Enterohemorrhagic Escherichia coli, including the serotype O157:H7 that is most commonly identified with human disease, cause both sporadic cases and outbreaks of non-bloody diarrhea and hemorrhagic colitis. In about 10% of infected subjects, the hemolytic uremic syndrome (hemolytic anemic, thrombocytopenia, and acute renal failure)
develops, likely as a consequence of systemic spread of bacterial-derived toxins variously referred to as Shiga-like toxin, Shiga toxin, and Verotoxin. Increasing evidence points to a complex interplay between bacterial products -for example, adhesins and toxins -and host signal transduction pathways in mediating responses to infection. Identification of critical signaling pathways could result in the development of novel strategies for intervention to both prevent and treat this microbial infection in humans.Key words: adherence -apoptosis -cytokine -O157:H7 -Shiga-like toxin -Verotoxin Microbial infections are characterized by a stereotypic pattern of host inflammatory responses to the infectious insult (Lawrence et al. 2002). In the intestinal tract, multiple invasive pathogens, including bacteria, parasites and viruses, may induce an enterocolitis in the infected host. Increasingly, evidence indicates that non-invasive gastrointestinal pathogens also are capable of inducing host inflammatory responses by pirating signaling transduction events in infected epithelial cells (Hecht 2001).Escherichia coli O157:H7 infection was first identified in the early 1980's in association with two outbreaks of hemorrhagic colitis in the United States of America. Infection was associated with the ingestion of undercooked hamburger (Thorpe 2004). E. coli O157:H7 has been characterized as a non-invasive enteric pathogen that elaborates phage-encoded toxins variously referred to as Shiga-like toxins, Shiga toxins, and Vero cytotoxins. Subsequent studies showed that multiple E. coli serotypes produce Shiga-like toxins, and that many, but not all, of the various serotypes have been associated with human disease. Isolates associated with human disease are also referred to as enterohemorrhagic E. coli (EHEC) to distinguish them from other serotypes of Shiga-like toxin-producing E. coli that have not been demonstrated to cause disease in man. In addition to the cytotoxins, The environmental reservoir for EHEC is the anorectum of ruminants, including cattle (Naylor et al. 2003). These animals are generally asymptomatic. Moreover, one group of investigators recently provided provocative evidence indicating that carriage of Shiga-like toxin-producing E. coli benefits the ruminant, since toxin binding to cells infected with an oncogenic virus, but not to uninfected cells, leads to programmed cell death of the virus-infected cell (Menge et al. 2004).Fecal contamination of meats, fruits, and vegetables (e.g. non-pasteurized apple cider, radish sprouts), water supplies (including unchlorinated drinking water, swimming pools, and lakes) each have been reported as routes of transmission (Kassenborg et al. 2004...