Through long-standing co-evolution with their hosts, intracellular bacterial pathogens have evolved strategies to successfully invade, survive and proliferate within mammalian host cells. Regardless of the specific pathogenic mechanisms used, the intracellular fate of these bacteria depends on a successful overriding of the host cell bactericidal mechanisms. This is achieved via the timely expression and/or activation of dedicated virulence factors, a result of the remarkable ability of bacteria to sense their intracellular environment and respond accordingly through the induction of appropriate genes. Examples in intracellular pathogens include genes encoding the Type III secretion system-2 (T3SS-2) of
Salmonella enterica serovar Typhimurium or the VirB Type IV secretion system of
Brucella species, which are both induced intracellularly upon acidification of the pathogen-containing vacuole (
Boschiroli et al., 2002,
Sieira et al., 2004,
Starr et al., 2008,
Valdivia et al., 1996) and required for intracellular survival and replication (
Hensel et al., 1998,
O'Callaghan et al., 1999,
Sieira et al., 2000). Recent advances in RNA isolation techniques and DNA microarray technologies have allowed global transcriptional profiling of intracellular bacteria, such as
S. Typhimurium (
Eriksson et al., 2003,
Hautefort et al., 2008),
S. Typhi (
Faucher et al., 2006),
Shigella flexneri (
Lucchini et al., 2005),
Mycobacterium tuberculosis (
Fontan et al., 2008,
Schnappinger et al., 2003),
Chlamydia trachomatis (
Belland et al., 2003)
Listeria monocytogenes (
Chatterjee et al., 2006) and
Bacillus anthracis (
Bergman et al., 2007), bringing insight into the global responses of these pathogens to their respective intracellular environments. Additionally, some of these studies combined with mutagenesis approaches have identified novel genes involved in intracellular growth (
Bergman et al., 2007,
Chatterjee et al., 2006), indicating that the intracellular induction of specific bacterial genes can serve as a clue to identify genetic determinants of pathogenesis.
Francisella tularensis is a highly infectious, Gram-negative, facultative intracellular bacterium that causes tularemia, a widespread zoonosis that affects humans. Human tularemia is a fulminating disease that can be caused by exposure to as few as 10 bacteria, the pneumonic form of which can lead to up to 25% mortality if untreated (
Oyston et al., 2004). Four subspecies of
F. tularensis, F. tularensis subsp.
tularensis (Type A),
F. tularensis subsp.
holarctica (Type B),
F. tularensis subsp.
novicida, and
F. tularensis subsp.
mediasiatica are recognized, among which strains from subspecies
tularensis and
holarctica can cause tularemia in humans (
Ellis et al., 2002). Type A strains, which are geographically distributed in North America, are highly virulent and account for the most severe cases of the disease. As a facultative intracellular pathogen,
F. tularensis is capable of infecting and proliferating in a variety of host cell types, including hepatocytes, endothelial cells, fibroblasts, and mononuclear phagocytes (
Ellis et al., 2002). Macrophages are believed to be an important target for infection
in vivo, and the pathogenesis of
F. tularensis depends on the bacterium's ability to survive and replicate within these host cells (
Ellis et al., 2002). Various models of
Francisella-macrophage interactions using either virulent, attenuated or non-human pathogenic strains, and murine or human macrophages or macrophage-like cell lines, have been developed to characterize the intracellular cycle of this bacterium (
Checroun et al., 2006,
Clemens et al., 2004,
Golovliov et al., 2003,
Santic et al., 2005a,
Schulert et al., 2006). Although the disparity of these models may have generated controversial findings about the timing of intracellular events (
Checroun et al., 2006,
Clemens et al., 2004,
Santic et al., 2005a), a consensual model is that
F. tularensis survival and replication inside macrophages relies upon its ability to escape from its initial phagosome and reach the cytosol where it extensively replicates. Following replication, the Live Vaccine Strain (LVS), an attenuated Type B derivative, and virulent Type A and Type B strains can reenter the endocytic compartment of murine primary macrophages to reside within large fusogenic vacuoles that display autophagic features (
Checroun et al., 2006). Altogether, our current understanding of the
Francisella intracellular cycle indicates that this pathogen trafficks through various intracellular compartments where it is likely subjected to different environmental cues.
Some genetic determinants of
Francisella intracellular growth have been identified using random transposon mutagenesis and loss of function screens in various host cells (
Gray et al., 2002,
Maier et al., 2007,
Qin et al., 2006,
Tempel et al., 2006), or through differential expression analysis of genes regulated
in vitro by the
Francisella virulence regulator MglA (
Baron et al., 1998,
Lauriano et al., 2004,
Brotcke et al., 2008,
Brotcke et al., 2006). Additionally,
in vivo screens for transposon insertional mutants defective for virulence have also identified genes involved in intracellular growth (
Su et al., 2007,
Weiss et al., 2007), illustrating how essential intracellular proliferation is to
Francisella global virulence. A prominent locus required for intracellular growth is the
Francisella Pathogenicity Island (FPI, ), a ~ 30-kb region that potentially encodes a secretion system (
Nano et al., 2004,
de Bruin et al., 2007) similar to the recently identified Type 6 secretion systems (T6SS) (
Mougous et al., 2006,
Pukatzki et al., 2006). This suggests that
Francisella expresses specialized machineries to secrete proteins either to the bacterial surface or into the host cell, but such effectors of intracellular pathogenesis have not yet been identified. Nevertheless, functions encoded by the FPI have been associated with phagosomal escape and intracellular growth, since insertional or deletion mutants in
iglA and
iglB (
Gray et al., 2002),
iglC (
Golovliov et al., 2003,
Lauriano et al., 2003,
Santic et al., 2005b), and
pdpA (
Nano et al., 2004), are defective for intramacrophage growth, and
iglC mutants in
novicida and
holarctica LVS strains are defective in phagosomal escape (
Lindgren et al., 2004,
Santic et al., 2005b,
Chong et al., 2008). This indicates that IglC-dependent FPI-encoded functions are involved in the early stages of
Francisella intracellular trafficking.
Although genetic screens have proven valuable to identify the FPI (
Gray et al., 2002,
Nano et al., 2004), novel virulence genes (
Brotcke et al., 2006) or specific
F. novicida genes that modulate the host ASC/Caspase 1 cell death pathway (
Weiss et al., 2007), much remains to be understood about the bacterial determinants of
Francisella pathogenesis. Specifically, little is known about the intracellular biology of this bacterium and the specific genes it requires to ensure its intracellular survival and proliferation. Because
Francisella likely responds to its intracellular environment by temporally expressing virulence factors during its intracellular cycle, we have postulated that genes required for intracellular pathogenesis
and global virulence can be identified based on their increased expression inside macrophages. We have therefore performed the transcriptional profiling of intracellular virulent Type A
Francisella during its infection cycle within murine bone marrow derived macrophages to globally identify genes that are upregulated intracellularly. Here we report a combination of genomics, cell biological and genetic approaches that have identified novel virulence factors of
Francisella based on their intracellular expression, and characterized the intramacrophage biology of this highly infectious bacterium.