Listeria monocytogenes is one of the leading foodborne pathogens and h
as been implicated in numerous outbreaks in the last 2 decades. Immuno
compromised populations are usually the most susceptible to Listeria i
nfections. Although the pathogenic mechanism is a complex process, sig
nificant progress has been made in unravelling the mechanism in recent
years. It is now clear that numerous extracellular and cell-associate
d proteins, such as internalin, listeriolysin, actin polymerization pr
otein, phospholipase, metalloprotease, and possibly p60 proteins, are
essential for L. monocytogenes entry into mammalian cells, survival in
side the phagosome, escape into the cytoplasm, and cell-to-cell spread
. Other proteins may be responsible for growth and physiology or to ma
intain the structural integrity of the bacteria. Monoclonal and polycl
onal antibodies have been developed against many of those antigens or
their synthetic derivatives that have helped greatly to determine the
structure and function of these antigens. The antibodies were also use
d for the diagnosis and detection, immunocytochemical staining, and se
rotyping of Listeria. Humoral immune response to live L. monocytogenes
cells was examined in naturally or experimentally infected hosts. Stu
dies revealed that only extracellular antigens induced the humoral res
ponse, whereas cell-associated antigens had apparently no response. It
is speculated that during the occasional bacteremic phase, L. monocyt
ogenes releases extracellular antigens that are then processed by the
immune system for antibody production. As L. monocytogenes is an intra
cellular pathogen, the cell-associated antigens are not persistent in
the blood circulation and thus fail to stimulate the humoral immune re
sponse.