2003
DOI: 10.1128/iai.71.6.3409-3418.2003
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Immunity Profiles of Wild-Type and Recombinant Shiga-Like Toxin-Encoding Bacteriophages and Characterization of Novel Double Lysogens

Abstract: The pathogenicity of Shiga-like toxin (stx)-producing Escherichia coli (STEC), notably serotype O157, the causative agent of hemorrhagic colitis, hemolytic-uremic syndrome, and thrombotic thrombocytopenic purpura, is based partly on the presence of genes (stx 1 and/or stx 2 ) that are known to be carried on temperate lambdoid bacteriophages. Stx phages were isolated from different STEC strains and found to have genome sizes in the range of 48 to 62 kb and to carry either stx 1 or stx 2 genes. Restriction fragm… Show more

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Cited by 82 publications
(107 citation statements)
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References 44 publications
(42 reference statements)
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“…Theoretically, this ability has clear implications for the severity of Stx-mediated disease symptoms, commensurate with an increased number of toxin gene copies and increased toxin load, but previously this had not been directly and unequivocally demonstrated. Different stx genes, associated with different prophages or prophage remnants, are regularly found in combination within a single host (Allison et al, 2003;Bielaszewska et al, 2007;Eklund et al, 2002;Muniesa et al, 2003;Zheng et al, 2008), and virulence profiles comprising two stx2 genes are frequently associated with HUS and bloody diarrhoea (Banatvala et al, 1996;Eklund et al, 2002;Elliott et al, 2001;Tozzi et al, 2003;Woodward et al, 2002). Furthermore, the presence of two stx operons can lead to increased in vitro toxin expression (Bielaszewska et al, 2006;Cornick et al, 2002;Eklund et al, 2002;Muniesa et al, 2003), though this observation is not without exceptions (Serra-Moreno et al, 2008), nor does it necessarily equate to more severe clinical disease (Bielaszewska et al, 2006;Cornick et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
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“…Theoretically, this ability has clear implications for the severity of Stx-mediated disease symptoms, commensurate with an increased number of toxin gene copies and increased toxin load, but previously this had not been directly and unequivocally demonstrated. Different stx genes, associated with different prophages or prophage remnants, are regularly found in combination within a single host (Allison et al, 2003;Bielaszewska et al, 2007;Eklund et al, 2002;Muniesa et al, 2003;Zheng et al, 2008), and virulence profiles comprising two stx2 genes are frequently associated with HUS and bloody diarrhoea (Banatvala et al, 1996;Eklund et al, 2002;Elliott et al, 2001;Tozzi et al, 2003;Woodward et al, 2002). Furthermore, the presence of two stx operons can lead to increased in vitro toxin expression (Bielaszewska et al, 2006;Cornick et al, 2002;Eklund et al, 2002;Muniesa et al, 2003), though this observation is not without exceptions (Serra-Moreno et al, 2008), nor does it necessarily equate to more severe clinical disease (Bielaszewska et al, 2006;Cornick et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
“…host cell (Allison et al, 2003;Fogg et al, 2007;SerraMoreno et al, 2008). Theoretically, this ability has clear implications for the severity of Stx-mediated disease symptoms, commensurate with an increased number of toxin gene copies and increased toxin load, but previously this had not been directly and unequivocally demonstrated.…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations