Abstract
Recent outbreaks of disease caused by Escherichia coli O157:H7 have focused much attention on this newly emerged pathogen. Identification of the H7 flagellar antigen is critical for the confirmation of E. coli O157:H7; however, clinical isolates are frequently nonmotile and do not produce detectable H antigen. To further characterize nonmotile isolates (designated NM), we developed a PCR-restriction fragment length polymorphism (PCR-RFLP) test to identify and characterize the gene encoding the H antigen (fliC) in E. coli. The entire coding sequence of fliC was amplified by PCR, the amplicon was restricted with RsaI, and the restriction fragment pattern was examined after gel electrophoresis. Two hundred eighty E. coli isolates representing serotypes O157:H7 and O157:NM, flagellar antigen H7 groups associated with other O serogroups, and all other flagellar antigen groups were analyzed. A single restriction pattern (pattern A) was identified for O157:H7 isolates, O157:NM isolates that produced Shiga toxin (formerly Shiga-like toxin or verotoxin), and 16 of 18 O55:H7 isolates. Flagellar antigen group H7 isolates of non-O157 serotypes had one of three banding patterns distinct from pattern A. A wide variety of patterns were found among isolates of the other 52 flagellar antigen groups; however, none was identical to the O157:H7 pattern. Thirteen of 15 nonmotile strains that did not produce the A pattern had patterns that matched those of other known H groups. The PCR-RFLP in conjunction with O serogroup determination will be useful in identifying E. coli O157:H7 and related strains that do not express immunoreactive H antigen and could be expanded to include other clinically important E. coli strains.
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- Akopyanz N., Bukanov N. O., Westblom T. U., Berg D. E. PCR-based RFLP analysis of DNA sequence diversity in the gastric pathogen Helicobacter pylori. Nucleic Acids Res. 1992 Dec 11;20(23):6221–6225. doi: 10.1093/nar/20.23.6221. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alm R. A., Guerry P., Trust T. J. Distribution and polymorphism of the flagellin genes from isolates of Campylobacter coli and Campylobacter jejuni. J Bacteriol. 1993 May;175(10):3051–3057. doi: 10.1128/jb.175.10.3051-3057.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Beutin L., Aleksic S., Zimmermann S., Gleier K. Virulence factors and phenotypical traits of verotoxigenic strains of Escherichia coli isolated from human patients in Germany. Med Microbiol Immunol. 1994 Feb;183(1):13–21. doi: 10.1007/BF00193627. [DOI] [PubMed] [Google Scholar]
- Bitzan M., Ludwig K., Klemt M., König H., Büren J., Müller-Wiefel D. E. The role of Escherichia coli O 157 infections in the classical (enteropathic) haemolytic uraemic syndrome: results of a Central European, multicentre study. Epidemiol Infect. 1993 Apr;110(2):183–196. doi: 10.1017/s0950268800068102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Boyce T. G., Pemberton A. G., Wells J. G., Griffin P. M. Screening for Escherichia coli O157:H7--a nationwide survey of clinical laboratories. J Clin Microbiol. 1995 Dec;33(12):3275–3277. doi: 10.1128/jcm.33.12.3275-3277.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campos L. C., Whittam T. S., Gomes T. A., Andrade J. R., Trabulsi L. R. Escherichia coli serogroup O111 includes several clones of diarrheagenic strains with different virulence properties. Infect Immun. 1994 Aug;62(8):3282–3288. doi: 10.1128/iai.62.8.3282-3288.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cebula T. A., Payne W. L., Feng P. Simultaneous identification of strains of Escherichia coli serotype O157:H7 and their Shiga-like toxin type by mismatch amplification mutation assay-multiplex PCR. J Clin Microbiol. 1995 Jan;33(1):248–250. doi: 10.1128/jcm.33.1.248-250.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feng P. C., Hartman P. A. Fluorogenic assays for immediate confirmation of Escherichia coli. Appl Environ Microbiol. 1982 Jun;43(6):1320–1329. doi: 10.1128/aem.43.6.1320-1329.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feng P., Fields P. I., Swaminathan B., Whittam T. S. Characterization of nonmotile variants of Escherichia coli O157 and other serotypes by using an antiflagellin monoclonal antibody. J Clin Microbiol. 1996 Nov;34(11):2856–2859. doi: 10.1128/jcm.34.11.2856-2859.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feng P. Identification of Escherichia coli serotype O157:H7 by DNA probe specific for an allele of uid A gene. Mol Cell Probes. 1993 Apr;7(2):151–154. doi: 10.1006/mcpr.1993.1021. [DOI] [PubMed] [Google Scholar]
- Gunzer F., Böhm H., Rüssmann H., Bitzan M., Aleksic S., Karch H. Molecular detection of sorbitol-fermenting Escherichia coli O157 in patients with hemolytic-uremic syndrome. J Clin Microbiol. 1992 Jul;30(7):1807–1810. doi: 10.1128/jcm.30.7.1807-1810.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayes P. S., Blom K., Feng P., Lewis J., Strockbine N. A., Swaminathan B. Isolation and characterization of a beta-D-glucuronidase-producing strain of Escherichia coli serotype O157:H7 in the United States. J Clin Microbiol. 1995 Dec;33(12):3347–3348. doi: 10.1128/jcm.33.12.3347-3348.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Iino T., Komeda Y., Kutsukake K., Macnab R. M., Matsumura P., Parkinson J. S., Simon M. I., Yamaguchi S. New unified nomenclature for the flagellar genes of Escherichia coli and Salmonella typhimurium. Microbiol Rev. 1988 Dec;52(4):533–535. doi: 10.1128/mr.52.4.533-535.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Karch H., Böhm H., Schmidt H., Gunzer F., Aleksic S., Heesemann J. Clonal structure and pathogenicity of Shiga-like toxin-producing, sorbitol-fermenting Escherichia coli O157:H-. J Clin Microbiol. 1993 May;31(5):1200–1205. doi: 10.1128/jcm.31.5.1200-1205.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kilger G., Grimont P. A. Differentiation of Salmonella phase 1 flagellar antigen types by restriction of the amplified fliC gene. J Clin Microbiol. 1993 May;31(5):1108–1110. doi: 10.1128/jcm.31.5.1108-1110.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kuwajima G., Asaka J., Fujiwara T., Fujiwara T., Node K., Kondo E. Nucleotide sequence of the hag gene encoding flagellin of Escherichia coli. J Bacteriol. 1986 Dec;168(3):1479–1483. doi: 10.1128/jb.168.3.1479-1483.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lawn A. M., Orskov I., Orskov F. Morphological distinction between different H serotypes of Escherichia coli. J Gen Microbiol. 1977 Jul;101(1):111–119. doi: 10.1099/00221287-101-1-111. [DOI] [PubMed] [Google Scholar]
- Levine M. M., Xu J. G., Kaper J. B., Lior H., Prado V., Tall B., Nataro J., Karch H., Wachsmuth K. A DNA probe to identify enterohemorrhagic Escherichia coli of O157:H7 and other serotypes that cause hemorrhagic colitis and hemolytic uremic syndrome. J Infect Dis. 1987 Jul;156(1):175–182. doi: 10.1093/infdis/156.1.175. [DOI] [PubMed] [Google Scholar]
- Namba K., Yamashita I., Vonderviszt F. Structure of the core and central channel of bacterial flagella. Nature. 1989 Dec 7;342(6250):648–654. doi: 10.1038/342648a0. [DOI] [PubMed] [Google Scholar]
- Nickoloff J. A. Sepharose spin column chromatography. A fast, nontoxic replacement for phenol:chloroform extraction/ethanol precipitation. Mol Biotechnol. 1994 Feb;1(1):105–108. doi: 10.1007/BF02821513. [DOI] [PubMed] [Google Scholar]
- Schmidt H., Rüssmann H., Karch H. Virulence determinants in nontoxinogenic Escherichia coli O157 strains that cause infantile diarrhea. Infect Immun. 1993 Nov;61(11):4894–4898. doi: 10.1128/iai.61.11.4894-4898.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schoenhals G., Whitfield C. Comparative analysis of flagellin sequences from Escherichia coli strains possessing serologically distinct flagellar filaments with a shared complex surface pattern. J Bacteriol. 1993 Sep;175(17):5395–5402. doi: 10.1128/jb.175.17.5395-5402.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wachsmuth I. K., Falkow S., Ryder R. W. Plasmid-mediated properties of a heat-stable enterotoxin-producing Escherichia coli associated with infantile diarrhea. Infect Immun. 1976 Aug;14(2):403–407. doi: 10.1128/iai.14.2.403-407.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whittam T. S., Wachsmuth I. K., Wilson R. A. Genetic evidence of clonal descent of Escherichia coli O157:H7 associated with hemorrhagic colitis and hemolytic uremic syndrome. J Infect Dis. 1988 Jun;157(6):1124–1133. doi: 10.1093/infdis/157.6.1124. [DOI] [PubMed] [Google Scholar]
- Whittam T. S., Wolfe M. L., Wachsmuth I. K., Orskov F., Orskov I., Wilson R. A. Clonal relationships among Escherichia coli strains that cause hemorrhagic colitis and infantile diarrhea. Infect Immun. 1993 May;61(5):1619–1629. doi: 10.1128/iai.61.5.1619-1629.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Winstanley C., Coulson M. A., Wepner B., Morgan J. A., Hart C. A. Flagellin gene and protein variation amongst clinical isolates of Pseudomonas aeruginosa. Microbiology. 1996 Aug;142(Pt 8):2145–2151. doi: 10.1099/13500872-142-8-2145. [DOI] [PubMed] [Google Scholar]