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Microbe-host cell adhesion

Molecular classification
Biological process, Mediated by microbial adhesins (e.g., proteins, pili, fimbriae, lectins, MSCRAMMs), Mediated by host cell receptors (e.g., integrins, extracellular matrix proteins, glycoproteins, glycolipids, CEACAMs)
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Overview

Microbe-host cell adhesion is a complex, essential biological process by which microbes (such as bacteria and some fungi or viruses) use surface proteins called adhesins (including pili, fimbriae, lectins, and microbial surface components recognizing adhesive matrix molecules/MSCRAMMs) to bind to specific receptors (e.g., glycoproteins, glycolipids, ECM proteins, integrins, CEACAMs) on host cells. This stable association is necessary for colonization, pathogenesis, biofilm formation, tissue invasion, and immune evasion. The specific molecules involved vary widely between organisms and tissues, and successful adhesion can trigger host cell signaling, cytoskeletal rearrangement, or uptake of the microbe. The process can be targeted therapeutically, but only by focusing on individual adhesins or host cell receptors, not the broad process itself. Microbe-host cell adhesion is a fundamental process enabled by molecular interactions, not a target molecule or receptor.

Other names
Microbial adhesion to host cellsBacterial adhesionHost-microbe cell adherencePathogen-host cell binding
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Mechanism of action

Drugs that inhibit microbe-host cell adhesion work by blocking adhesin binding sites on microbes, blocking host cell receptors (integrins, CEACAMs, ECM proteins) to prevent microbial attachment, or interfering with the formation or function of pili, fimbriae, or other surface structures required for adhesion. These drugs target specific molecules involved in the process, not the general process itself.

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Biological functions

ColonizationBiofilm formationCellular invasionImmune evasionActivation of host cell signalingHost-pathogen communication
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Disease associations

Infection (bacterial, viral, parasitic)Chronic diseases related to persistent infectionInflammation (indirectly)Tissue damage (indirectly)
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Safety considerations

Blocking host adhesion molecules may interfere with normal cell-cell communicationBlocking host adhesion molecules may interfere with immune defenseBlocking host adhesion molecules may interfere with tissue integrityBroad disruption may also impact beneficial commensal microbes
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Biomarkers

Specific adhesins (Protein F, Opa, FimH, etc.)Presence of adhesin genes or proteins in pathogen strainsHost cell receptor polymorphisms (e.g., CEACAM variants)

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