The rickettsiae are small (ca. 0.4 by 0.9 μm), gram-negative, aerobic, coccobacillary, α-proteobacteria. They are obligate intracellular parasites with a life cycle that involves both vertebrate and invertebrate hosts. Rickettsiae depend on hematophagous arthropods as vectors and primary reservoir, although small mammals, such as rats and opossums, also serve as amplifying hosts (
8,
10). Rickettsia are classified into two groups; the spotted fever group (SFG), which includes
R. conorii,
R. sibirica, and
R. rickettsii, and the typhus group (TG), which includes
R. prowazekii and
R. typhi. Two rickettsiae (
R. prowazekii and
R. rickettsii) are on the list of agents of the Antiterrorism and Effective Death Penalty Act of 1996 because they are stable, highly infectious agents that cause severe disease (
7). Both Japan, during World War II, and the Soviet Union, during the Cold War, investigated the use of rickettsiae as biological weapons (
9,
35,
65).
Rickettsia typhi is the causative agent of murine typhus (endemic typhus). Infection with
R. typhi causes fever, headache, and myalgia and leads to disseminated, multisystem disease, including infection of the brain, lung, liver, kidney, and heart endothelia, lymphohistiocytic vasculitis of the central nervous system, diffuse alveolar damage and hemorrhage, interstitial pneumonia, pulmonary edema, interstitial myocarditis and nephritis, portal triaditis, and cutaneous, mucosal, and serosal hemorrhages (
63,
64). The nonspecificity and nonuniformity of symptoms and the lack of specific diagnostic tests that are effective during the acute stage of the illness often lead to misdiagnosis, delaying appropriate treatment. Although the mortality rate is low (1% of reported cases), in severe cases
R. typhi can cause meningoencephalitis, interstitial pneumonia, and disseminated vascular lesions (
12). Without specific treatment, 99% of those infected will clear the disease within weeks, making proper accounting of
R. typhi infections difficult (
28).
Although
R. typhi can be transmitted to the mammalian host by the bite of an infected flea or louse (the rat flea
Xenopsylla cheopis, the cat flea
Ctenocephalides felis, or the rat louse
Polyplax spinulos), the more important mechanism of inoculation is through the feces of the vector.
R. typhi multiplies in the epithelium of the flea midgut, is shed in the feces, and is then deposited during feeding. Organisms in the feces enter the host through irritated, abraded skin. The bacterium is then hematogenously spread and ultimately invades endothelial cells (
12). Transmission can also occur via inhalation of aerosolized fecal particles. To enter the host cell,
R. typhi induces phagocytosis by an unknown mechanism. Once within the cell, the organisms rapidly escape the phagosome, multiply within the cytoplasm, and then exit the host cell by burst lysis, allowing subsequent spread to other endothelial cells (
65).
R. typhi is one of the leading causes of rickettsioses in the world. Although distributed worldwide, it is most common in warm coastal areas with large rat populations (
12). Prior to World War II, 2,000 to 5,000 cases were reported annually in the United States. Due to intensive efforts to control rat fleas, as well as rat populations, the number of incidences has dropped to 9 to 72 cases per year from 1980 to 1998 (
12,
28). Outbreaks continue to occur both around the world and in the United States. Murine typhus is considered endemic to the Hawaiian Islands with five to six cases per year reported. However, 47 cases were reported in 2002 leading the Hawaii Department of Health to institute active surveillance measures and mandatory reporting of
R. typhi test requests. Due to the nonspecific clinical signs associated with murine typhus, it is expected that the actual number of cases was greater than those reported (
40).
Rickettsial organisms have comparatively small genomes (1.1 to 1.3 Mb) that have arisen through reductive evolution as they developed dependence on the host cell for necessary functions (
6). As a result, their genomes are littered with pseudogenes. The rickettsiae have a close evolutionary relationship with the progenitor of the mitochondria (
5). The genomes of
R. prowazekii (1.11 Mb) Madrid E, an attenuated strain of the causative agent of epidemic typhus, and
R. conorii (1.27 Mb), the causative agent of boutonneuse fever and a member of the SFG of rickettsiae, have been sequenced previously (
5,
52). A draft genome of
R. sibirica, the causative agent of North Asian tick typhus and a member of the SFG, has recently been deposited in GenBank (accession no.
NZ_AABW01000001) as has the unpublished complete sequence of
R. rickettsii (accession number
AADJ01000001).
We present here the complete genome of R. typhi and compare it to previously completed rickettsial genomes. We anticipate that the complete genome sequence of R. typhi will enhance the opportunities for investigation of virulence factors, pathogenesis, attenuation, and novel targets for antimicrobial therapy or blocking of pathogenic pathways. Of the five rickettsial genomes now available, this is only the second in the TG, the other three being SFG organisms. This second TG sequence will allow insight into phenotypic differences between R. prowazekii and R. typhi by genome comparison. This is likely to yield important leads regarding the study of pathogenicity since the case-fatality rate of louse-borne typhus fever is an order of magnitude greater than that of murine typhus.