The obligate human pathogen Neisseria gonorrhoeae infects a variety of huma
n tissues. In recent years, several host cell receptors for the major bacte
rial adhesins have been identified. While the knowledge of the molecular me
chanism of colonisation has helped to understand special aspects of the inf
ection, like the explicit tropism of gonococci for human tissues, the long-
term consequences of engaging these receptors are still unknown. A variety
of signalling pathways initiated by the activated receptors and by bacteria
l proteins transferred to the infected cell have been defined which include
lipid second messenger, protein kinases, proteases and GTPases. These path
ways control important steps of the infection, such as tight adhesion and i
nvasion, the induction of cytokine release, and apoptosis. The detailed kno
wledge of bacteria-induced signalling pathways could allow the design of ne
w therapeutic approaches which might be advantageous over the classical ant
ibiotics therapy.