Table 1b. The most deadly infectious agents utilize PS.
| Rank 2006 | Disease | Pathogen | Class | Mortality rate (2006) Deaths ww/ 1000 | PS involvement | Citations |
|---|---|---|---|---|---|---|
| 2 | AIDS | HIV | V | 49 | PS exposure of the virion | Callahan et al.119 |
| 4 | Tuberculosis (TB) | Mycobacterium tuberculosis | B | 27 | PS-Decarboxylase | Divangahi et al.120; Chen et al.121 |
| 5 | Malaria | Plasmodium spp. | P | 22 | PS exposure on infected RBC | Eda and Sherman122 |
| 6 | Measles | Paramyxovirus/ Morbillivirus | V | 11 | Energy consumption —> PS exposure on host cells | Anderton et al.123 |
| 7 | Pertussis | Bordetella pertussis | B | 5 | PS-Decarboxylase, PS exposure on host cells | Kawai124 |
| 8 | Tetanus | Clostridium tetani | B | 4 | Tetanustoxin forms ion channels in PS bilayers | Rauch et al.125 |
| 10 | Syphilis | Treponema pallidum | B | 3 | PS exposure | Belisle et al.126 |
| 11 | Acute Hepatits B | Hepatitis B Virus | V | 2 | PS exposure of the virion | De Meyer et al.110 |
| 1 | Respiratory infections | Multiple pathogens | B, F, V | 69 | No information due to multiple pathogens | |
| 3 | Diarrheal diseases | Multiple pathogens | B, F, V, P | 32 | ||
| 9 | Meningitis (all) | Multiple pathogens | B, F, V | 3 | ||
| 12—17 | Tropical diseases | Multiple pathogens | B, F, V | 2 | ||
| Small pox | Variola virus | V | 0 | PS exposure of the virion | Mercer and Mazzon127 | |
| Leishmaniasis | Leishmania spp. | P | 0,0069 (2010) | PS exposure of the parasite and of infected neutrophils | van Zandbergen et al.128 | |
| Trypanosomiasis | Trypanosoma spp. | P | 0,0014 (2010) | PS exposure of bystander cells | De Souza et al.129; DaMatta et al.93 | |
| Ebola | Ebola | V | 0,011 (2014) | PS exposure of the virion | Morizone and Chen65 |
Abbreviations: B, bacteria; F, fungi; P, parasite; V, virus
In several of the most deadly infectious diseases, ranked by the death toll worldwide per 1000 people (2006), PS is reportedly involved in the etiopathogenesis. This may reflect the potency of PS bearing microorganisms to evade immune recognition. All statistical data are based on WHO reports from 1993–2014