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. 2016 Feb 26;23(6):962–978. doi: 10.1038/cdd.2016.11

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