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Review article

Pathogenicity and virulence of Francisella tularensis

, , & ORCID Icon
Article: 2274638 | Received 16 May 2023, Accepted 18 Oct 2023, Published online: 08 Nov 2023

Figures & data

Table 1. Reservoir, vectors and pathogenicity for humans of different species of Francisella..

Table 2. Characteristics of Francisella subspecies traditionally used to study virulence.

Figure 1. Francisella life cycle and the main host and bacterial factors involved at each step.

(a) Schematic representation of Francisella life cycle in macrophages. Merocytophagy of uninfected macrophages (red) is shown in panel 5. (b) For each step in the life cycle, the main host and bacterial factors (in italics) are shown.
Figure 1. Francisella life cycle and the main host and bacterial factors involved at each step.

Figure 2. Francisella pathogenicity island, its transcriptomic regulation and its encoded T6SS.

(a) Transcriptomic regulation of FPI gene transcription (see text for details). (b) Structure of F. novicida FPI. The main differences with SCHU S4 and LVS FPI are shown. The genes encoding structural components are in colour (see C), the genes encoding effectors are in grey and the genes encoding proteins are unknown functions in white. (c) Structural model of Francisella T6SS with Francisella protein name on the left and the name of their T6SSi homologues on the right.
Figure 2. Francisella pathogenicity island, its transcriptomic regulation and its encoded T6SS.

Figure 3. Overview of the innate immune responses upon macrophage infection.

Francisella escapes TLR4 recognition and is recognized by TLR2, which leads to NF-κB activation. Early detection of nucleic acids by cGAS leads to the production of the second messenger cGAMP for STING activation, resulting in IRF3 activation. IFN-β or IFN-γ induces guanylate binding protein (GBPs) production in an IRF1-dependent manner. GBPs cover Francisella and promote Caspase-4 recognition of Francisella LPS in human macrophages, DNA release into the host cytosol, and activation of the Aim2 inflammasome in murine macrophages culminating in GasderminD (GSDMD) cleavage, pore formation, cytokine secretion, and pyroptosis. T.F.: transcription factors.
Figure 3. Overview of the innate immune responses upon macrophage infection.

Data Availability statement

The data, materials and original svg figures that support the results or analyses presented in this paper are freely available upon request.