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Flashcards in E. Coli Deck (34)
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1

E.coli- general characteristics

Many strands of E. coli are commensals of mammalian gut
Ferment lactose
indole positive (produce indole from tryptophan)
Most strains are flagellated
some strains have capsules--> cause extra-intestinal disease, usually hemolytic on blood agar
some strains have beta hemolysis on sheep blood agar
E. coli causing septicemia are hemolytic

2

E. coli- diseases it can cause

Neonatal and post-weaning diarrhea- many species
Neonatal septicemia- many species
Mastitis- many species--> 25-30% of mastitis caused by e.coli
UTI- many species
Hemorrhagic colitis and hemolytic uremia syndrome in humans (E. coli O157)
Oedema disease- pigs
Watery mouth- lambs--> overwhelming e.coli septicemia
Infection of existing lesions- many species--> mixed infection in gut.

3

E. coli pathogens

Enterotoxigenic E. coli--> ETEC- animals and humans
Enteropathogenic E. coli--> EPEC, AEEC- animals and humans
Verotoxigenic E. Coli--> VTEC/STEC- animals and humans (no symptoms in animals)
(Enterohemorrhagic E. Coli EHEC in man)
Enteroaggregative E. coli (EAEC), Diffusely adherent e. coli (DAEC), enteroinvasive E. coli (EIEC) all in humans

Extra-intestinal pathogenic e. coli ExPEC- animals and humans
-non-enteric infections- UTIs, mastitis, septicemia, meningitis

NB: generally strains that cause disease in animals don't cause disease in humans (c.f. salmonella which as broad host range serotypes).
EXCEPTION: E. coli O157 is zoonotic, but animals are asymptomatic.

4

Virulence factors of Enterotoxigenic E. coli (ETEC)

heat labile enterotoxin (LT), heat stable enterotoxin (ST), particular fimbriae (allow targeting of gut tissue)

5

Virulence factors of Enteropathogenic E. coli

pathogenicity island (LEE), TTSS, intimin, particular fimbriae

6

Virulence factors of Enterohemorrhagic E. coli (O157)

pathogenicity island (LEE), TTSS, intimin, fimbriae and also acquired toxins (verotoxins/shiga-like toxins).

7

Virulence factors of Extra-intestinal pathogenic e. coli (ExPEC)

causes septicemia, UTIs--> hemolysin, iron-uptake systems, particular fimbriae and capsules--> genes required for an extra-intestinal life style
Mastitis has no particular virulence factors- perhaps it's just an opportunist infection.

8

ExPEC infections of animals

Cows and Pigs: mastitis and septicemia
Dogs and Cats: UTIs, pyometra and septicemia
Poultry: air sacculitis, septicemia, cellulitis, yolk sac infection

9

Relation between commensal e. coli, septicemic pathogens and enteric pathogens

If you look at commensals of E. coli in gut, we see the same strains that cause septicemia and UTIs. ExPEC e. coli are carried in the gut, but don't cause pathology there. intestinal pathologic e. coli must be acquired from another animal.

10

ExPEC virulence factors

Capsule- K antigen- survival within tissue/blood
Fimbriae (Pili): particularly imp. in UTI--> adhere to kidney/organ to avoid being flushed away
Toxins:1) hemolysin- effect on RBCs and WBCs
2) Cytotoxic necrotizing factor 1

Siderophores for scavenging iron
1) Enterochelin (enterobactin) found in pathogenic and commensal E. coli- produced by all E. coli strains; genes found on chromosomes
2) aerobactin: not all E. coli strains produce; genes found on plasmid.

11

Enterochelin vs. Aerobactin Siderophores

Enterochelin has a greater affinity for iron than aerobactin in vitro, but it's suggested that pathogenic organisms ALL use aerobactin. Why? Enterobactin is bound by serum albumin, which inactivates it. Therefore, it can't scavenge/return iron back to the bacterium. Anti-enterochelin ABs are produced. At a lower pH, aerobactin has a higher affinity for iron than enterochelin. No ABs are produced for aerobactin.

12

Enterotoxigenic E. Coli (ETEC)

non-invasive: just sit on mucosal surface--> that's their mechanism of disease
Non-inflammatory, watery diarrhea
non-zoonotic: human strains don't infect animals and vice versa
acute diarrhea in young animals--> life threatening. die d/t dehydration.

13

Mulitfactorial virulence of ETEC

one plasmid carries the toxin which causes diarrhea, and one plasmid carries the fimbriae which help colonize. To have disease occuring, must have both. Toxins result in not only water NOT getting absorbed, but also results in active secretion of water.

14

E. coli fimbriae

E. coli fimbriae action is SPECIFIC. it recognized species-specific receptors
K88=F4--> pigs
K99=F5--> pigs, sheep, calbes
F6= pigs and calves
F41= pigs and calves
Human ETEC have different fimbriae.

15

ETEC toxins- mechanisms of LT and ST

action of heat labile (LT) and heat stable toxins (ST)
LT binds to receptor and modulates expression of G-protein. Transfers ADP ribose--> turns on/up-regulates adenylate cyclase--> increases cAMP-> activates protein kinase A--> opens channels for fluid secretion.
ST binds to receptor to up-regulate guanylate cyclase--> increase cGMP which prevents water absorption.
Can have one, or the other, or both toxins produced by a strain of E. coli

16

LT toxin

highly immunogenic. 1A subunit with enzyme ADP-ribosyltransferase and 3 B subunits which bind receptors
V. similar to cholera toxin

17

ST toxin

non-immunogenic d/t small size. small, single peptide
2 types: 1) STa produced by human and animals strains 2) STb produced by porcine e. coli strains
Genes for both types of toxins are carried on plasmids.

18

Diarrhea: ETEC vs. Salmonella species

E. coli: remain extra-cellular--> non-inflammatory diarrhea
Salmonella: invade cells- intracellular location --> inflammatory diarrhea.

19

Enteropathogenic E. coli (EPEC)

Diarrhea in young animals
Attaching and Effacing lesions- characterizing histopathological lesion.
Actin pedestals--> pilus attaches to gut, TTSS induces actin pedestals.
Microvilli effaced/ disappear- very localized.
Get diarrhea due to loss of microvill and some of the effector proteins injected by TTSS alter electrolyte absorption.

20

EPEC virulence factors

pathogenicity island--> locus of enterocyte effacement (LEE), TTSS

21

E. Coli O157- VTEC/STEC/EHEC- general characteristics

EHEC important in humans, VTEC/STEC important in animals.
certain VTEC/STEC strains with vero toxin/shiga-like toxin cause hemorrhagic colitis in humans (EHEC)

22

Shiga-like/vero toxin

SLT causes hemolytic uremic syndrome.

23

VT/SLT toxins

both are AB subunit toxins
A subunit= enzymatic N-glycosidase--> inhibits protein synthesis, kills cells--> removes an adenine residue from the 3' end of 28S rRNA. Prevents binding of aminoacyl t-RNA to the ribosome.
B= binding gangliosides Gb3 and Gb4--> main target=endothelial cells of BVs--> causes edema, hemorrhage and thrombosis.

Gangliosides Gb3 and Gb4 are present on renal cells and endothelium of BVs. SLT and VT are responsible for hemolytic uremic disease seen in EHEC in humans

24

Hemorrhagic colitis

(more than 90% of EHEC cases)
-sudden onset of severe cramps and abdominal pain
bloody diarrhea after about 3 days
nausea or vomiting
little or no fever

25

Hemolytic uremic syndrome

most commonly occurs in infection in children (50% of kids with HUS have to get dialysis).
15% of E. coli O157 infected people develop HUS due to SLT getting into blood
Causes: hemolytic anemia, thrombocytopenia, renal failure.
ABX may make HUS worse due to lysing of bacteria and release of even more toxin

26

E. Coli O157

first isolated in 1982 in canada
found in hamburgers, raw potatoes, raw milk, unpasteurized fruit juices and cider, lettuce/alfalfa sprouts/salads and possibly sea eels in japan.
Around 100 organisms in healthy human is infectious dose.

27

EHEC reservoirs

Mostly in last 5cm of cattle rectum
chickens, deer sheep and pigs
carrier animal isn't sick
meat becomes contaminated during slaughter process
bacteria on cow's udders and equipment can contaminate milk

28

EHEC in certain countries

occurs more in developed countries (advanced foor production system); all other e.coli more often occur in developing countries.

29

Evolution of E. Coli O157 and VT

E. coli O157 is like an EPEC that also produces VT. Where does the VT come from? Lysogenic phages.

30

Virulence factors

LEE (locus of enterocyte effacement) is the pathogenicity island
VT1=shiga toxin
VT2 shares 56% homology with VT- often associated with severe e.coli but we don't know why.