ESCHERICHIA COLI STRAINS THAT CAUSE DIARRHŒA BUT DO NOT PRODUCE HEAT-LABILE OR HEAT-STABLE ENTEROTOXINS AND ARE NON-INVASIVE

Autor: Levine, MyronM., Nalin, DavidR., Hornick, RichardB., Bergquist, ErickJ., Waterman, DanielH., Young, CharlesR., Sotman, Steven, Rowe, Bernard
Zdroj: The Lancet; May 1978, Vol. 311 Issue: 8074 p1119-1122, 4p
Abstrakt: Three enteropathogenic Escherichia coli(E.P.E.C.) strains (0127:K63:H6, 0128:K67:H2, and 0142:K86:H6) isolated from outbreaks of infantile diarrhœa and one strain from the "normal" colonic flora (E. coliHS) of a healthy adult were fed in doses of 106, 108, and 1010organisms in NaHCO3to adult volunteers. The strains, which had been stored for 7-9 years, gave negative results in sensitive tests for heat-labile (L.T.) enterotoxin (Y-1 adrenalcell test), heat-stable (S.T.) enterotoxin (infant mouse assay), invasiveness (guineapig eye test), and gross fluid accumulation (infant rabbit assay). Two strains (0142 and 0127) caused diarrhœa. L.T. or S.T. enterotoxins were not found in E. colistool isolates from individuals with diarrhœa and no one had a rise in L.T. antitoxin titre; the findings suggest that L.T. and S.T. enterotoxins were not involved in pathogenesis of the diarrhœa. Non-invasive E.P.E.C. strains probably induce diarrhœa by a mechanism (presumably an enterotoxin) distinct from L.T. or S.T. enterotoxins.
Databáze: Supplemental Index