Host-pathogen interactions under pressure: a systematic review and
meta-analysis of stress-mediated effects on disease dynamics
Abstract
Human activities have increased the intensity and frequency of natural
stressors and created novel stressors, altering host-pathogen
interactions, and changing the risk of emerging infectious diseases.
Despite the ubiquity of such anthropogenic impacts, predicting the
directionality of outcomes has proven challenging. Here, we conduct a
systematic review and meta-analysis to determine the primary mechanisms
through which stressors affect host-pathogen interactions and to
evaluate the impacts stress has on host fitness (survival and fecundity)
and pathogen infectivity (prevalence and intensity). We assessed 893
effect sizes from 71 host species (representing seven taxonomic groups)
and 78 parasite taxa from 98 studies. We found that infected and
uninfected hosts had similar sensitivity to stressors and that responses
varied according to stressor type. Specifically, limited resources
compromised host fecundity and decreased pathogen intensity, while
abiotic environmental stressors (e.g., temperature and salinity)
decreased host survivorship and increased pathogen intensity, and
pollution increased mortality but decreased pathogen prevalence. We then
used our meta-analysis results to develop Susceptible-Infected
theoretical models to illustrate scenarios where infection rates are
expected to increase or decrease in response to resource limitation or
environmental stress gradients. Our results carry implications for
conservation and disease emergence and reveal areas for future work.