Key result
Orientia tsutsugamushi infection reduces cellular levels of RIPK3 but does not elicit necroptosis, nor can it inhibit this programmed cell death pathway once induced.
Why the study?
While Orientia tsutsugamushi modulates apoptosis, its interplay with necroptosis was unknown.
O. tsutsugamushi modulates RIPK3 levels but fails to inhibit necroptosis once induced, providing insight into scrub typhus pathogenesis.
O. tsutsugamushi-necroptosis interplay in scrub typhus remains untested clinically; leaves open whether RIPK3-MLKL targeting alters outcomes.
Scrub typhus is an emerging chigger-borne disease caused by the obligate intracellular bacterium Orientia tsutsugamushi. Necroptosis is a form of programmed cell death (PCD) mediated by RIPK3 (serine/threonine kinase receptor interacting protein 3) and its downstream effector MLKL (mixed-lineage kinase domain-like). While O. tsutsugamushi modulates apoptosis, another form of PCD, its interplay with necroptosis is unknown. Much of Orientia pathobiology is linked to its ankyrin repeat (AR)-containing effectors (Anks). Two of these, Ank1 and Ank6, share similarities with the cowpox AR protein, vIRD (viral inducer of RIPK3 degradation) that prevents necroptosis. Here, we show that Ank1 and Ank6 reduce RIPK3 cellular levels although not as robustly as and mechanistically distinct from vIRD. Orientia infection lowers RIPK3 amounts and does not elicit necroptosis in endothelial cells. In HeLa cells ectopically expressing RIPK3, Orientia fails to inhibit RIPK3 and MLKL phosphorylation as well as cell death. MLKL colocalization with Orientia or Listeria monocytogenes, another intracytoplasmic pathogen, was not observed. Thus, O. tsutsugamushi reduces cellular levels of RIPK3 and does not elicit necroptosis but cannot inhibit this PCD pathway once it is induced. This study is a first step toward understanding how the relationship between Orientia and necroptosis contributes to scrub typhus pathogenesis.
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Siff et al. (2025) studied Scrub typhus. Orientia tsutsugamushi infection was evaluated on RIPK3 cellular levels and necroptosis induction/inhibition. Orientia tsutsugamushi infection reduces cellular levels of RIPK3 but does not elicit necroptosis, nor can it inhibit this programmed cell death pathway once induced.
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