Fig. 1 Presentation of filamentous haemagglutinin, fimbriae and pertactin on the Bordetella cell surface (Jeffrey A. Melvin, et al. 2014)
Fig. 2 Immunity to Bordetella pertussis in a naive host (R Higgs, et al. 2012)
Pertussis is a highly contagious respiratory disease that is transmitted directly from human to human, probably via aerosolized respiratory droplets. The primary causative agent, Bordetella pertussis, is a Gram-negative bacterium that was first described by Bordet and Gengou in 1906. The closely related bacterium Bordetella parapertussis Hu is responsible for a minority of cases and is less capable of causing severe disease. Both B. pertussis and B. parapertussis are human-specific, and phylogenetic analyses indicate that they evolved from Bordetella bronchiseptica or a B. bronchiseptica-like ancestor.
Bordetella pertussis produces a complex array of adhesins, aggressins and toxins that are presumed to be important in the colonisation of its human host and in ensuring its survival and propagation. The organism also has highly sophisticated mechanisms for regulating virulence factor expression, in response to environmental signals or by reversible mutations. Toxins of Bordetella pertussis mainly include Pertussis toxin (PT), Adenylate cyclase toxin (ACT), Type III secretion, Tracheal cytotoxin (TCT) and Dermonecrotic toxin (DNT). The main surface structures include Filamentous haemagglutinin (FHA), Fimbriae (Fim), Pertactin (PRN), Lipopolysaccharide (LPS) and additional surface proteins.