“…The initial attachment of the bacteria to the apical surface of epithelial tissues is mediated by type IV pili (Källström et al, 1997;Merz et al, 1999;Merz et al, 1996;Swanson, 1973). The adherence mediates host cell-signaling events and elicits a multitude of cellular responses, including cortical plaque formation (Merz et al, 1999), the release of intracellular calcium (Källström et al, 2000;Källström et al, 1998), and the induction of anti-apoptotic factors (Binnicker et al, 2003;Follows et al, 2009). During N. gonorrhoeae infection, several signaling pathways are induced by virulence factors such as porins, lipooligosaccharides, iron receptors, outer membrane vesicles, and pilus biogenesis-associated proteins (for reviews, see Popp et al, 2001;Koomey, 2001).…”