Intracellular Survival and Replication of <i>Legionella Pneumophila</i> within Host Cells

Abstract

Legionella pneumophila is a facultative intracellular pathogen which replicates within macrophages and monocytes and finally cause a severe pneumonia known as Legionnaires' disease. An important hallmark of the pathogenesis of this bacterium is their ability to manipulate host cell processes, creating a specified replicative niche within host cells. An L. pneumophila-containing phagosome (LCP) is allowed to associate sequentially with smooth vesicles, mitochondria, and the rough endoplasmic reticulum (RER) to form a compartment called a replicative phagosome. LCPs are biologically characterized by delayed acidification and a low tendency to fuse with lysosomes. The establishment of these specialized phagosomes is mediated by the Icm/Dot Type IV secretion system, which is essential for the intracellular growth of L. pneumophila. L. pneumophila utilizes the Icm/Dot system to inject bacterial effector molecules into the host cell cytosol to survive and replicate in the intracellular compartment through modulation of phagosome biogenesis. This review focuses on our studies on specific aspects of L. pneumophila infection to host cells and bacterial factors which regulates its intracellular growth. We found several characteristic phenomena leading to L. pneumophila infection, which is dependent on LCP formation: active bacterial protein synthesis in L. pneumophila within macrophages, specific exclusion of actin-binding protein p57/Coronin-1 from LCP, and suppression of reactive oxygen species (ROS) production by macrophages upon infection with L. pneumophila. Furthermore, we identified a novel bacterial factor, PmiA, which is involved in multiplication within both protozoa and macrophages. Our recent study has begun to reveal that the biological function of PmiA is closely associated with that of the Icm/Dot type IV secretion system.