Evidence map›Paper›PMID 40570043›Full record

ArticlePLoS pathogens2025

Polysaccharide synthesis operon modulates Rickettsia-endothelial cell interactions.

Smruti Mishra, Luke Helminiak, Hwan Keun Kim

Abstract read
In one paragraph

Article in PLoS pathogens, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Frontiers in pediatrics · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Smruti MishraCenter for Infectious Diseases, Stony Brook University, Stony Brook, New York, United States of America.
Luke HelminiakCenter for Infectious Diseases, Stony Brook University, Stony Brook, New York, United States of America.
Hwan Keun KimCenter for Infectious Diseases, Stony Brook University, Stony Brook, New York, United States of America.ORCID 0000-0003-2095-9705

Funding

MOLECULAR AND CELL BIOLOGY OF INFECTIOUS DISEASEST32AI007539 · NIAID · STATE UNIVERSITY NEW YORK STONY BROOK · PI KONOPKA, JAMES B · 1998 to 2023
$3.6M
Molecular basis of immunity to tick-borne rickettsiosesR01AI152208 · NIAID · STATE UNIVERSITY NEW YORK STONY BROOK · PI KIM, HWAN KEUN · 2021 to 2025
$2.8M
Transposon mutagenesis of Rickettsia for studying Rickettsia-host-vector interactionsR61AI179732 · NIAID · STATE UNIVERSITY NEW YORK STONY BROOK · PI Hwan Keun Kim · 2024 to 2026
$837k
Rickettsia conorii transposon mutagenesis and Spotted Fever pathogenesisR21AI144136 · NIAID · UNIVERSITY OF CHICAGO · PI KIM, HWAN KEUN · 2019 to 2020
$442k
Host-pathogen-vector interactions of R. amblyommatis for spotted fever pathogenesisR21AI169287 · NIAID · STATE UNIVERSITY NEW YORK STONY BROOK · PI KIM, HWAN KEUN · 2022 to 2023
$425k
NIAID NIH HHS R01 AI152208NIAID NIH HHS R21 AI144136NIAID NIH HHS R21 AI169287NIAID NIH HHS R61 AI179732NIAID NIH HHS T32 AI007539
6 · The paper itself

Abstract

Pathogenic Rickettsia species target vascular endothelial cells and cause systemic vasculitis. As obligate intracellular bacterial pathogens, Rickettsia must secure nutritional resources within the cytoplasm of endothelial cells while simultaneously subverting the innate immune defense system. With advances in rickettsial and host genetics, recent studies have identified novel molecular mechanisms involved in the complex interactions between Rickettsia and endothelial cells. However, it remains unclear how Rickettsia shields pathogen-derived immune stimulants, such as lipopolysaccharides (LPS) and peptidoglycan fragments, from immune recognition during intracellular replication. Prior work described two Rickettsia conorii variants with kkaebi transposon insertions in the polysaccharide synthesis operon (pso). Biochemical and immunological analyses revealed that pso is responsible for the biosynthesis of O-antigen (O-Ag) and the proper assembly of surface proteins. In the present work, we document that pso variant HK2 exhibits reduced capacities to adhere to and invade microvascular endothelial cells. Despite the low intracellular abundance, HK2 induced significantly higher levels of proinflammatory cytokines and chemokines, leading to premature cell death. Notably, HK2 exhibited defective intracellular survival in bone marrow-derived macrophages. This inability to dampen endothelial cell-mediated immune stimulation and resist macrophage-induced bactericidal activities resulted in the rapid elimination of viable Rickettsia in the mouse model of spotted fever. Further, when tested as a live-attenuated vaccine, HK2 elicited robust protective immunity against lethal spotted fever pathogenesis. Our work highlights the crucial role of pso in enabling Rickettsia to evade immune surveillance during intracellular replication within endothelial cells, ultimately delaying pathogen-induced programmed cell death and escaping immune defense mechanisms.

Indexed as

Endothelial CellsOperonRickettsiaRickettsia conoriiRickettsia InfectionsAnimalsHost-Pathogen InteractionsHumansMacrophagesMiceMice, Inbred C57BLO AntigensO Antigens

Identifiers

PMID40570043
PMCPMC12201665

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.