What Happens in a Phagosome Infected With Legionella?

Legionella pneumophila is a bacterium responsible for Legionnaires’ disease, a severe form of pneumonia. When this bacterium infects a host, it is typically engulfed by immune cells, such as macrophages, into a cellular compartment known as a phagosome. Normally, a phagosome is designed to destroy engulfed microbes, but Legionella possesses remarkable strategies to survive and multiply within this seemingly hostile environment. This unique ability to manipulate host cell processes allows Legionella to establish a protected niche for replication, a key factor in its pathogenicity.

The Phagosome’s Role in Cellular Defense

The phagosome plays a fundamental role in the immune system as a cellular defense mechanism against invading pathogens. Phagocytosis is the process by which specialized immune cells, including macrophages, neutrophils, and dendritic cells, engulf foreign particles like bacteria. This engulfment forms a membrane-bound vesicle, the nascent phagosome, around the microbe.

Following its formation, a typical phagosome undergoes a carefully orchestrated maturation pathway. It progressively acidifies, with its internal pH dropping from approximately 6.5 to as low as 4.0, a change that activates various destructive enzymes. The phagosome also acquires a range of hydrolytic enzymes and characteristic protein markers through sequential fusions with early endosomes, late endosomes, and eventually lysosomes. This fusion with lysosomes creates a phagolysosome, a highly acidic and degradative compartment filled with enzymes and reactive oxygen species, which are designed to break down and eliminate the engulfed microbes.

Legionella’s Subversion of Phagosome Maturation

Legionella pneumophila actively intervenes in the normal phagosome maturation process, diverting it from its typical degradative pathway. The bacterium achieves this through its specialized Dot/Icm (Defective Organelle Trafficking/Intracellular Multiplication) type IV secretion system. This system facilitates the translocation of numerous effector proteins directly into the host cell’s cytoplasm.

These effector proteins, estimated to be over 300 in number, interfere with various host cell pathways. Crucially, they prevent the fusion of the phagosome with lysosomes, blocking the acidification and acquisition of hydrolytic enzymes that would normally destroy the bacterium. Instead of becoming a hostile environment, the phagosome containing Legionella, now termed the Legionella-containing vacuole (LCV), undergoes a unique remodeling. The LCV avoids the degradative pathway and instead recruits host organelles such as the endoplasmic reticulum (ER) and mitochondria to its surface. This recruitment effectively camouflages the LCV and transforms it into a hospitable environment suitable for bacterial survival and replication.

Replication and Survival within the Legionella-Containing Vacuole

Once the phagosome has been successfully subverted, the Legionella-containing vacuole (LCV) serves as a protected niche where Legionella can replicate extensively. The bacteria within the LCV gain access to nutrients from the host cell cytoplasm, utilizing intrinsic membrane transporters located on the LCV membrane. Amino acids represent a primary carbon and energy source for Legionella pneumophila, though carbohydrates and complex polysaccharides can also be catabolized. For instance, the bacterium’s replication is significantly reduced in host cells lacking the neutral amino acid transporter SLC1A5, highlighting the importance of nutrient acquisition through the LCV.

Bacterial factors play a continuous role in maintaining the integrity and functionality of the LCV throughout the replication cycle. The hundreds of effector proteins delivered by the Dot/Icm system work collectively to sustain this unique intracellular environment. These effectors ensure the LCV avoids lysosomal degradation, acquires necessary host components, and facilitates nutrient uptake, allowing Legionella to multiply within this specialized compartment for approximately 10 to 14 hours. After a significant number of bacteria have replicated, they eventually exit the host cell, often by causing the host cell to lyse, which releases them to infect new cells.

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