“…Mce binds to the α5β1 and αVβ3 integrins and mediates the Leptospira internalization into macrophages ( 81 ). Pathogenic Leptospira (LIC, LA, and LIHH) genome consists of five sphingomyelinase genes ( sph-1 to sph-4 , as well as sphH ), out of which sph-2 is reported to be most secreted during infection and is involved in mediating the invasion of bacteria in lung and liver cells through clathrin-mediated endocytosis, thereby inducing apoptosis ( 33 , 35 , 87 , 88 ). Next, in our conjoint analysis, we found that 19 proteins predicted to be secretory are upregulated ( Table 1 ; see Fig.…”