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<title xml:lang="en">HEp-2 Cell Adherence, Actin Aggregation, and Intimin Types of Attaching and Effacing
<italic>Escherichia coli</italic>
Strains Isolated from Healthy Infants in Germany and Australia </title>
<author>
<name sortKey="Beutin, Lothar" sort="Beutin, Lothar" uniqKey="Beutin L" first="Lothar" last="Beutin">Lothar Beutin</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marches, Olivier" sort="Marches, Olivier" uniqKey="Marches O" first="Olivier" last="Marchés">Olivier Marchés</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bettelheim, Karl A" sort="Bettelheim, Karl A" uniqKey="Bettelheim K" first="Karl A." last="Bettelheim">Karl A. Bettelheim</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gleier, Kerstin" sort="Gleier, Kerstin" uniqKey="Gleier K" first="Kerstin" last="Gleier">Kerstin Gleier</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zimmermann, Sonja" sort="Zimmermann, Sonja" uniqKey="Zimmermann S" first="Sonja" last="Zimmermann">Sonja Zimmermann</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Herbert" sort="Schmidt, Herbert" uniqKey="Schmidt H" first="Herbert" last="Schmidt">Herbert Schmidt</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oswald, Eric" sort="Oswald, Eric" uniqKey="Oswald E" first="Eric" last="Oswald">Eric Oswald</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
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<idno type="pmid">12819087</idno>
<idno type="pmc">162008</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC162008</idno>
<idno type="RBID">PMC:162008</idno>
<idno type="doi">10.1128/IAI.71.7.3995-4002.2003</idno>
<date when="2003">2003</date>
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<title xml:lang="en" level="a" type="main">HEp-2 Cell Adherence, Actin Aggregation, and Intimin Types of Attaching and Effacing
<italic>Escherichia coli</italic>
Strains Isolated from Healthy Infants in Germany and Australia </title>
<author>
<name sortKey="Beutin, Lothar" sort="Beutin, Lothar" uniqKey="Beutin L" first="Lothar" last="Beutin">Lothar Beutin</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marches, Olivier" sort="Marches, Olivier" uniqKey="Marches O" first="Olivier" last="Marchés">Olivier Marchés</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bettelheim, Karl A" sort="Bettelheim, Karl A" uniqKey="Bettelheim K" first="Karl A." last="Bettelheim">Karl A. Bettelheim</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gleier, Kerstin" sort="Gleier, Kerstin" uniqKey="Gleier K" first="Kerstin" last="Gleier">Kerstin Gleier</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zimmermann, Sonja" sort="Zimmermann, Sonja" uniqKey="Zimmermann S" first="Sonja" last="Zimmermann">Sonja Zimmermann</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Herbert" sort="Schmidt, Herbert" uniqKey="Schmidt H" first="Herbert" last="Schmidt">Herbert Schmidt</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oswald, Eric" sort="Oswald, Eric" uniqKey="Oswald E" first="Eric" last="Oswald">Eric Oswald</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Infection and Immunity</title>
<idno type="ISSN">0019-9567</idno>
<idno type="eISSN">1098-5522</idno>
<imprint>
<date when="2003">2003</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<p>Fecal samples from healthy children under 2 years of age living in Berlin, Germany (205 infants), and Melbourne, Australia (184 infants), were investigated for the presence of attaching and effacing (AE)
<italic>Escherichia coli</italic>
(AEEC) strains by screening for
<italic>eae</italic>
(intimin) genes. Twenty-seven AEEC strains were isolated from 14 children (7.6%) from Melbourne and from 12 children (5.9%) from Berlin. The 27 AEEC strains were classified as enterohemorrhagic
<italic>E. coli</italic>
(one strain, producing Shiga toxin 1), typical enteropathogenic
<italic>E. coli</italic>
(EPEC) (one strain carrying an EPEC adherence factor [EAF] plasmid), and atypical EPEC (25 strains negative for Shiga toxins and EAF plasmids). The AEEC were divided into 18 different serotypes, O-nontypeable and O-rough strains. Typing of their intimin genes revealed the presence of intimin α in 6 strains, intimin β in 11 strains, intimin γ in 7 strains, intimin ζ in 2 strains, and intimin η in one strain. Analysis of HEp-2 cell adherence showed diffuse adherence or localized adherence-like patterns in 26 AEEC strains; local adherence was found only with the EAF-positive strain. Ten AEEC strains showed an AE property with the fluorescent actin staining (FAS) test. The introduction of an EAF plasmid (pMAR7) converted 11 FAS-negative AEEC strains to FAS positive and increased the FAS reaction in six FAS-positive AEEC strains, indicating that the genes needed for the AE phenotype were functional in these strains. Our finding indicates that atypical EPEC strains could play a double role as strains that naturally immunize against intimin in humans and as reservoirs for new emerging human pathogenic EPEC strains.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Infect Immun</journal-id>
<journal-id journal-id-type="publisher-id">iai</journal-id>
<journal-title>Infection and Immunity</journal-title>
<issn pub-type="ppub">0019-9567</issn>
<issn pub-type="epub">1098-5522</issn>
<publisher>
<publisher-name>American Society for Microbiology</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">12819087</article-id>
<article-id pub-id-type="pmc">162008</article-id>
<article-id pub-id-type="publisher-id">1486</article-id>
<article-id pub-id-type="doi">10.1128/IAI.71.7.3995-4002.2003</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bacterial Infections</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>HEp-2 Cell Adherence, Actin Aggregation, and Intimin Types of Attaching and Effacing
<italic>Escherichia coli</italic>
Strains Isolated from Healthy Infants in Germany and Australia </article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Beutin</surname>
<given-names>Lothar</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marchés</surname>
<given-names>Olivier</given-names>
</name>
<xref ref-type="aff" rid="aff1">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bettelheim</surname>
<given-names>Karl A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gleier</surname>
<given-names>Kerstin</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zimmermann</surname>
<given-names>Sonja</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schmidt</surname>
<given-names>Herbert</given-names>
</name>
<xref ref-type="aff" rid="aff1">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oswald</surname>
<given-names>Eric</given-names>
</name>
<xref ref-type="aff" rid="aff1">2</xref>
</contrib>
</contrib-group>
<aff id="aff1">Division of Emerging Bacterial Pathogens, Department of Biological Safety, Robert Koch Institute, 13353 Berlin,
<label>1</label>
Institut für Medizinische Mikrobiologie und Hygiene, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden Germany;,
<label>4</label>
Laboratoire associé INRA/ENVT de Microbiologie Moléculaire, Ecole Nationale Vétérinaire, 31000 Toulouse, France,
<label>2</label>
Microbiological Diagnostic Unit, Public Health Laboratory, Department of Microbiology and Immunology, University of Melbourne, Melbourne, Victoria 3052, Australia
<label>3</label>
</aff>
<author-notes>
<fn id="cor1">
<label>*</label>
<p>Corresponding author. Mailing address: Department of Biological Safety (ZBS3), Robert Koch Institut, Nordufer 20, D-13353 Berlin, Germany. Phone: 49 30 45 47 2484. Fax: 49 30 45 47 2673. E-mail:
<email>BeutinL@rki.de</email>
.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2003</year>
</pub-date>
<volume>71</volume>
<issue>7</issue>
<fpage>3995</fpage>
<lpage>4002</lpage>
<history>
<date date-type="received">
<day>15</day>
<month>10</month>
<year>2002</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>1</month>
<year>2003</year>
</date>
<date date-type="accepted">
<day>6</day>
<month>4</month>
<year>2003</year>
</date>
</history>
<copyright-statement>Copyright © 2003, American Society for Microbiology</copyright-statement>
<copyright-year>2003</copyright-year>
<abstract>
<p>Fecal samples from healthy children under 2 years of age living in Berlin, Germany (205 infants), and Melbourne, Australia (184 infants), were investigated for the presence of attaching and effacing (AE)
<italic>Escherichia coli</italic>
(AEEC) strains by screening for
<italic>eae</italic>
(intimin) genes. Twenty-seven AEEC strains were isolated from 14 children (7.6%) from Melbourne and from 12 children (5.9%) from Berlin. The 27 AEEC strains were classified as enterohemorrhagic
<italic>E. coli</italic>
(one strain, producing Shiga toxin 1), typical enteropathogenic
<italic>E. coli</italic>
(EPEC) (one strain carrying an EPEC adherence factor [EAF] plasmid), and atypical EPEC (25 strains negative for Shiga toxins and EAF plasmids). The AEEC were divided into 18 different serotypes, O-nontypeable and O-rough strains. Typing of their intimin genes revealed the presence of intimin α in 6 strains, intimin β in 11 strains, intimin γ in 7 strains, intimin ζ in 2 strains, and intimin η in one strain. Analysis of HEp-2 cell adherence showed diffuse adherence or localized adherence-like patterns in 26 AEEC strains; local adherence was found only with the EAF-positive strain. Ten AEEC strains showed an AE property with the fluorescent actin staining (FAS) test. The introduction of an EAF plasmid (pMAR7) converted 11 FAS-negative AEEC strains to FAS positive and increased the FAS reaction in six FAS-positive AEEC strains, indicating that the genes needed for the AE phenotype were functional in these strains. Our finding indicates that atypical EPEC strains could play a double role as strains that naturally immunize against intimin in humans and as reservoirs for new emerging human pathogenic EPEC strains.</p>
</abstract>
</article-meta>
<notes>
<fn-group>
<fn>
<p>
<italic>Editor:</italic>
V. J. DiRita</p>
</fn>
</fn-group>
</notes>
</front>
</pmc>
</record>

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