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Cited by 283

The DOI matches its Crossref record; 146 of the 146 references it cites were found in a registry or an index.

The role of the local microbial ecosystem in respiratory health and disease

Open access
de Steenhuijsen Piters, Wouter A. A., Sanders, Elisabeth A. M., Bogaert, Debby·2015·Philosophical Transactions of the Royal Society B: Biological Sciences

Abstract

Respiratory tract infections are a major global health concern, accounting for high morbidity and mortality, especially in young children and elderly individuals. Traditionally, highly common bacterial respiratory tract infections, including otitis media and pneumonia, were thought to be caused by a limited number of pathogens including Streptococcus pneumoniae and Haemophilus influenzae. However, these pathogens are also frequently observed commensal residents of the upper respiratory tract (URT) and form—together with harmless commensal bacteria, viruses and fungi—intricate ecological networks, collectively known as the ‘microbiome’. Analogous to the gut microbiome, the respiratory microbiome at equilibrium is thought to be beneficial to the host by priming the immune system and providing colonization resistance, while an imbalanced ecosystem might predispose to bacterial overgrowth and development of respiratory infections. We postulate that specific ecological perturbations of the bacterial communities in the URT can occur in response to various lifestyle or environmental effectors, leading to diminished colonization resistance, loss of containment of newly acquired or resident pathogens, preluding bacterial overgrowth, ultimately resulting in local or systemic bacterial infections. Here, we review the current body of literature regarding niche-specific upper respiratory microbiota profiles within human hosts and the changes occurring within these profiles that are associated with respiratory infections.

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Metadata

Authors
de Steenhuijsen Piters, W. A. A., Sanders, E. A. M., & Bogaert, D.
Venue
Philosophical Transactions of the Royal Society B: Biological Sciences
Published
2015-08-19
Volume
370
Issue
1675
Pages
20140294
ISSN
  • 0962-8436 (ISSN-L)
  • 1471-2970
OpenAlex
W1907046813
Cited by
283
References
146
FWCI
8.75
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The role of the local microbial ecosystem in respiratory health and disease. https://app.cochat.ai/papers/10.1098/rstb.2014.0294
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de Steenhuijsen Piters, W. A. A., Sanders, E. A. M., & Bogaert, D. (2015). The role of the local microbial ecosystem in respiratory health and disease. Philosophical Transactions of the Royal Society B: Biological Sciences. https://doi.org/10.1098/rstb.2014.0294

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