1887

Abstract

Enteropathogenic (EPEC) are a major cause of infant diarrhoea in developing countries and a significant public health issue in industrialized countries. Currently there are no simple tests available for the diagnosis of EPEC. Serology of O-antigens is widely used routinely in many laboratories throughout the world, even though it has been known for many years to be an unreliable indicator of EPEC virulence. We have developed a simple, low-cost immunodiagnostic test based on the EspA filament, an essential virulence factor of EPEC and the related enterohaemorrhagic (EHEC). Using recombinant proteins of the five major variants of EspA as immunogens, we raised a panel of three monoclonal antibodies in mice that detects all variants of the native target in bacterial cultures. The antibodies proved suitable for application in sandwich-type assays, including ELISA and lateral flow immunoassays (LFI). Prototypes for both assays were specific for EPEC and EHEC strains when tested against a panel of control micro-organisms. We have also developed a simple, affordable culture medium, A/E medium, which optimizes expression of EspA allowing improved sensitivity of detection compared with standard Dulbecco’s modified Eagle’s medium. Together these reagents form the basis of robust, informative tests for EPEC for use especially in developing countries but also for routine screening in any clinical laboratory.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.076323-0
2014-12-01
2024-04-24
Loading full text...

Full text loading...

/deliver/fulltext/jmm/63/12/1595.html?itemId=/content/journal/jmm/10.1099/jmm.0.076323-0&mimeType=html&fmt=ahah

References

  1. Abe H., Tatsuno I., Tobe T., Okutani A., Sasakawa C. 2002; Bicarbonate ion stimulates the expression of locus of enterocyte effacement-encoded genes in enterohemorrhagic Escherichia coli O157:H7. Infect Immun 70:3500–3509 [View Article][PubMed]
    [Google Scholar]
  2. Afset J. E., Bergh K., Bevanger L. 2003; High prevalence of atypical enteropathogenic Escherichia coli (EPEC) in Norwegian children with diarrhoea. J Med Microbiol 52:1015–1019 [View Article][PubMed]
    [Google Scholar]
  3. Afset J. E., Bruant G., Brousseau R., Harel J., Anderssen E., Bevanger L., Bergh K. 2006; Identification of virulence genes linked with diarrhea due to atypical enteropathogenic Escherichia coli by DNA microarray analysis and PCR. J Clin Microbiol 44:3703–3711 [View Article][PubMed]
    [Google Scholar]
  4. Ajjampur S. S. R., Rajendran P., Ramani S., Banerjee I., Monica B., Sankaran P., Rosario V., Arumugam R., Sarkar R.& other authors ( 2008; Closing the diarrhoea diagnostic gap in Indian children by the application of molecular techniques. J Med Microbiol 57:1364–1368 [View Article][PubMed]
    [Google Scholar]
  5. Batchelor M., Knutton S., Caprioli A., Huter V., Zanial M., Dougan G., Frankel G. 1999; Development of a universal intimin antiserum and PCR primers. J Clin Microbiol 37:3822–3827[PubMed]
    [Google Scholar]
  6. Bertin Y., Boukhors K., Livrelli V., Martin C. 2004; Localization of the insertion site and pathotype determination of the locus of enterocyte effacement of shiga toxin-producing Escherichia coli strains. Appl Environ Microbiol 70:61–68 [View Article][PubMed]
    [Google Scholar]
  7. Campos L. C., Franzolin M. R., Trabulsi L. R. 2004; Diarrheagenic Escherichia coli categories among the traditional enteropathogenic E. coli O serogroups–a review. Mem Inst Oswaldo Cruz 99:545–552 [View Article][PubMed]
    [Google Scholar]
  8. Chen H. D., Frankel G. 2005; Enteropathogenic Escherichia coli: unravelling pathogenesis. FEMS Microbiol Rev 29:83–98 [View Article][PubMed]
    [Google Scholar]
  9. Crepin V. F., Shaw R., Knutton S., Frankel G. 2005; Molecular basis of antigenic polymorphism of EspA filaments: development of a peptide display technology. J Mol Biol 350:42–52 [View Article][PubMed]
    [Google Scholar]
  10. Daniell S. J., Kocsis E., Morris E., Knutton S., Booy F. P., Frankel G. 2003; 3D structure of EspA filaments from enteropathogenic Escherichia coli. Mol Microbiol 49:301–308 [View Article][PubMed]
    [Google Scholar]
  11. Delahay R. M., Knutton S., Shaw R. K., Hartland E. L., Pallen M. J., Frankel G. 1999; The coiled-coil domain of EspA is essential for the assembly of the type III secretion translocon on the surface of enteropathogenic Escherichia coli. J Biol Chem 274:35969–35974 [View Article][PubMed]
    [Google Scholar]
  12. Frankel G., Phillips A. D., Rosenshine I., Dougan G., Kaper J. B., Knutton S. 1998; Enteropathogenic and enterohaemorrhagic Escherichia coli: more subversive elements. Mol Microbiol 30:911–921 [View Article][PubMed]
    [Google Scholar]
  13. Garrido P., Blanco M., Moreno-Paz M., Briones C., Dahbi G., Blanco J., Blanco J., Parro V. 2006; STEC-EPEC oligonucleotide microarray: a new tool for typing genetic variants of the LEE pathogenicity island of human and animal Shiga toxin-producing Escherichia coli (STEC) and enteropathogenic E. coli (EPEC) strains. Clin Chem 52:192–201 [View Article][PubMed]
    [Google Scholar]
  14. Girón J. A., Qadri F., Azim T., Jarvis K. J., Kaper J. B., Albert M. J. 1995; Monoclonal antibodies specific for the bundle-forming pilus of enteropathogenic Escherichia coli. Infect Immun 63:4949–4952[PubMed]
    [Google Scholar]
  15. Kenny B., DeVinney R., Stein M., Reinscheid D. J., Frey E. A., Finlay B. B. 1997; Enteropathogenic E. coli (EPEC) transfers its receptor for intimate adherence into mammalian cells. Cell 91:511–520 [View Article][PubMed]
    [Google Scholar]
  16. Knutton S., Rosenshine I., Pallen M. J., Nisan I., Neves B. C., Bain C., Wolff C., Dougan G., Frankel G. 1998; A novel EspA-associated surface organelle of enteropathogenic Escherichia coli involved in protein translocation into epithelial cells. EMBO J 17:2166–2176 [View Article][PubMed]
    [Google Scholar]
  17. Kozub-Witkowski E., Krause G., Frankel G., Kramer D., Appel B., Beutin L. 2008; Serotypes and virutypes of enteropathogenic and enterohaemorrhagic Escherichia coli strains from stool samples of children with diarrhoea in Germany. J Appl Microbiol 104:403–410[PubMed]
    [Google Scholar]
  18. Kühne S. A., Hawes W. S., La Ragione R. M., Woodward M. J., Whitelam G. C., Gough K. C. 2004; Isolation of recombinant antibodies against EspA and intimin of Escherichia coli O157:H7. J Clin Microbiol 42:2966–2976 [View Article][PubMed]
    [Google Scholar]
  19. Lu Y., Toma C., Honma Y., Iwanaga M. 2002; Detection of EspB using reversed passive latex agglutination: application to determination of enteropathogenic Escherichia coli. . Diagn Microbiol Infect Dis 43:7–12 [View Article][PubMed]
    [Google Scholar]
  20. Mellies J. L., Barron A. M. S., Carmona A. M. 2007; Enteropathogenic and enterohemorrhagic Escherichia coli virulence gene regulation. Infect Immun 75:4199–4210 [View Article][PubMed]
    [Google Scholar]
  21. Menezes M. A., Rocha L. B., Koga P. C., Fernandes I., Nara J. M., Magalhães C. A., Abe C. M., Ayala C. O., Burgos Y. K.& other authors ( 2010; Identification of enteropathogenic and enterohaemorrhagic Escherichia coli strains by immunoserological detection of intimin. J Appl Microbiol 108:878–887 [View Article][PubMed]
    [Google Scholar]
  22. O’Ryan M., Prado V., Pickering L. K. 2005; A millennium update on pediatric diarrheal illness in the developing world. Semin Pediatr Infect Dis 16:125–136 [View Article][PubMed]
    [Google Scholar]
  23. Robins-Browne R. M., Bordun A.-M., Tauschek M., Bennett-Wood V. R., Russell J., Oppedisano F., Lister N. A., Bettelheim K. A., Fairley C. K.& other authors ( 2004; Escherichia coli and community-acquired gastroenteritis, Melbourne, Australia. Emerg Infect Dis 10:1797–1805 [View Article][PubMed]
    [Google Scholar]
  24. Smith H., Willshaw G., Cheasty T. 2004; E. coli as a cause of outbreaks of diarrhoeal disease in the UK. Microbiol Today 31:117–118
    [Google Scholar]
  25. Tschäpe H., Prager R., Streckel W., Fruth A., Tietze E., Böhme G. 1995; Verotoxinogenic Citrobacter freundii associated with severe gastroenteritis and cases of haemolytic uraemic syndrome in a nursery school: green butter as the infection source. Epidemiol Infect 114:441–450 [View Article][PubMed]
    [Google Scholar]
  26. Yang J.-R., Wu F.-T., Tsai J.-L., Mu J.-J., Lin L.-F., Chen K.-L., Kuo S. H.-S., Chiang C.-S., Wu H.-S. 2007; Comparison between O serotyping method and multiplex real-time PCR to identify diarrheagenic Escherichia coli in Taiwan. J Clin Microbiol 45:3620–3625 [View Article][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.076323-0
Loading
/content/journal/jmm/10.1099/jmm.0.076323-0
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error