Enteropathogenic Escherichia coli: foe or innocent bystander?

Hu, Jia; Torres, Alfredo G.

doi:10.1016/j.cmi.2015.01.015

Cited by 155 publications

(159 citation statements)

References 53 publications

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“…Enteropathogenic E. coli causes acute infection in humans, and the pathogen utilizes a plethora of adhesins to guarantee intestinal colonization (2,24). We have demonstrated that lpf in EPEC strain 2348/69 is a highly regulated operon that might function as an adhesin when expressed, and as such, our study found that lpf expression is enhanced in the EPEC ⌬hns strain.…”

Section: Discussionmentioning

confidence: 56%

“…Most E. coli strains rarely cause disease, except in immunocompromised hosts or in individuals whose normal gastrointestinal barrier is broken (1,2). However, there are several E. coli strains that carry specific virulence attributes that classify them in specific pathotypes that cause distinct disease in healthy hosts (1).…”

mentioning

confidence: 99%

“…Two of these E. coli pathotypes, enteropathogenic E. coli (EPEC) and enterohemorrhagic E. coli (EHEC), belong to the group of attaching and effacing E. coli (AEEC) strains. AEEC strains are characterized by the presence of a type III secretion system (T3SS) that injects virulence factors into the host cell, mediating the formation of the characterized histopathological attaching and effacing (A/E) lesion (1,2). EPEC is a leading cause of human infantile diarrhea worldwide (3,4).…”

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confidence: 99%

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Finding Regulators Associated with the Expression of the Long Polar Fimbriae in Enteropathogenic Escherichia coli

Ross

Cieza

et al. 2015

J Bacteriol

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Enteropathogenic Escherichia coli (EPEC) is a human pathogen that requires initial adhesion to the intestine in order to cause disease. Multiple adhesion factors have been identified in E. coli strains, among them the long polar fimbriae (Lpf), a colonization factor associated with intestinal adhesion. The conditions of Lpf expression are well understood in enterohemorrhagic E. coli (EHEC); however, the expression of EPEC lpf has been found to be repressed under any in vitro condition tested. Therefore, we decided to identify those factors silencing expression of EPEC lpf. Because histone-like nucleoid structuring protein (H-NS) is a known repressor of EHEC lpf, we tested it and found that H-NS is a repressor of EPEC lpf. We also found that the adhesion of the EPEC ⌬hns strain was significantly enhanced compared to the wild-type strain. Because lpf expression was modestly increased in the hns mutant, transposon mutagenesis was performed to find a strain displaying higher lpf expression than EPEC ⌬hns. One Tn5 insertion was identified within the yhjX gene, and further in vitro characterization revealed increased lpf expression and adhesion to Caco-2 cells compared with EPEC ⌬hns. However, in a murine model of intestinal infection, the EPEC ⌬hns and EPEC ⌬hns Tn5 mutants had only a slight change in colonization pattern compared to the wild-type strain. Our data showed that EPEC Lpf is transcribed, but its role in EPEC intestinal colonization requires further analysis. IMPORTANCEData are presented demonstrating that the long polar fimbriae (lpf) operon in enteropathogenic E. coli (EPEC) is highly regulated; however, derepression occurs by mutagenizing two proteins associated with its control. The study demonstrates that the EPEC lpf operon can be expressed and, therefore, participates in the EPEC adherence phenotype. E scherichia coli bacteria are normally found in the intestines of humans and animals. Most E. coli strains rarely cause disease, except in immunocompromised hosts or in individuals whose normal gastrointestinal barrier is broken (1, 2). However, there are several E. coli strains that carry specific virulence attributes that classify them in specific pathotypes that cause distinct disease in healthy hosts (1). Two of these E. coli pathotypes, enteropathogenic E. coli (EPEC) and enterohemorrhagic E. coli (EHEC), belong to the group of attaching and effacing E. coli (AEEC) strains. AEEC strains are characterized by the presence of a type III secretion system (T3SS) that injects virulence factors into the host cell, mediating the formation of the characterized histopathological attaching and effacing (A/E) lesion (1, 2). EPEC is a leading cause of human infantile diarrhea worldwide (3, 4). EHEC also causes severe human disease, including bloody diarrhea and life-threatening hemolytic uremic syndrome (HUS). Currently, EPEC is estimated to be responsible for 5 to 10% of pediatric diarrhea in developing countries (3). The Global Enteric Multicenter Study (GEMS) showed that some EPEC strains are assoc...

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Section: Discussionmentioning

confidence: 56%

mentioning

confidence: 99%

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confidence: 99%

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Finding Regulators Associated with the Expression of the Long Polar Fimbriae in Enteropathogenic Escherichia coli

Ross

Cieza

et al. 2015

J Bacteriol

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“…Apesar de seu papel como comensal, algumas cepas de E. coli são capazes de causar uma grande variedade de doenças, devido à aquisição de fatores de virulência por transferência horizontal 1 . Dentre essas doenças, a diarreia é uma das principais, sendo as E. coli diarreiogênicas (ECD) responsáveis por inúmeros surtos de diarreia registrados no mundo 2 .…”

Section: Introductionunclassified

“…Dentre esses patotipos, cepas EPEC destacam-se como um importante agente diarreiogênico presente em países em desenvolvimento 2 .…”

Section: Introductionunclassified

Caracterização molecular de Escherichia coli enteropatogênica atípica em animais silvestres capturados na Região Amazônica

Rocha¹,

Marinho²,

Santos³

et al. 2017

Revista Pan-Amazônica de Saúde

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Escherichia and Shigella

Humphries,

Faron,

Dekker

et al. 2023

ClinMicroNow

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Members of the genera Escherichia and Shigella are most often associated with infections of the gastrointestinal and urinary tracts, but may also cause more severe systemic or invasive infections including pneumonia, sepsis, and meningitis. This chapter provides an overview of each genus and discusses key aspects of taxonomy, epidemiology, and virulence, along with culture‐dependent and culture‐independent methodologies for the identification and classification of species within these genera. It discusses recent trends in antimicrobial resistance patterns and updates to recommended susceptibility testing modalities and interpretive criteria to understand the current best practice for treating active infections. The epidemiology and clinical impact of EIEC are difficult to ascertain because of its close relationship to Shigella and the difficulty in distinguishing EIEC from Shigella by using biochemical, phenotypic, and molecular methods. Appropriate transport of fecal specimens is essential for effective culture‐based recovery of bacterial pathogens associated with gastroenteritis.

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Enteropathogenic Escherichia coli: foe or innocent bystander?

Cited by 155 publications

References 53 publications

Finding Regulators Associated with the Expression of the Long Polar Fimbriae in Enteropathogenic Escherichia coli

Finding Regulators Associated with the Expression of the Long Polar Fimbriae in Enteropathogenic Escherichia coli

Caracterização molecular de Escherichia coli enteropatogênica atípica em animais silvestres capturados na Região Amazônica

Escherichia and Shigella

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