Microorganisms interact with the immune system in multiple ways, In an
interaction between a microorganism and its host, the defense of the
host does not go unchallenged, Microorganisms have for decades been su
spected of possessing the capabilities of hiding from and escaping the
consequences of immune surveillance, Escape mechanisms like antigenic
variation, latency, and genomic integration can best be described as
passive mechanisms for avoiding interaction with the host immune syste
m, to differentiate them from the more engaging and host-directed acti
ve mechanisms of interaction, Studies of the mechanism of direct entry
of viruses (HIV, measles, and enteroviruses), bacteria (streptococci
and staphylococci), and parasites (Leishmania and plasmodium) into imm
une cells like CD4(+) T cells or macrophages, as reported very recentl
y, indicate an even more aggressive mode of interaction, This aggressi
ve mechanism of interaction with the components of the host immune sys
tem allows the microbe not only to block the normal function of immune
components on the surface of immune cells from functioning, but also
to obliterate a vital immune function, cellular immunity, causing immu
nosuppression, e.g. the depletion of CD4(+) T cells due to the entry a
nd replication of HIV. Collectively, microorganisms have evolved vario
us mechanisms by which they can actively block almost any cellular, hu
moral, or systemic immune response, One general feature of the protein
s that assist microorganism to immunomodulate and actively evade host
defense is their structural and therefore functional similarity to the
host proteins, which they effectively mimic, Understanding the differ
ent mechanisms by which microorganisms interact with the immune system
can impact the design of live vaccines as well as the development of
novel therapeutic immunomodulators that can provide medicine with powe
rful new tools to manage immune disorders, allograft rejection, remote
multiple organ failure resulting from trauma, autoimmune diseases, et
c.