“…Indeed, in this model, bacteria grow in extracellular aggregates, embedded within collagen matrix, similar to the observations in BP, BA and cat-scratch disease (Chiaraviglio et al, 2010). Bacterial VirB type IV secretion systems (T4SSs) represent crucial pathogenic factors that have contributed to the Bartonella henselae expansion in nature; in fact, T4SSs facilitate adaptation to mammalian hosts (Schmid et al, 2004;Schülein et al, 2001) by translocation of a cocktail of Bartonella effector proteins (Beps) into host cells (Okujava et al, 2014). The ability to survive in these cells helps Bartonella henselae to escape the host immune response, with its lowendotoxic-potency lipopolysaccharide (Zähringer et al, 2004).…”