The New Microbiology. Pascale Cossart

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      After studying chemistry in Lille, France, Pascale Cossart obtained a masters degree from Georgetown University, Washington, DC. Returning to France, she obtained her Ph.D. in Paris at the Institut Pasteur, where she now heads the Bacteria-Cell Interactions unit, which is also an Inserm and an INRA unit. After studying DNA-protein interactions, in 1986 Dr. Cos-sart began to study the molecular and cellular basis of infections by intracellular bacteria, taking as a model the bacterium Listeria monocytogenes. Her research has led to new concepts in infection biology as well as in microbiology, cell biology, and epigenetics.

      Pascale Cossart is considered a pioneer in cellular microbiology. Her contributions have been recognized by a number of international awards, including the L’Oreal/UNESCO Prize for Women in Science (1998), the Richard Lounsbery Prize (Académie des Sciences, Paris/National Academy of Sciences, 1998), the Robert Koch Prize (2007), the Louis Jeantet Prize for Medicine (2008), and the Balzan Prize (2013). She is a member of the French Academy of Science (2002); a foreign member of the National Academy of Sciences (United States; 2009), the German Leopoldina (2001), the Royal Society (United Kingdom; 2010), and the National Academy of Medicine (United States; 2014); and, since January 2016, Secrétaire Perpétuel de l’Académie des Sciences, Institut Pasteur. (Photo courtesy of Agnès Ullmann.)

PART I New Concepts in Microbiology

      CHAPTER 1

      Bacteria: Many Friends, Few Enemies

      Archaea, like bacteria, are unicellular organisms but differ from bacteria in that they have lipids that are not found in bacteria and an ensemble of compounds that are similar to those of eukaryotes, in particular the machinery that regulates gene expression. When they were discovered, archaea were thought to exist only in extreme environments, such as very hot water springs, but we now know that they are present everywhere, including in our gut.

      Bacteria are extremely varied and make up the most diverse domain of life. They have been on Earth for billions of years and have evolved to survive in a great variety of conditions. There are more than 11,500 known species of bacteria in more than 2,000 genera (groupings of species). These numbers have so far been based only on gene comparisons, particularly the 16S RNA genes, and they keep rising. Classification methods are changing too. Now that we can compare entire genome sequences, the definition of “species” itself is evolving.

      Bacteria are present everywhere in the environment; they are in all habitats on earth, including hot springs and seawater, even in very high salinity. Many live in humans—there are an estimated 1010 bacteria on our skin, 1010 in our mouths, and 1014 in our intestines. That’s 10 times more bacterial cells in our bodies than human cells! However, a recently published article investigated this number and concluded that it was actually overestimated by a factor of 10. Whatever the count, in our intestine—which contains tens of billions of bacteria—there are more than a thousand different species. Sometimes I like to think that bacteria are our constant companions, generally friendly hitchhikers that we carry around with us everywhere!

      Many bacteria live free in natural environments. There they live, grow, and feed and by doing so contribute to the equilibrium and characteristics of the specific ecosystems in which they grow. For example, bacteria from the Streptomyces family are responsible for the so refreshing smell of the woods after a rain.

      Many other bacteria are not alone and are associated with a partner. They establish long-lasting relationships that are mutually beneficial, or “symbiotic,” within humans, animals, and even plants. Additionally, as we will soon see, bacteria of several species can assemble in very large communities, called microbiomes, which become integral part of organisms. These combinations of organisms and microbiomes are referred to as superorganisms.

      It is important to realize that of all the bacteria on Earth, pathogenic bacteria (those responsible for disease) are in the minority. Among those, a few produce very powerful toxins and always induce disease. An example is Vibrio cholerae, the water-transmissible Vibrio species responsible for cholera, which produces a toxin that can cause fatal diarrhea and dehydration. Another example is Corynebacterium diphtheriae, which causes diphtheria, a disease nearly forgotten in developed countries due to the efficacy of mandatory vaccinations. Also in this group is Clostridium tetani, which produces the toxin for tetanus, and Clostridium botulinum, which produces the botulinum toxin.

      However, illnesses caused by a single toxin are extremely rare. As a general rule, bacteria create disease by means of an arsenal of strategies and tools called virulence mechanisms and virulence factors. The combination of different virulence factors allows a bacterium to enter an organism, evade the host’s

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