ABSTRACT
This announcement describes the genomes of three hybrid Escherichia coli isolates containing virulence factors from enteropathogenic and enterotoxigenic E. coli. The recognition and characterization of these hybrid pathogens is essential in understanding the development of these novel organisms as an emerging threat among enteric pathogens.
KEYWORDS: Escherichia coli, hybrid, pathogen
ANNOUNCEMENT
Pathogenic Escherichia coli are often categorized into six generally accepted pathogenic variants (1, 2), or pathovars, each characterized by the presence or absence of virulence-related genes. Recent studies (3–7) and outbreaks (4, 8, 9) demonstrate that E. coli isolates containing virulence factors from multiple pathovars, termed hybrid E. coli, have infected humans. This announcement describes the genomes of two hybrid E. coli isolates obtained as part of the Global Enteric Multicenter Study (GEMS) (10) and an additional isolate from Bangladesh (11). The isolates contain the heat-labile toxin from enterotoxigenic E. coli (1, 2) and the type 3 secretion system from enteropathogenic E. coli (1, 2). Isolates produce each of the pathotype virulence factors, as demonstrated by our previous functional characterization (12).
The E. coli isolates were initially isolated as described by Panchalingam et al. (13). Briefly, feces or a rectal swab were transported in cold containers and inoculated into Cary-Blair transport media within 6 hours; within 18 hours of collection, samples were inoculated into selective growth media for multiple pathogens. For E. coli, several lactose-fermenting bacterial colonies were selected from McConkey agar plates incubated for 48 hours at 37°C. Colonies were sub-cultured in MIO medium, and indole-negative cultures were further assessed by Methyl Red, Voges-Proskauer, and Citrate biochemical tests. Suspected E. coli isolates (methyl-red positive; Voges Proskauer- and citrate-negative) were categorized into the pathogenic types by multiplex PCR (14). Verified E. coli isolates were frozen in 20% glycerol and maintained at −80°C. A frozen culture was provided to, and stored at, the Center for Vaccine Development at the University of Maryland School of Medicine.
Isolates were resurrected from frozen culture on Lysogeny agar overnight at 37°C. Genomic DNA was extracted using Qiagen’s DNeasy Blood & Tissue kit, and paired-end sequencing libraries were generated with unsheared genomic DNA. Nanopore libraries were prepared using genomic DNA that was not sheared or size selected with Oxford Nanopore’s “Genomic DNA by Ligation” kit and protocol (SQK-NBD114.24) (15). All samples were run on Nanopore R9 flow cells on a MinION Mk1B, and basecalling was performed using Guppy (v4.2.2) (16). Illumina libraries were generated using the Kapa library kit (Roche/Illumina) and sequenced with 2 × 150 bp chemistry on the Illumina HiSeq 4000 platform. Quality control and adapter trimming were performed with bcl2fastq (v2.20.0.445) (17) and porechop (v0.2.3_seqan2.1.1) (18) for Illumina and ONT sequencing, respectively. Hybrid assembly using both Illumina and ONT reads was conducted with Unicycler (v0.4.8) (19), including circularization. The final assemblies were not rotated to a specific base, and statistics were recorded with QUAST (v5.0.2) (20). The assemblies were then annotated with the NCBI prokaryotic genome annotation pipeline (v6.10) (21). All software was run with default values unless otherwise specified. Table 1 contains the total number of reads generated for each isolate and sequencing technology, relevant sequencing statistics, and GenBank accession numbers of each assembly.
TABLE 1.
Isolate, sequencing, and assembly metrics
| Samples | Sequencing and assembly metrics | GenBank accessions | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sample | Country | Case/control | Illumina read pairs | Illumina bases | Nanopore trimmed reads | Nanopore trimmed bases | N50 Nanopore | Coverage | No. of molecules | Total genome length (bp) | GC (%) | Molecule name | Size (bp) | BioProject | Assembly | SRA (Illumina, ONT) |
| 602687 | Bangladesh (GEMS) | Case | 3,661,295 | 1,131,117,901 | 1,022,938 | 1,340,426,141 | 1,346.9 | 477.3 | 5 | 5,178,254 | 50.66 | E602687 | 5,023,812 | PRJNA1254407 | CP189657 | SRR33281816 |
| pE602687_136 | 136,111 | CP189658 | SRR33281813 | |||||||||||||
| pE602687_12 | 12,678 | CP189659 | ||||||||||||||
| pE602687_3 | 2,975 | CP189660 | ||||||||||||||
| pE602687_2 | 2,678 | CP189661 | ||||||||||||||
| 102651 | Gambia (GEMS) | Case | 3,209,872 | 988,252,708 | 413,151 | 1,153,268,001 | 2,821.9 | 413.5 | 8 | 5,179,396 | 50.78 | E102651 | 4,889,307 | PRJNA1254407 | CP189662 | SRR33281817 |
| pE102651_87 | 87,234 | CP189663 | SRR33281814 | |||||||||||||
| pE102651_75 | 74,718 | CP189664 | ||||||||||||||
| pE102651_74 | 73,814 | CP189665 | ||||||||||||||
| pE102651_41 | 41,391 | CP189666 | ||||||||||||||
| pE102651_5 | 5,539 | CP189667 | ||||||||||||||
| pE102651_4 | 4,087 | CP189668 | ||||||||||||||
| pE102651_3 | 3,306 | CP189669 | ||||||||||||||
| 2854350 | Bangladesh | Case | 3,653,491 | 1,124,926,571 | 2,582,536 | 2,492,782,242 | 1,008.8 | 702.8 | 5 | 5,147,275 | 50.74 | E2854350 | 4,940,102 | CP189652 | SRR33281815 | |
| pE2854350_145 | 145,467 | CP189653 | SRR33281812 | |||||||||||||
| pE2854350_52 | 52,382 | CP189654 | ||||||||||||||
| pE2854350_5 | 5,126 | CP189655 | ||||||||||||||
| pE2854350_4 | 4,198 | CP189656 | ||||||||||||||
The identification and characterization of these hybrid isolates will allow a greater understanding of these emerging pathogens, which can inform effective therapeutics and diagnostics.
ACKNOWLEDGMENTS
This project was funded in part by federal funds from the National Institutes of Health, Department of Health and Human Services, under the National Institute of Allergy and Infectious Diseases grant number T32AI162579 (B.A.H.) and U19 AI110820 (D.A.R.).
We thank all GEMS study participants, sites, researchers, and investigators, especially Dr. S. M. Tennant and her group at the Center for Vaccine Development.
Contributor Information
David A. Rasko, Email: drasko1@umaryland.edu.
Zhenjiang Zech Xu, Nanchang University, Nanchang, Jiangxi, China.
DATA AVAILABILITY
All data can be accessed in BioProject PRJNA1254407, and the associated SRA and genome assembly accession numbers are listed in Table 1.
ETHICS APPROVAL
The clinical protocol was approved by ethics committees at the University of Maryland, Baltimore, MD, USA, and at each GEMS field site (10). Written informed consent was obtained from the parent or primary caretaker of each participant before initiation of study activities (10). This study received approval from the University of Maryland, Baltimore Institutional Review Board (protocols HP-00040030 and HP-00059433-7).
REFERENCES
- 1. Kaper JB, Nataro JP, Mobley HL. 2004. Pathogenic Escherichia coli. Nat Rev Microbiol 2:123–140. doi: 10.1038/nrmicro818 [DOI] [PubMed] [Google Scholar]
- 2. Croxen MA, Finlay BB. 2010. Molecular mechanisms of Escherichia coli pathogenicity. Nat Rev Microbiol 8:26–38. doi: 10.1038/nrmicro2265 [DOI] [PubMed] [Google Scholar]
- 3. Lee W, Kim MH, Sung S, Kim E, An ES, Kim SH, Kim SH, Kim HY. 2023. Genome-based characterization of hybrid Shiga toxin-producing and enterotoxigenic Escherichia coli (STEC/ETEC) strains isolated in South Korea, 2016-2020. Microorganisms 11:1285. doi: 10.3390/microorganisms11051285 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Finton MD, Meisal R, Porcellato D, Brandal LT, Lindstedt BA. 2025. Comparative genomics of clinical hybrid Escherichia coli strains in Norway. Int J Med Microbiol 318:151651. doi: 10.1016/j.ijmm.2025.151651 [DOI] [PubMed] [Google Scholar]
- 5. Rodwell EV, Greig DR, Gokool S, Olonade I, Swift C, Chan YW, Jenkins C. 2025. Hybrid strains of enterotoxigenic/Shiga toxin-producing Escherichia coli, United Kingdom, 2014-2023. J Med Microbiol 74:001946. doi: 10.1099/jmm.0.001946 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6. Hoshiko Y, Chowdhury G, Kitahara K, Ghosh D, Nagano DS, Ohno A, Miyoshi SI, Okuno M, Yamamoto T, Dutta S, Mukhopadhyay AK, Ogura Y. 2025. Genomic features of three major diarrhoeagenic Escherichia coli pathotypes in India. Microb Genom 11:001430. doi: 10.1099/mgen.0.001430 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7. Mainil JG, Nakamura K, Ikeda R, Crombé F, Diderich J, Saulmont M, Piérard D, Thiry D, Hayashi T. 2025. Emerging hybrid shigatoxigenic and enteropathogenic Escherichia coli serotype O80:H2 in humans and calves. Clin Microbiol Rev 38:e0001125. doi: 10.1128/cmr.00011-25 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. Lee W, Ha J, Choi J, Jung Y, Kim E, An ES, Kim SH, Shin H, Ryu S, Kim SH, Kim HY. 2024. Genetic and virulence characteristics of hybrid Shiga toxin-producing and atypical enteropathogenic Escherichia coli strains isolated in South Korea. Front Microbiol 15:1398262. doi: 10.3389/fmicb.2024.1398262 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9. Rasko DA, Webster DR, Sahl JW, Bashir A, Boisen N, Scheutz F, Paxinos EE, Sebra R, Chin C-S, Iliopoulos D, et al. 2011. Origins of the E. coli strain causing an outbreak of hemolytic-uremic syndrome in Germany. N Engl J Med 365:709–717. doi: 10.1056/NEJMoa1106920 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10. Kotloff KL, Nataro JP, Blackwelder WC, Nasrin D, Farag TH, Panchalingam S, Wu Y, Sow SO, Sur D, Breiman RF, et al. 2013. Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study. Lancet 382:209–222. doi: 10.1016/S0140-6736(13)60844-2 [DOI] [PubMed] [Google Scholar]
- 11. Sahl JW, Sistrunk JR, Baby NI, Begum Y, Luo Q, Sheikh A, Qadri F, Fleckenstein JM, Rasko DA. 2017. Insights into enterotoxigenic Escherichia coli diversity in Bangladesh utilizing genomic epidemiology. Sci Rep 7:3402. doi: 10.1038/s41598-017-03631-x [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12. Hazen TH, Michalski J, Luo Q, Shetty AC, Daugherty SC, Fleckenstein JM, Rasko DA. 2017. Comparative genomics and transcriptomics of Escherichia coli isolates carrying virulence factors of both enteropathogenic and enterotoxigenic E. coli. Sci Rep 7:3513. doi: 10.1038/s41598-017-03489-z [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13. Panchalingam S, Antonio M, Hossain A, Mandomando I, Ochieng B, Oundo J, Ramamurthy T, Tamboura B, Zaidi AKM, Petri W, Houpt E, Murray P, Prado V, Vidal R, Steele D, Strockbine N, Sansonetti P, Glass RI, Robins-Browne RM, Tauschek M, Svennerholm A-M, Berkeley LY, Kotloff K, Levine MM, Nataro JP. 2012. Diagnostic microbiologic methods in the GEMS-1 case/control study. Clin Infect Dis 55:S294–S302. doi: 10.1093/cid/cis754 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Nguyen TV, Le Van P, Le Huy C, Gia KN, Weintraub A. 2005. Detection and characterization of diarrheagenic Escherichia coli from young children in Hanoi, Vietnam. J Clin Microbiol 43:755–760. doi: 10.1128/JCM.43.2.755-760.2005 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15. Nanopore. Available from: https://nanoporetech.com/products/prepare/dna-library-preparation
- 16. Wick RR, Judd LM, Holt KE. 2019. Performance of neural network basecalling tools for Oxford Nanopore sequencing. Genome Biol 20:129. doi: 10.1186/s13059-019-1727-y [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17. bcl2fastq. Available from: https://support.illumina.com/sequencing/sequencing_software/bcl2fastq-conversion-software.html
- 18. Porechop. Available from: https://github.com/rrwick/Porechop
- 19. Wick RR, Judd LM, Gorrie CL, Holt KE. 2017. Unicycler: resolving bacterial genome assemblies from short and long sequencing reads. PLoS Comput Biol 13:e1005595. doi: 10.1371/journal.pcbi.1005595 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20. Gurevich A, Saveliev V, Vyahhi N, Tesler G. 2013. QUAST: quality assessment tool for genome assemblies. Bioinformatics 29:1072–1075. doi: 10.1093/bioinformatics/btt086 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21. Tatusova T, DiCuccio M, Badretdin A, Chetvernin V, Nawrocki EP, Zaslavsky L, Lomsadze A, Pruitt KD, Borodovsky M, Ostell J. 2016. NCBI prokaryotic genome annotation pipeline. Nucleic Acids Res 44:6614–6624. doi: 10.1093/nar/gkw569 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
All data can be accessed in BioProject PRJNA1254407, and the associated SRA and genome assembly accession numbers are listed in Table 1.
