Published online Jul 16, 2015. doi: 10.12998/wjcc.v3.i7.575
Peer-review started: October 13, 2014
First decision: November 14, 2014
Revised: November 30, 2014
Accepted: April 16, 2015
Article in press: April 20, 2015
Published online: July 16, 2015
Processing time: 290 Days and 18.5 Hours
Quorum sensing (QS) is cell communication that is widely used by bacterial pathogens to coordinate the expression of several collective traits, including the production of multiple virulence factors, biofilm formation, and swarming motility once a population threshold is reached. Several lines of evidence indicate that QS enhances virulence of bacterial pathogens in animal models as well as in human infections; however, its relative importance for bacterial pathogenesis is still incomplete. In this review, we discuss the present evidence from in vitro and in vivo experiments in animal models, as well as from clinical studies, that link QS systems with human infections. We focus on two major QS bacterial models, the opportunistic Gram negative bacteria Pseudomonas aeruginosa and the Gram positive Staphylococcus aureus, which are also two of the main agents responsible of nosocomial and wound infections. In addition, QS communication systems in other bacterial, eukaryotic pathogens, and even immune and cancer cells are also reviewed, and finally, the new approaches proposed to combat bacterial infections by the attenuation of their QS communication systems and virulence are also discussed.
Core tip: In this manuscript we discuss the basics aspects of quorum sensing (QS) and its relationship with human infections, focusing in two major QS bacterial models, the opportunistic Gram negative bacteria Pseudomonas aeruginosa and Staphylococcus aureus.