“…It would seem that gonococcal pathogenicity may involve other factors such as survival of gonococci within human polymorphonuclear leukocytes (4,18,24,32,38) or within normal eukaryotic cells (21,25,30,31,34,35). Furthermore, electron microscopy of infected tissues have provided strong evidence of intracellular localization of gonococci in urethral exudate (8,20) as well as in cultures of infected HeLa cells (34), human diploid cells (25), and monkey kidney cells (35). Correlation of adsorption to tissue cells and type variation of N. gonorrhoeae (15) has shown that virulent type 1 demonstrates enhanced attachment to various types of host cells (13,26,28,33,37) when compared with avirulent type 4. It has been observed that attachment and passage into underlying tissues through mucosal cells is important in virulent Shigella infections (2).…”