Rhodococcus equi and Its Pathogenic Mechanisms

Abstract

Rhodococcus equi is the only animal pathogen among the rhodococci. A soil inhabitant, R. equi is prevalent in the farm environment where it uses herbivore manure as growth substrate. In addition to its saprophytic lifestyle, R. equi has the ability to colonize animal host tissues, causing pyogranulomatous infections in a variety of mammals. Although clearly a multihost pathogen, R. equi is best known as the etiologic agent of a severe contagious bronchopneumonic disease in horses. It also causes deadly opportunistic infections in immunosuppressed individuals, particularly tuberculosis-like cavitary pneumonia in HIV-infected patients. R. equi is an intracellular parasite that replicates within a modified phagocytic vacuole in macrophages. Its pathogenicity depends on a horizontally-acquired genomic island carried on a virulence plasmid. This plasmid virulence locus encodes a family of surface-associated antigens, the Vap proteins. The products of the vap island confer the ability to survive within macrophages and recent evidence suggests they are also involved in infectious tropism towards specific animal host species (horses, pigs, and cattle). The complete DNA sequence of the R. equi genome has been recently determined and a detailed analysis will soon be published. This chapter reviews the current, “pregenomic” state of knowledge about the biology and virulence of this fascinating pathogenic actinomycete.