Enterohaemorrhagic Escherichia coli (EHEC) cause acute gastroenteritis in humans that may be complicated by life-threatening systemic sequelae. The predominant EHEC serotype affecting humans in the UK and North America is O157 : H7 and infections are frequently associated with contact with ruminant faeces. Strategies to reduce the carriage of EHEC in ruminants are expected to lower the incidence of human EHEC infections; however, the molecular mechanisms underlying persistence of EHEC in ruminants are poorly understood. This paper reports the first comprehensive survey for EHEC factors mediating colonization of the bovine intestines by using signature-tagged transposon mutagenesis. Seventy-nine E. coli O157 : H7 mutants impaired in their ability to colonize calves were isolated and 59 different genes required for intestinal colonization were identified by cloning and sequencing of the transposon insertion sites. Thirteen transposon insertions were clustered in the locus of enterocyte effacement (LEE), which encodes a type III protein secretion system required for the formation of attaching and effacing lesions on intestinal epithelia. A putative structural component of the apparatus (EscN) is essential for intestinal colonization; however, the type III secreted effector protein Map plays only a minor role. Other Type III secretion-associated genes were implicated in colonization of calves by E. coli O157 : H7, including z0990 (ecs0850), which encodes the non-LEE-encoded type III secreted effector NleD and the closely related z3023 (ecs2672) and z3026 (ecs2674) genes which encode homologues of Shigella IpaH proteins. We also identified a novel fimbrial locus required for intestinal colonization in calves by E. coli O157 : H7 (z2199-z2206; ecs2114-ecs2107/locus 8) and demonstrated that a mutant harbouring a deletion of the putative major fimbrial subunit gene is rapidly out-competed by the parent strain in co-infection studies. Our data provide valuable new information for the development of intervention strategies.
INTRODUCTIONEnterohaemorrhagic Escherichia coli (EHEC) were first recognized as a cause of human disease in 1983 and are associated with diarrhoea and haemorrhagic colitis, which may be complicated by life-threatening renal and neurological sequelae, including haemolytic uraemic syndrome and thrombocytopaenic purpura (Karmali et al., 1983;Riley et al., 1983). EHEC, and in particular serotype O157 : H7, have since emerged as a major cause of severe diarrhoeal illness worldwide and EHEC infections are the leading antecedent to paediatric acute renal failure in many countries (Ammon, 1997; Mead et al., 1999; WHO, 1997). E. coli O157 : H7 strains are estimated to cause 73 480 cases and 60 deaths per annum in the United States, with serotypes other than O157 : H7 accounting for a further 36 740 illnesses (Mead et al., 1999). Non-O157 EHEC are an emerging problem, and indeed may be more prevalent than serogroup O157 in some countries (Bettelheim, 2000). EHEC are defined by their ability to produce one or mo...