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Virulence properties of Escherichia coli O111:H12 strains

V Monteiro-Neto1, L C Campos, A J Ferreira

  • 1Departamento de Microbiologia, Universidade de São Paulo, Brazil.

Insights

This study found that certain Escherichia coli O111:H12 strains causing childhood diarrhea exhibit aggregative adherence. Their specific adherence genes differ from previously identified ones in enteroaggregative E. coli.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Molecular Biology

Background:

  • Escherichia coli (E. coli) is a common cause of diarrheal diseases in children.
  • Certain serotypes, like O111:H12, have been historically linked to infantile diarrhea.
  • Understanding the virulence factors of specific E. coli strains is crucial for disease management.

Purpose of the Study:

  • To investigate the adherence properties and virulence characteristics of E. coli O111:H12 strains isolated from children with acute diarrhea.
  • To determine if these strains possess known virulence genes associated with enteropathogenic E. coli.
  • To characterize the genetic basis of the observed adherence phenotype.

Main Methods:

  • Isolation of E. coli O111:H12 strains from fecal samples of children with diarrhea.
  • Assessment of adherence patterns to HEp-2 cells and red blood cell agglutination.
  • Screening for gene sequences homologous to known virulence factors using DNA probes.
  • Evaluation of fluid accumulation in the rabbit ileal loop assay.
  • Plasmid profiling of the studied strains.

Main Results:

  • All seventeen E. coli O111:H12 strains displayed aggregative adherence to HEp-2 cells and mannose-dependent hemagglutination.
  • These strains lacked gene sequences for aggregative adherence fimbria I and other tested virulence genes.
  • Most strains (16/17) possessed the enteroaggregative E. coli heat-stable enterotoxin 1 (EAST) gene.
  • The rabbit ileal loop assay was negative for fluid accumulation in all but one strain.
  • A 60-70 MDa plasmid was identified in 16 of the strains.

Conclusions:

  • The E. coli O111:H12 serotype, implicated in infantile diarrhea, fits the enteroaggregative E. coli category.
  • The genetic mechanisms underlying the adherence phenotype of these strains are novel and distinct from previously described factors.
  • These findings highlight the genetic diversity of virulence factors within enteroaggregative E. coli.

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