cAlthough new serotypes of enterohemorrhagic Escherichia coli (EHEC) emerge constantly, the mechanisms by which these new pathogens arise and the reasons emerging serotypes tend to carry more virulence genes than other E. coli are not understood. An insertion sequence (IS) excision enhancer (IEE) was discovered in EHEC O157:H7 that promoted the excision of IS3 family members and generating various genomic deletions. One IS3 family member, IS629, actively transposes and proliferates in EHEC O157:H7 and enterotoxigenic E. coli (ETEC) O139 and O149. The simultaneous presence of the IEE and IS629 (and other IS3 family members) may be part of a system promoting not only adaptation and genome diversification in E. coli O157:H7 but also contributing to the development of pathogenicity among predominant serotypes. Prevalence comparisons of these elements in 461 strains, representing 72 different serotypes and 5 preassigned seropathotypes (SPT) A to E, showed that the presence of these two elements simultaneously was serotype specific and associated with highly pathogenic serotypes (O157 and top non-O157 Shiga toxin-producing Escherichia coli [STEC]) implicated in outbreaks and sporadic cases of human illness (SPT A and B). Serotypes lacking one or both elements were less likely to have been isolated from clinical cases. Our comparisons of IEE sequences showed sequence variations that could be divided into at least three clusters. Interestingly, the IEE sequences from O157 and the top 10 non-O157 STEC serotypes fell into clusters I and II, while less commonly isolated serotypes O5 and O174 fell into cluster III. These results suggest that IS629 and IEE elements may be acting synergistically to promote genome plasticity and genetic diversity among STEC strains, enhancing their abilities to adapt to hostile environments and rapidly take up virulence factors.
Shiga toxin-producing Escherichia coli (STEC) strains are important food pathogens responsible for serious human disease worldwide (1-3). Although new STEC serotypes constantly emerge (4), the mechanisms by which these strains acquire virulence are not entirely understood. Elements such as phages, pathogenicity islands (PAIs), and plasmids can introduce new virulence genes (such as those for producing Shiga toxin) that contribute to the pathogenic potential of strains, but the existence of horizontal transfer is not sufficient to explain the subsequent evolution of these strains or why some strains carry more virulence genes than others.Karmali et al. (5) classified STEC into seropathotypes (SPT) from A to E in descending order of virulence. Serotypes that are frequently linked to outbreaks and severe disease, for example, hemolytic-uremic syndrome (HUS), are classified as SPT A. Serotypes in SPT B are also associated with outbreaks and severe disease, but these associations occur less frequently in SPT B serotypes than those in SPT A serotypes. Serotypes associated with sporadic cases of HUS, but not known to be responsible for outbreaks, are classified as SPT C, and ...