The intracellular bacterial agent of Q fever, Coxiella burnetii, translocates effector proteins into its host cell cytosol
via a Dot/Icm type IV secretion system (T4SS). The T4SS is essential for parasitophorous vacuole formation, intracellular
replication, and inhibition of host cell death, but effectors mediating these events remain largely undefined. Six Dot/Icm
substrate-encoding genes were recently discovered on the C. burnetii cryptic QpH1 plasmid, three of which are conserved among
all C. burnetii isolates, suggesting they are critical for conserved pathogen functions. However, remaining hypothetical proteins
encoded by plasmid genes have not been assessed for their potential as T4SS substrates. In the current study, we further defined
the T4SS effector repertoire encoded by the C. burnetii QpH1, QpRS, and QpDG plasmids that were originally isolated from acute
disease, chronic disease, and severely attenuated isolates, respectively. Hypothetical proteins, including those specific
to QpRS or QpDG, were screened for translocation using the well-established Legionella pneumophila T4SS secretion model. In
total, six novel plasmid-encoded proteins were translocated into macrophage-like cells by the Dot/Icm T4SS. Four newly identified
effectors are encoded by genes only present on the QpDG plasmid from severely attenuated Dugway isolates, suggesting presence
of specific effectors correlates with decreased virulence. These results further support a critical role for extrachromosomal
elements in C. burnetii pathogenesis.