What is it about?

The earliest definitions of "pathogen" go like this: "any disease-producing agent, especially a virus, bacterium, or other microorganism." The "especially" bit is redundant. It is merely an acknowledgement of the mass action distortion brought about by common usage. Whilst a pathogenic organism is, without question, a pathogen, a pathogen is not, without exception, a pathogenic organism. For example, asbestos is a pathogen. But modern definitions veer towards " a pathogen is a pathogenic micro-organism". This has created a corrupting blind spot that is obstructing a full understanding the "purpose" of an immune response.

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Why is it important?

Until you acknowledge that the immune system is primarily about recognising and responding to pathogenic events, (damage/disruption/debris - the latter dominantly self tissue debris) you will continue to perceive the immune system as, primarily, a bug hunting, chasing and killing mechanism. Micro-organisms are primordial food for amoebocytes (that includes phagocytes) and any "attack" on micro-organisms relies upon the enrolment of this primordial capability. However, damage is what primarily initiates the response to pathogens (by this I mean any disease-producing agent). This is essentially a tautology - a statement that is so obvious that we should not need to emphasise it; but we need to for we seem to be blind to it.

Perspectives

We would be well advised to devise a fresh soundbite to describe a potentially or actively pathogenic organism. Pathobiont is already in use but was originally used for gut micro-organisms. I like "pathogerm"; this is twee and close to pathogen but it makes us aware of the distinction. Every time something goes wrong in our bodies, the immune system is activated (innate immunity leading to inflammation leading to adaptive immunity). It is not a bug hunting, chasing and killing mechanism. It responds to (by innate immunity) and remembers (by adaptive immunity) damaging or disruptive events and it is a process that attempts to clear the mess and restore homeostasis. "Germ" ingestion is the recruitment of a primordial feeding process.

Dr Jamie Cunliffe
Independant

Read the Original

This page is a summary of: A Proliferation of Pathogens through the 20th Century, Scandinavian Journal of Immunology, August 2008, Wiley,
DOI: 10.1111/j.1365-3083.2008.02130.x.
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