Human-Restricted Bacterial Pathogens Block Shedding of Epithelial Cells by Stimulating Integrin Activation

Here to Stay For systemic infection, bacterial pathogens must breach the mucosal epithelial barrier. Our bodies have developed a variety of strategies to protect the mucosa, including rapid turnover of epithelial cells. Muenzner et al. (p. 1197 ; see the cover) show how invasive bacteria overcome this host defense in a humanized mouse model susceptible to Neisseria gonorrhoeae urogenital infection. The bacteria bind to a host-cell surface protein called carcinoembryonic antigen (CEA), which triggers a cascade of changes modulating the cell adhesion properties of the targeted epithelium to prevent the cells from being shed.