The ability of the complete genome sequence of enterohemorrhagic Escherichia coli O157 led to the identification of a 17-kb chromosomal region which contained a type III secretion system gene cluster at min 64.5. This locus contains open reading frames whose amino acid sequences show high degrees of similarity with those of proteins that make up the type III secretion apparatus, which is encoded by the inv-spa-prg locus on a Salmonella SPI-1 pathogenicity island. This locus was designated ETT2 (E. coli type III secretion 2) and consisted of the epr, epa, and eiv genes. ETT2 was found in enteropathogenic E. coli strains and also in some non-O157 Shiga toxin-producing E. coli (STEC) strains, but most of them contained a truncated portion of ETT2. Most O157 isolates had a complete collection of toxin-encoding genes eae and hlyA and the ETT2 locus, while most O26 strains had toxin-encoding genes eae and hlyA genes but an incomplete ETT2 locus. Thus, an intact copy of ETT2 might mark a pathogenic distinction for particular STEC strains. Therefore, the presence of the ETT2 locus can be used for identification of truly pathogenic STEC strains and for molecular fingerprinting of the epidemic strains in humans and animals.Enterohemorrhagic Escherichia coli (EHEC) and Shiga toxin-producing E. coli (STEC) are the most common causes of hemorrhagic colitis, bloody diarrhea, and hemolytic-uremic syndrome and also cause food-borne epidemics in humans (19). STEC is distributed widely in the environment (1, 2). It produces cytotoxin as the main virulence factor but can have a histopathologic effect on intestinal epithelial cells, causing attaching-and-effacing (A/E) lesions. Enteropathogenic E. coli (EPEC), which is a major cause of infant diarrhea in developing countries, has the same ability to cause A/E lesions. These lesions are characterized by localized destruction of brush border microvilli, intimate attachment of the organism to the host cell membrane, and formation of an actin-rich underlying structure in the host cells (5). All genes necessary for the formation of A/E lesions are located in a pathogenicity island termed the locus for enterocyte effacement (LEE) (18). This locus contains genes for structural components of a secretion apparatus that belongs to the type III secretion system, that is, genes for the adhesin intimin and its translocated receptor, Tir (7).The type III secretion system, which is found in many gramnegative pathogens, is responsible for secretion and injection of virulence-associated factors into the cytosol of host cells. The type III apparatus comprises approximately 20 proteins, with most of them located in the inner membrane (6, 24). Most inner membrane proteins are homologous to components of the flagellar biosynthesis apparatuses of both gram-negative and gram-positive bacteria (10). In Salmonella enterica serovar Typhimurium, two independent type III secretion systems encoded by separate chromosomal loci, SPI-1 and SPI-2, have been found (8,22). SPI-1 is required for the invasion of mamma...