Legionella pneumophila is the causative agent of a potentially fatal form o
f pneumonia named Legionnaires' disease, L. pneumophila survives and replic
ates inside macrophages by preventing phagosome-lysosome fusion. A large nu
mber of L. pneumophila genes, called dot or icm, have been identified that
are required for intracellular growth. It has recently been shown that the
dot/icm genes code for a putative large membrane complex that forms a type
IV secretion system used to alter the endocytic pathway.