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Signature Reviews

Pathogenicity and virulence of Rickettsia

, & ORCID Icon
Pages 1752-1771 | Received 31 May 2022, Accepted 29 Sep 2022, Published online: 08 Oct 2022

Figures & data

Table 1. List of putative rickettsial virulence genes.

Figure 1. Rickettsial intracellular lifecycle.

1. Rickettsia attaches to host cells via interaction of rickettsial surface proteins with host cell receptors; 2. Downstream signaling cascades lead to the internalization of Rickettsia; 3. Using several membranolytic factors, Rickettsia escapes the endocytic vacuoles; 4. Rickettsia resides within the host cytosol and replicates while taking nutrients from the host; 5. Some Rickettsia species exhibit actin-based motility; 6. Rickettsia undergoes cell-to-cell spread; 7. Rickettsia breaks double vacuolar membrane structures; 8. Rickettsia resides within the cytosolic compartment and reinitiates the infectious cycle.
Figure 1. Rickettsial intracellular lifecycle.

Figure 2. Secretion systems in Rickettsia.

Rickettsia utilizes five secretion pathways: Sec-T5SS, Sec-TolC, Tat, T1SS, and T4SS. Most Sca proteins have three domains: the N-terminal secretion signal (black), passenger domain (blue), and C-terminal autotransporter domain (red). The black and purple boxes on RARP-1 denote the N-terminal secretion signal and C-terminal Ankyrin repeat domain. The C-terminal Ankyrin repeat domain of RARP-2 is colored in yellow. Question marks 1 and 2 indicate uncharacterized proteins that travel through the Tat and/or T1SS. Question mark 3 indicates divergent destinations of RARP-1 in Rickettsia. Lastly, question mark 4 indicates unresolved compositions of S-layer proteins and their interactions with the outer membrane components, such as O-Ag. IM-inner membrane; PP-periplasm; PG-peptidoglycan; OM-outer membrane; LPS-lipopolysaccharide; S-layer-surface layer.
Figure 2. Secretion systems in Rickettsia.

Figure 3. Rickettsial determinants in host cell attachment and internalization.

A. Rickettsial entry into mammalian cells is mediated by interactions of its surface antigens- Sca0 with α2β1 integrin and FGFR1 receptor, Sca5 with Ku70, and Sca1 and Sca2 with unknown receptors on the cell surface; B. Ku70-Sca5 interaction leads to activation of E3 ubiquitin ligase c-Cbl causing ubiquitination of Ku70. This initiates several downstream host-signaling pathways leading to activation of the Arp2/3 complexes resulting in actin rearrangement; C. This induces bacterial internalization via actin, clathrin, and caveolin 2- mediated endocytosis.
Figure 3. Rickettsial determinants in host cell attachment and internalization.