to the
  development of novel therapeutic compounds to combat recognized and
  emerging infectious agents.
 Further characterization of the functions of various genes involved in
  intracellular infection and of their roles in alteration of endocytic trafficking of the
  bacteria will help microbiologists to understand the manipulations of host cell
  processes by a proficient intracellular pathogen.
 Understanding the functions of these loci and their roles in blocking maturation
  of the phagosome will allow both microbiologists and cell biologists to exploit
  them as tools to study endocytic trafficking and vesicular fusion.
References
 From protozoa to mammalian cells: a new paradigm in the life cycle of
  intracellular bacterial pathogens (Omar S. Harb, Lian-Yong Gao and Yousef Abu
  Kwaik)
 Environmental predators as models for bacterial pathogenesis (Hubert Hilbi,
  Stefan S. Weber, Curdin Ragaz, Yves Nyfeler and Simon Urwyler)
 Invasion of Protozoa by Legionella pneumophila and Its Role in Bacterial
  Ecology and Pathogenesis (Yousef Abu Kwaik, Lian-Yong Gao, Barbara J. Stone,
  Chandrasekar Venkataraman and Omar S. Harb)
 Bacterial–protozoa interactions; an update on the role these phenomena
  play towards human illness (William J. Snelling, John E. Moore, James P.
  McKenna , Donna M. Lecky, James S.G. Dooley)
Microbial pandora's box

Contenu connexe

Tendances

Morphology Of Viruses : Viruses, structure and characteristics
Morphology Of Viruses : Viruses, structure and characteristicsMorphology Of Viruses : Viruses, structure and characteristics
Morphology Of Viruses : Viruses, structure and characteristics
Shylesh M
 
Bacteriophage, phage typing and application
Bacteriophage, phage typing and applicationBacteriophage, phage typing and application
Bacteriophage, phage typing and application
Zebene Andargie
 

Tendances (19)

Phage replication cycles
Phage replication cyclesPhage replication cycles
Phage replication cycles
 
bacteriophage
bacteriophage bacteriophage
bacteriophage
 
General characteristics of viruses
General characteristics of virusesGeneral characteristics of viruses
General characteristics of viruses
 
Viruses
VirusesViruses
Viruses
 
Viruses
VirusesViruses
Viruses
 
Morphology Of Viruses : Viruses, structure and characteristics
Morphology Of Viruses : Viruses, structure and characteristicsMorphology Of Viruses : Viruses, structure and characteristics
Morphology Of Viruses : Viruses, structure and characteristics
 
Bacteriophage, phage typing and application
Bacteriophage, phage typing and applicationBacteriophage, phage typing and application
Bacteriophage, phage typing and application
 
Virus powerpoint
Virus powerpointVirus powerpoint
Virus powerpoint
 
Plant virology - Basics
Plant virology - BasicsPlant virology - Basics
Plant virology - Basics
 
Bacteriophage therapy of infections diseases.
Bacteriophage therapy of infections diseases.Bacteriophage therapy of infections diseases.
Bacteriophage therapy of infections diseases.
 
Bohomolets Microbiology Lecture #4
Bohomolets Microbiology Lecture #4Bohomolets Microbiology Lecture #4
Bohomolets Microbiology Lecture #4
 
Viruses SMG
Viruses  SMGViruses  SMG
Viruses SMG
 
SQUID VIBRIO
SQUID VIBRIOSQUID VIBRIO
SQUID VIBRIO
 
Bacteriophage
BacteriophageBacteriophage
Bacteriophage
 
Bacteriophages & Its classification, cycles, therapy, and applications
Bacteriophages & Its classification, cycles, therapy, and applicationsBacteriophages & Its classification, cycles, therapy, and applications
Bacteriophages & Its classification, cycles, therapy, and applications
 
Bacterial virus (Bacteriophage)
Bacterial virus (Bacteriophage)Bacterial virus (Bacteriophage)
Bacterial virus (Bacteriophage)
 
Quorum Quenching
Quorum QuenchingQuorum Quenching
Quorum Quenching
 
Virus ppt
Virus pptVirus ppt
Virus ppt
 
Study of viruses
Study of virusesStudy of viruses
Study of viruses
 

En vedette (9)

Geocaching final02
Geocaching final02Geocaching final02
Geocaching final02
 
Ardian ibp presentation_25012012
Ardian ibp presentation_25012012Ardian ibp presentation_25012012
Ardian ibp presentation_25012012
 
Powerpoint excite
Powerpoint excitePowerpoint excite
Powerpoint excite
 
Paul sloane
Paul sloanePaul sloane
Paul sloane
 
Gbi
GbiGbi
Gbi
 
Final presentation
Final presentationFinal presentation
Final presentation
 
Dipterocarp
DipterocarpDipterocarp
Dipterocarp
 
Human fetal development (saimphar, edna)
Human fetal development (saimphar, edna)Human fetal development (saimphar, edna)
Human fetal development (saimphar, edna)
 
Pagina web
Pagina webPagina web
Pagina web
 

Similaire à Microbial pandora's box

Lab Report Of The Experiment Of Conjugation Of E. Coli
Lab Report Of The Experiment Of Conjugation Of E. ColiLab Report Of The Experiment Of Conjugation Of E. Coli
Lab Report Of The Experiment Of Conjugation Of E. Coli
Renee Wardowski
 
VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES
VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES
VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES
Shylesh M
 
Studying Viruses can be important because they are often disease .pdf
Studying Viruses can be important because they are often disease .pdfStudying Viruses can be important because they are often disease .pdf
Studying Viruses can be important because they are often disease .pdf
suhshbhosale
 
What is a virus, what key feature separates viruses from all other m.pdf
What is a virus, what key feature separates viruses from all other m.pdfWhat is a virus, what key feature separates viruses from all other m.pdf
What is a virus, what key feature separates viruses from all other m.pdf
apexsports101
 

Similaire à Microbial pandora's box (20)

Lab Report Of The Experiment Of Conjugation Of E. Coli
Lab Report Of The Experiment Of Conjugation Of E. ColiLab Report Of The Experiment Of Conjugation Of E. Coli
Lab Report Of The Experiment Of Conjugation Of E. Coli
 
Infection and bacterial virulence factors
Infection and bacterial virulence factorsInfection and bacterial virulence factors
Infection and bacterial virulence factors
 
VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES
VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES
VIRUSES CLASSIFICATION , LIFE CYCLE OF VIRUSES. CHARACTERISTICS OF VIRUSES
 
viruses-190413061820.pdf
viruses-190413061820.pdfviruses-190413061820.pdf
viruses-190413061820.pdf
 
Bohomolets Microbiology Lecture#1
Bohomolets Microbiology Lecture#1Bohomolets Microbiology Lecture#1
Bohomolets Microbiology Lecture#1
 
Endosymbiotic bacteria
Endosymbiotic  bacteriaEndosymbiotic  bacteria
Endosymbiotic bacteria
 
Biofilms
Biofilms Biofilms
Biofilms
 
Phages.pptx
Phages.pptxPhages.pptx
Phages.pptx
 
BACTERIAL SYMBIOSIS
BACTERIAL SYMBIOSISBACTERIAL SYMBIOSIS
BACTERIAL SYMBIOSIS
 
Nutritional-classification-of-microorganisms (part 2)
Nutritional-classification-of-microorganisms (part 2)Nutritional-classification-of-microorganisms (part 2)
Nutritional-classification-of-microorganisms (part 2)
 
Biofilms
BiofilmsBiofilms
Biofilms
 
Bateriophage
BateriophageBateriophage
Bateriophage
 
Bio305 pathogen biology_2012
Bio305 pathogen biology_2012Bio305 pathogen biology_2012
Bio305 pathogen biology_2012
 
Reproductive cycle of virus
Reproductive cycle of virusReproductive cycle of virus
Reproductive cycle of virus
 
Studying Viruses can be important because they are often disease .pdf
Studying Viruses can be important because they are often disease .pdfStudying Viruses can be important because they are often disease .pdf
Studying Viruses can be important because they are often disease .pdf
 
José Luis Martínez - Simposio Microbiología: Transmisión
José Luis Martínez - Simposio Microbiología: TransmisiónJosé Luis Martínez - Simposio Microbiología: Transmisión
José Luis Martínez - Simposio Microbiología: Transmisión
 
What is a virus, what key feature separates viruses from all other m.pdf
What is a virus, what key feature separates viruses from all other m.pdfWhat is a virus, what key feature separates viruses from all other m.pdf
What is a virus, what key feature separates viruses from all other m.pdf
 
generalpropertiesofviruses-140309015013-phpapp02.pdf
generalpropertiesofviruses-140309015013-phpapp02.pdfgeneralpropertiesofviruses-140309015013-phpapp02.pdf
generalpropertiesofviruses-140309015013-phpapp02.pdf
 
Pharmaceutical microbiology
Pharmaceutical microbiologyPharmaceutical microbiology
Pharmaceutical microbiology
 
Nhn sumaya enrichment_program
Nhn sumaya enrichment_programNhn sumaya enrichment_program
Nhn sumaya enrichment_program
 

Dernier

1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
QucHHunhnh
 
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
fonyou31
 
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Krashi Coaching
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
PECB
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
ciinovamais
 

Dernier (20)

1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
Interactive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationInteractive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communication
 
Sanyam Choudhary Chemistry practical.pdf
Sanyam Choudhary Chemistry practical.pdfSanyam Choudhary Chemistry practical.pdf
Sanyam Choudhary Chemistry practical.pdf
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
 
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
 
The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13
 
social pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajansocial pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajan
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impact
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
General AI for Medical Educators April 2024
General AI for Medical Educators April 2024General AI for Medical Educators April 2024
General AI for Medical Educators April 2024
 
fourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writingfourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writing
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
 
Advance Mobile Application Development class 07
Advance Mobile Application Development class 07Advance Mobile Application Development class 07
Advance Mobile Application Development class 07
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 

Microbial pandora's box

  • 1. Interaction of free living protozoa with human pathogenic bacteria
  • 2. • Bacteria live in harsh environments, characterized by a constant competition for nutrients and the menace of bacterivorous predators such as protozoa and nematodes. • In the course of their evolution, some bacteria developed sophisticated defence mechanisms, including the formation of biofilms, the capacity to avoid lysosomal killing and to replicate intracellularly within protozoa.
  • 3. Source- Environmental predators as models for bacterial pathogenesis by Hubert Hilbi, Stefan S. Weber, Curdin Ragaz, Yves Nyfeler and Simon Urwyler
  • 4. Why protozoa?  Consumption by protozoa is considered to be a major source of bacterial mortality in environment.  Bacterial pathogens have evolved survival mechanisms, especially the ability to subvert being killed within phagolysosomes. They are able to survive the complex and often inhospitable habitat and, ultimately, create idiosyncratic niches inside their host cells where they are able to flourish.  Thus protozoa have been termed as ‘biological gymnasia’ whereby intraprotozoan bacterial pathogens train for their encounter with the more evolved mammalian cells.
  • 5. Source- From protozoa to mammalian cells: a new paradigm in the life cycle of intracellular bacterial pathogens by Omar S. Harb, Lian-Yong Gao and Yousef Abu Kwaik
  • 6. Bacterial Species Protozoan Host Legionella spp. Acanthamoeba spp. Vibrio cholerae Acanthamoeba and Naegleria spp Chlamydia spp. Acanthamoeba spp. Salmonella spp. Acanthamoeba rhysodes Pseudomonas aeruginosa Acanthamoeba spp. And Dictostelium Francisella tularensis Tetrahymena pyriformis Mycobacterium marinuma Dictostelium discoideum
  • 7. Initial Interaction between L. pneumophila and the host cell Replication of L. pneumophila within the host cell Killing of the host cell
  • 8. Attachment by bacterial ligand (pilus) Receptor on the cell surface Cytoskeleton proteins Unknown Source- Invasion of Protozoa by Legionella pneumophila and Its Role in Bacterial Ecology and Pathogenesis by Yousef Abu Kwaik, Lian-Yong Gao, Barabara J. Stone, Chandrasekar Venkatraman, and Omar S. Harb
  • 9. Legionella-containing vacuole (LCV) intracellular multiplication/ defective organelle transport Lysosome Vesicular trafficking ER- derived replicative vacuole Source- Environmental predators as models for bacterial pathogenesis by Hubert Hilbi, Stefan S. Weber, Curdin Ragaz, Yves Nyfeler and Simon Urwyler
  • 10. Source- From protozoa to mammalian cells: a new paradigm in the life cycle of intracellular bacterial pathogens by Omar S. Harb, Lian-Yong Gao and Yousef Abu Kwaik
  • 11. Role of protozoa in Legionnaires’ Disease  Following intracellular replication within protozoa, L. pneumophila exhibit a dramatic increase in resistance to harsh conditions, including high temperature and acidity, which may facilitate bacterial survival in the environment.  Intracellular L. pneumophila within protozoa are more resistant to chemical disinfection and biocides than in vitro-grown bacteria.  Protozoa have been shown to release vesicles of respirable size that contain numerous L. pneumophila organisms, the vesicles are resistant to freeze-thawing and sonication. Following their release from the protozoan host, the bacteria exhibit a dramatically enhanced ability to infect mammalian cells.
  • 12. Advantages of studying the interactions between pathogenic bacteria and its protozoan host  The virulence mechanisms of pathogenic bacteria such as Legionella, Mycobacterium, Pseudomonas or Vibrio were found to be not only relevant for the interactions of the bacteria with protozoa but also with mammalian hosts including humans. Thus, non-mammalian model hosts provide valuable insight into the pathogenesis of environmental bacteria.  A better understanding of these interactions might contribute to the development of novel therapeutic compounds to combat recognized and emerging infectious agents.  Further characterization of the functions of various genes involved in intracellular infection and of their roles in alteration of endocytic trafficking of the bacteria will help microbiologists to understand the manipulations of host cell processes by a proficient intracellular pathogen.  Understanding the functions of these loci and their roles in blocking maturation of the phagosome will allow both microbiologists and cell biologists to exploit them as tools to study endocytic trafficking and vesicular fusion.
  • 13. References  From protozoa to mammalian cells: a new paradigm in the life cycle of intracellular bacterial pathogens (Omar S. Harb, Lian-Yong Gao and Yousef Abu Kwaik)  Environmental predators as models for bacterial pathogenesis (Hubert Hilbi, Stefan S. Weber, Curdin Ragaz, Yves Nyfeler and Simon Urwyler)  Invasion of Protozoa by Legionella pneumophila and Its Role in Bacterial Ecology and Pathogenesis (Yousef Abu Kwaik, Lian-Yong Gao, Barbara J. Stone, Chandrasekar Venkataraman and Omar S. Harb)  Bacterial–protozoa interactions; an update on the role these phenomena play towards human illness (William J. Snelling, John E. Moore, James P. McKenna , Donna M. Lecky, James S.G. Dooley)