Abstract

Mediterranean spotted fever develops from an infection with Rickettsia conorii, an obligate intracellular, Gram-negative, endotheliotropic, and tick-transmitted bacterial pathogen, and is an acute, febrile illness that can progress to life-threatening complications if not diagnosed and treated early with effective antibiotics. Despite significant morbidity and mortality, little is known about changes in gene expression that determine the host responses during in vivo infection. We have investigated the transcriptional landscape of host lungs as a prominently affected organ system in an established murine model of infection by RNA-sequencing. Ingenuity pathway analysis resulted in the identification of 1332 differentially expressed genes and 292 upstream regulators. Notably, genes encoding for ubiquitin D, aconitate decarboxylase, antimicrobial peptides, calgranulins, cytokines and chemokines, and guanylate binding proteins were highly up-regulated, whereas those involved in hemoglobin biosynthesis and heme homeostasis were significantly down-regulated. Amongst response regulators, nucleotide-binding oligomerization domain-containing protein 2 and killer cell lectin-like receptors were differentially expressed, and gene clustering revealed eukaryotic initiation factor-2, oxidative phosphorylation, and ubiquitination as the predominantly activated biological pathways. Collectively, this first global transcriptomic profiling has identified R. conorii-induced regulation of novel genes and pathways in the host lungs, further in-depth investigation of which will strengthen our understanding of the pathogenesis of human rickettsioses.

Highlights

  • Rickettsioses caused by obligate intracellular pathogens in the family Rickettsiaceae are emerging and reemerging infectious diseases with considerable historical significance, and they are amongst the oldest known arthropod-borne zoonotic infections [1,2]

  • Pathogenic Rickettsia species are capable of infecting different cell types, including macrophages, hepatocytes, fibroblasts, and vascular endothelial cells lining capillaries and arterioles, and target all vital organ systems including the brain, heart, kidneys, lungs, and testes of the mammalian hosts

  • Sequencing of complementary DNA (cDNA) libraries resulted in an average of 50.8 and 53.4 million reads from the control and R. conorii-infected lung tissue, respectively, of which approximately 97% of the reads mapped with 100% identity to Mus musculus genome (Table S2)

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Summary

Introduction

Rickettsioses caused by obligate intracellular pathogens in the family Rickettsiaceae are emerging and reemerging infectious diseases with considerable historical significance, and they are amongst the oldest known arthropod-borne zoonotic infections [1,2]. Rocky Mountain spotted fever (RMSF) caused by Rickettsia rickettsii in the United States and Latin. Mediterranean spotted fever (MSF) or Boutoneusse fever caused by R. conorii in Europe, Africa, and Asia. They continue to threaten public health in different parts of the world, and vaccines are currently unavailable for these diseases [1]. A number of infected cases only progress to mild, self-limiting illness and, the infected cases do not seek healthcare

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