Microbiota-mediated colonization resistance: mechanisms and regulation

Nat Rev Microbiol. 2023 Jun;21(6):347-360. doi: 10.1038/s41579-022-00833-7. Epub 2022 Dec 20.

Abstract

A dense and diverse microbial community inhabits the gut and many epithelial surfaces. Referred to as the microbiota, it co-evolved with the host and is beneficial for many host physiological processes. A major function of these symbiotic microorganisms is protection against pathogen colonization and overgrowth of indigenous pathobionts. Dysbiosis of the normal microbial community increases the risk of pathogen infection and overgrowth of harmful pathobionts. The protective mechanisms conferred by the microbiota are complex and include competitive microbial-microbial interactions and induction of host immune responses. Pathogens, in turn, have evolved multiple strategies to subvert colonization resistance conferred by the microbiota. Understanding the mechanisms by which microbial symbionts limit pathogen colonization should guide the development of new therapeutic approaches to prevent or treat disease.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Immunity
  • Microbiota*