Le 21 novembre 2019 s’est tenu à l’Automobile Club de France, le 20e Grand Prix Éditorial organisé par le Syndicat de la Presse et de l’Edition des Professions de Santé (Speps). La revue Virologie a été récompensée en obtenant le prix du Meilleur article de formation pour les médecins spécialistes pour l’article de Maxime Pichon, Bruno Lina et Laurence Josset paru dans le numéro du mois de mai 2018.
Caractérisation et impact du microbiote bactérien respiratoire sur les maladies virales
Maxime Pichon, Bruno Lina, Laurence Josset
Longtemps considéré comme stérile, le tractus respiratoire est maintenant reconnu comme un espace comportant un microbiome à fort potentiel évolutif. L’amélioration des technologies de séquençage permet désormais l’étude de la physiopathologie du microbiome bactérien respiratoire et de ses liens avec la sévérité des infections virales respiratoires. Après une revue des méthodes de caractérisation du microbiote bactérien, en général, et respiratoire, en particulier, cette revue s’attachera à décrire l’impact de ce microbiote sur l’immunité innée et acquise de l’hôte infecté. Nous verrons comment l’exposition virale, survenant dans un contexte d’altération ou de déplétion totale du microbiote respiratoire après antibiothérapie, influence fortement l’évolution clinique de l’hôte infecté. La prise en charge des patients infectés, à risque de complications, pourrait bénéficier de ces nouvelles connaissances. En effet, des études récentes démontrent que de nombreuses voies de réponse de l’hôte à l’infection sont perturbées lorsque le microbiote bactérien est altéré. Son rééquilibrage, par administration de probiotiques ou de molécules innovantes modifiant sa composition, pourrait améliorer le pronostic de l’infection.
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