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Infectious disease is a major driver of biodiversity loss, but how disease threatens pollinator communities remains poorly understood. Here, we review the plant–pollinator–pathogen literature to identify mechanisms by which plant and pollinator traits and community composition influence pathogen transmission and assess consequences of transmission on plant and pollinator fitness. We find that plant and pollinator traits that increase floral contact can amplify transmission, but community-level factors such as plant and pollinator abundance are often correlated and can counteract one another. Although disease reduces pollinator fitness in some species, little research has assessed cascading effects on pollination, and taxonomic representation outside of honey bees and bumble bees remains poor. Major open challenges include (a) disentangling correlations between plant and pollinator abundance to understand how community composition impacts pathogen transmission and (b) distinguishing when pathogen transmission results in disease. Addressing these issues, as well as expanding taxonomic representation of pollinators, will deepen our understanding of how pathogens impact diverse pollinator communities. 

Abstract Plants have unique chemical and physical traits that can reduce infections in animals ranging from primates to caterpillars. Sunflowers (Helianthus annuus; Asteraceae) are one striking example, with pollen that suppresses infections by the trypanosomatid gut pathogenCrithidia bombiin the common eastern bumble bee (Bombus impatiens). However, the mechanism underlying this effect has remained elusive, and we do not know whether pollens from other Asteraceae species have similar effects.We evaluated whether mechanisms mediating sunflower pollen's antipathogenic effects are physical (due to its spiny exine), chemical (due to metabolites) or both. We also evaluated the degree to which pollen from seven other Asteraceae species reducedC. bombiinfection relative to pollen from sunflower and two non‐Asteraceae species, and whether pollen spine length predicted pathogen suppression.We found that sunflower exines alone reduced infection as effectively as whole sunflower pollen, while sunflower pollen metabolites did not. Furthermore, bees fed pollen from four of seven other Asteraceae had 62%–92% lowerC. bombiinfections than those fed non‐Asteraceae pollen. Spine length, however, did not explain variation in bumble bee infection.Our study indicates that sunflower pollen's capacity to suppressC. bombiis driven by its spiny exine, and that this phenomenon extends to several other Asteraceae species. Our results indicate that sunflower pollen exines are as effective as whole pollen in reducing infection, suggesting that future studies should expand to assess the effects of other species with spiny pollen on pollinator–pathogen dynamics. Read the freePlain Language Summaryfor this article on the Journal blog.