Virulence determinants in nontoxinogenic Escherichia coli O157 strains that cause infantile diarrhea

Infect Immun. 1993 Nov;61(11):4894-8. doi: 10.1128/iai.61.11.4894-4898.1993.

Abstract

Ten sorbitol-fermenting Escherichia coli O157 strains that cause infantile diarrhea and are positive in the fluorescence actin staining test were determined to be negative for Shiga-like toxin (SLT) genes. We amplified their complete eae genes, contrasting them with those of SLT-producing E. coli O157 by restriction fragment length polymorphism analysis and nucleotide sequence analysis of a 400-bp stretch of the 3' end of eae. The data substantiated the presence of two eae genotypes within serogroup O157, one resembling eae of enteropathogenic E. coli (EPEC) strain E2348/69, found in nontoxinogenic E. coli O157 strains, and the other resembling eae of EHEC strain EDL 933, found in toxinogenic E. coli O157 strains. Another EPEC-specific virulence determinant was also shown to be large plasmids harboring EPEC adherence factor sequences. The SLT-negative E. coli O157 strains described here fall under the heading of EPEC, which serves as an explanation for their virulence in infants, and represent a third pathogroup within serogroup O157.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adhesins, Bacterial*
  • Bacterial Outer Membrane Proteins / genetics*
  • Base Sequence
  • Carrier Proteins*
  • Diarrhea, Infantile / microbiology*
  • Escherichia coli / genetics
  • Escherichia coli / pathogenicity*
  • Escherichia coli Proteins*
  • Genes, Bacterial*
  • Humans
  • Infant
  • Molecular Sequence Data
  • Polymerase Chain Reaction
  • Virulence

Substances

  • Adhesins, Bacterial
  • Bacterial Outer Membrane Proteins
  • Carrier Proteins
  • Escherichia coli Proteins
  • eaeA protein, E coli