“…Additional factors have been proposed as potentially associated with virulence, such as phospholipase A (Koo et al, 2007), haemolysin-cytolysin (Gray & Kreger, 1985;Wright & Morris, 1991) and metalloproteases (Gulig et al, 2005). A considerable body of knowledge concerning the virulence mechanisms of V. vulnificus was obtained from mutational analysis experiments using nonhuman cell lines such as mouse intestinal epithelial cells (Jeong & Satchell, 2012), ovarian hamster cells, bovine pulmonary artery cells and peritoneal macrophages from mice (Lee et al, 2004b), or intraperitoneally injected mice (Alice et al, 2008;Gauthier et al, 2010;Kim et al, 2005Kim et al, , 2008Lee et al, 2008b;Shao & Hor, 2000). Nevertheless, it is unclear what is the exact role of the various virulent factors during human infection.…”