IMMUNOGENETIC AND CYTOKINE MARKERS FOR ASSESSING IMMUNOINFLAMMATORY RESPONSES IN BRUCELLOSIS
Keywords:
Brucellosis, host immune response, persistent (chronic) infection, diagnostic approachesAbstract
Brucellosis, a widespread zoonotic infection caused by Brucella species, continues to pose a substantial public health challenge, particularly in endemic areas. This paper examines the fundamental mechanisms involved in brucellosis pathogenesis, including pathogen recognition processes, immune evasion strategies utilized by Brucella, and the integrated roles of innate and adaptive immune responses in disease development. Particular attention is given to the ability of Brucella to alter host immune regulation, thereby promoting persistent and chronic infection. From an epidemiological perspective, the study addresses the major routes of transmission, associated risk factors, and the wider impact of brucellosis on global health. In addition, recent progress in diagnostic methodologies, especially molecular diagnostic tools and the identification of novel biomarkers, is reviewed to improve disease detection and monitoring. The paper also evaluates current therapeutic approaches, including standard antimicrobial regimens and emerging immunotherapeutic strategies, highlighting their challenges and future directions. By providing a clearer understanding of the molecular and immunological basis of brucellosis pathogenesis, this study emphasizes the value of multidisciplinary strategies in advancing diagnosis, treatment, prevention, and clinical management of this persistent infectious disease.
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References
1. World Health Organization. Brucellosis in humans and animals. WHO Press; 2023.
2. Pappas G, Papadimitriou P, Akritidis N, Christou L, Tsianos EV. The new global map of human brucellosis. Lancet Infect Dis. 2006;6(2):91–99.
3. Corbel MJ. Brucellosis in humans and animals. WHO/CDS/EPR; 2006.
4. Seleem MN, Boyle SM, Sriranganathan N. Brucellosis: a re-emerging zoonosis. Vet Microbiol. 2010;140(3–4):392–398.
5. Atluri VL, Xavier MN, de Jong MF, den Hartigh AB, Tsolis RM. Interactions of the human pathogenic Brucella species with their hosts. Annu Rev Microbiol. 2011;65:523–541.
6. De Jong MF, Tsolis RM. Brucellosis and autophagy: manipulation of host cell pathways. Cell Microbiol. 2016;18(11):1452–1460.
7. Zhong Z, et al. TcpB-mediated immune evasion in Brucella infection. Infect Immun. 2012;80(3):1111–1120.
8. Dorneles EMS, et al. Immune response in Brucella infection and vaccine development. Front Immunol. 2015;6:1–12.
9. Ahmed W, et al. Nanoparticle-based vaccines against intracellular pathogens. Nanomedicine. 2020;25:102–115.
10. Wherry EJ, Kurachi M. Molecular and cellular insights into T cell exhaustion. Nat Rev Immunol. 2015;15(8):486–499.
11. Barber DL, et al. Restoring function in exhausted T cells. Nature. 2006;439(7077):682–687.
12. Zhang J, et al. Brucella modulation of macrophage polarization via TcpB. J Immunol. 2014;193(1):123–132.
13. Vivier E, et al. Innate lymphoid cells in immunity. Science. 2018;359(6371):eaao6566.
14. Decker T, et al. Type I interferons in bacterial infection. Nat Rev Immunol. 2017;17(7):377–389.
15. Skendros P, Boura P. Immunopathogenesis of brucellosis. Clin Dev Immunol. 2013;2013:1–9.
16. Dornand J, et al. Chronic inflammation in brucellosis. Infect Immun. 2002;70(3):1344–1349.
17. Baldi PC, Giambartolomei GH. Pathogenesis and immune response in brucellosis. Vet Microbiol. 2013;167(1–2):15–21.
18. Zhang X, et al. Macrophage polarization in chronic infection. Front Immunol. 2020;11:1–10.
19. Oliveira SC, et al. Cellular immunity in Brucella infection. Clin Microbiol Rev. 2011;24(4):636–666.
20. Cellier M, et al. Brucella Type IV secretion system and immune evasion. Cell Host Microbe. 2010;7(4):321–332.
21. Arenas-Gamboa AM, et al. Humoral immunity in brucellosis. Infect Immun. 2009;77(12):540–548.
22. Futosi K, et al. Neutrophils in adaptive immunity modulation. Front Immunol. 2013;4:1–12.
23. Pasquevich KA, et al. Vaccine development against Brucella. Hum Vaccin Immunother. 2014;10(1):31–40.
24. Gupta VK, et al. Nanoparticle vaccines in infectious diseases. Adv Drug Deliv Rev. 2019;147:1–20.
25. Dorneles EMS, et al. Immunotherapeutic approaches for brucellosis. Front Microbiol. 2021;12:1–15.
26. Dean AS, et al. Global epidemiology of brucellosis. PLoS Negl Trop Dis. 2012;6(10):e1865.
27. Corbel MJ. Human brucellosis epidemiology. WHO; 2006.
28. Young EJ. Brucella species. In: Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 2020.
29. Godfroid J, et al. Zoonotic transmission of brucellosis. Vet Res. 2010;41(2):1–15.
30. Ducrotoy MJ, et al. Environmental and climate impact on brucellosis. Emerg Infect Dis. 2018;24(1):1–10.



















