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  lüll Host-cell interactions with pathogenic Rickettsia species Sahni SK; Rydkina EFuture Microbiol  2009[Apr]; 4 (3): 323-39Pathogenic Rickettsia species are Gram-negative, obligate intracellular bacteria  responsible for the spotted fever and typhus groups of diseases around the world.  It is now well established that a majority of sequelae associated with human  rickettsioses are the outcome of the pathogen's affinity for endothelium lining  the blood vessels, the consequences of which are vascular inflammation, insult to  vascular integrity and compromised vascular permeability, collectively termed  'Rickettsial vasculitis'. Signaling mechanisms leading to transcriptional  activation of target cells in response to Rickettsial adhesion and/or invasion,  differential activation of host-cell signaling due to infection with spotted  fever versus typhus subgroups of Rickettsiae, and their contributions to the  host's immune responses and determination of cell fate are the major subtopics of  this review. Also included is a succinct analysis of established in vivo models  and their use for understanding Rickettsial interactions with host cells and  pathogenesis of vasculotropic rickettsioses. Continued progress in these  important but relatively under-explored areas of bacterial pathogenesis research  should further highlight unique aspects of Rickettsial interactions with host  cells, elucidate the biological basis of endothelial tropism and reveal novel  chemotherapeutic and vaccination strategies for debilitating Rickettsial  diseases.|*Host-Pathogen Interactions[MESH]|Animals[MESH]|Apoptosis[MESH]|Biomarkers/blood[MESH]|Capillary Permeability[MESH]|Cytokines/metabolism[MESH]|Disease Models, Animal[MESH]|Endothelial Cells/*microbiology[MESH]|Enzyme Activation[MESH]|Humans[MESH]|Mice[MESH]|Oxidative Stress[MESH]|Oxygenases/metabolism[MESH]|Phagocytosis[MESH]|Rickettsia Infections/*microbiology/physiopathology[MESH]|Rickettsia/*physiology[MESH]|Transcription Factors/metabolism[MESH] |