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Department of Bacteriology, The Kitasato Institute, Minato-ku, Tokyo 108, Japan; and the
Department of Pathology and Laboratory Medicine, St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada V6Z 1Y6
Enteropathogenic Escherichia coli (EPEC) belongs to a family of related bacterial pathogens, including enterohemorrhagic Escherichia coli (EHEC) O157:H7 and other human and animal diarrheagenic pathogens that form attaching and effacing (A/E) lesions on host epithelial surfaces. Bacterial secreted Esp proteins and a type III secretion system are conserved among these pathogens and trigger host cell signal transduction pathways and cytoskeletal rearrangements, and mediate intimate bacterial adherence to epithelial cell surfaces in vitro. However, their role in pathogenesis is still unclear. To investigate the role of Esp proteins in disease, mutations in espA and espB were constructed in rabbit EPEC serotype O103 and infection characteristics were compared to that of the wild-type strain using histology, scanning and transmission electron microscopy, and confocal laser scanning microscopy in a weaned rabbit infection model. The virulence of EspA and EspB mutant strains was severely attenuated. Additionally, neither mutant strain formed A/E lesions, nor did either one cause cytoskeletal actin rearrangements beneath the attached bacteria in the rabbit intestine. Collectively, this study shows for the first time that the type III secreted proteins EspA and EspB are needed to form A/E lesions in vivo and are indeed virulence factors. It also confirms the role of A/E lesions in disease processes.
Key Words: enteropathogenic Escherichia coli attaching and effacing lesion Esp proteins type III secretion system cytoskeletal rearrangement
A. Abe was supported by a fellowship from The Naito Foundation. U. Heczko was supported by an Erwin-Schrödinger-Fellowship (No. Jo1417-MOB) of the Fonds zur Förderung der wissenschaftlichen Forschung. This work was supported by operating grants to B.B. Finlay from the Medical Research Council of Canada and ID Vaccine Corporation, and a Howard Hughes International Research Scholar Award, and to R.G. Hegele from the Medical Research Council of Canada/British Columbia Lung Association Scholarship Award.
A. Abe and U. Heczko contributed equally to this paper.
Abbreviations used: A/E, attaching and effacing; CLSM, confocal laser scanning microscopy; CPE, cytopathic effect; EHEC, enterohemorrhagic Escherichia coli; EPEC, enteropathogenic Escherichia coli; LB, Luria-Bertani; LEE, locus of enterocyte effacement; REPEC, rabbit EPEC; SEM, scanning electron microscopy; STX, Shiga toxin; TEM, transmission electron microscopy; Tir, translocated intimin receptor; TxR, Texas red.
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