Bacterial pathogenesis relies on a subset of mechanisms including adhesion to various matrices, antibiotic resistance, defence and action against surrounding microorganisms, and secretion of virulence factors. Among the secretion systems, the recently identified Type VI secretion system (T6SS) has been shown to be involved in both virulence against eukaryotic cells and inter-bacterial warfare. T6SS are composed of a minimum of 13 proteins called "core components". It is believe to form a macromolecular system that spans the envelope to assemble an extracellular structure composed of the Hcp protein with a trimer of VgrG located at the tip. This model has been built following in silico and structural analyses demonstrating the link between several T6SS subunits and bacteriophage T4 baseplate and tail elements. Other T6SS subunits include membrane proteins. Using enteroaggregative Escherichia coli as a bacterial model, the aim of my work is to understand how this system assembles in the cell envelope. I recently showed that four of these membrane proteins, SciP, SciS, SciN and SciZ make contact to form a complex [1]. These four subunits are critical components of the T6SS. I then delineated the interaction network, demonstrating that SciZ interacts with SciP, and that SciS interacts with both SciP and SciN. Further characterization of these subunits showed that SciN is a lipoprotein associated with the outer membrane [2, 4], whereas SciP and SciS are inner membrane proteins anchored through a single and three transmembrane segments respectively. SciZ is a polytopic inner membrane protein carrying a peptidoglycan-binding motif within its periplasmic domain. Mutagenesis and peptidoglycan binding experiments demonstrated that SciZ anchors the T6SS to the cell wall [1, 3]. Overall, we have identified and characterized a trans-envelope complex anchored in both membrane and to the peptidoglycan layer. / Bacterial pathogenesis relies on a subset of mechanisms including adhesion to various matrices, antibiotic resistance, defence and action against surrounding microorganisms, and secretion of virulence factors. Among the secretion systems, the recently identified Type VI secretion system (T6SS) has been shown to be involved in both virulence against eukaryotic cells and inter-bacterial warfare. T6SS are composed of a minimum of 13 proteins called "core components". It is believe to form a macromolecular system that spans the envelope to assemble an extracellular structure composed of the Hcp protein with a trimer of VgrG located at the tip. This model has been built following in silico and structural analyses demonstrating the link between several T6SS subunits and bacteriophage T4 baseplate and tail elements. Other T6SS subunits include membrane proteins. Using enteroaggregative Escherichia coli as a bacterial model, the aim of my work is to understand how this system assembles in the cell envelope. I recently showed that four of these membrane proteins, SciP, SciS, SciN and SciZ make contact to form a complex [1]. These four subunits are critical components of the T6SS. I then delineated the interaction network, demonstrating that SciZ interacts with SciP, and that SciS interacts with both SciP and SciN. Further characterization of these subunits showed that SciN is a lipoprotein associated with the outer membrane [2, 4], whereas SciP and SciS are inner membrane proteins anchored through a single and three transmembrane segments respectively. SciZ is a polytopic inner membrane protein carrying a peptidoglycan-binding motif within its periplasmic domain. Mutagenesis and peptidoglycan binding experiments demonstrated that SciZ anchors the T6SS to the cell wall [1, 3]. Overall, we have identified and characterized a trans-envelope complex anchored in both membrane and to the peptidoglycan layer.

no / Enteroaggregative Escherichia coli (EAEC), increasingly recognized as an important cause of infant and travelers' diarrhoea, exhibits an aggregative, stacked-brick pattern of adherence to epithelial cells. Adherence is mediated by aggregative adherence fimbriae (AAFs), which are encoded on the pAA virulence plasmid. We recently described a highly prevalent pAA plasmid-borne gene, aap, which encodes a protein (nicknamed dispersin) that is secreted to the bacterial cell surface. Dispersin-null mutants display a unique hyper-aggregating phenotype, accompanied by collapse of AAF pili onto the bacterial cell surface. To study the mechanism of this effect, we solved the structure of dispersin from EAEC strain 042 using solution NMR, revealing a stable beta-sandwich with a conserved net positive surface charge of +3 to +4 among 23 dispersin alleles. Experimental data suggest that dispersin binds non-covalently to lipopolysaccharide on the surface of the bacterium. We also show that the AAF organelles contribute positive charge to the bacterial surface, suggesting that dispersin's role in fimbrial function is to overcome electrostatic attraction between AAF and the bacterial surface

Conselho Nacional de Desenvolvimento Científico e Tecnológico / Escherichia coli enteroagregativa (EAEC) é um patógeno relacionado ao desenvolvimento de quadros de diarréia aguda ou persistente. A resposta inflamatória induzida por EAEC está relacionada à liberação de interleucina 8, que atua estimulando a transmigração de neutrófilos através do epitélio. Os macrófagos, de forma similar aos neutrófilos, são células fagocíticas que produzem espécies reativas de oxigênio (ERO), como o peróxido de hidrogênio (H2O2). Neste trabalho, avaliamos as consequências da interação de diferentes cepas clínicas com macrófagos humanos ativados da linhagem U-937. Todas as cepas testadas apresentaram filamentos nos testes de aderência aos macrófagos, diferentemente do que ocorre na interação com outras linhagens celulares como HEp-2, T84 e Caco-2. O ferro é um microelemento essencial para bactérias, sendo utilizado como cofator de enzimas e que também pode participar da geração de ERO através da reação de Fenton. Considerando-se a possibilidade de que o H2O2 produzido pelos macrófagos possa gerar radical hidroxil através da reação de Fenton, testes de aderência foram realizados com as amostras cultivadas na presença do captador de ferro 2,2-dipiridil. Tal fato não suprimiu a formação de filamentos, entretanto diminuiu a aderência das cepas EAEC 042 e 17-2. Com o objetivo de produzir uma resposta adaptativa ao H2O2, as culturas bacterianas foram pré-tratadas com uma dose sub-letal de H2O2 por 60 minutos antes de aderirem aos macrófagos. Nossos resultados mostraram que o pré-tratamento também não inibiu o aparecimento de filamentos em relação às culturas não tratadas. Além disto, foi observado que o pré-tratamento com o H2O2 reduziu a aderência das amostras de EAEC ao tapete celular. A filamentação é uma das respostas SOS, induzida pela presença de danos e/ou bloqueio na síntese da molécula de DNA. Com o objetivo de verificar se o H2O2 produzido pelos macrófagos estaria causando danos induzindo o sistema SOS e a filamentação bacteriana, foram realizados testes de viabilidade com mutantes derivados de E. coli K12 deficientes em enzimas do reparo por excisão de bases (BW535) e na resposta SOS (DM49). Nossos resultados mostram que os mutantes apresentaram os níveis de sobrevivência semelhantes ao observado para cepa selvagem isogênica (AB1157). Todos estes resultados em conjunto indicam que o H2O2 não é o indutor da filamentação nos testes de aderência. Macrófagos ativados apresentam ação microbicida através da ação da enzima indolamina dioxigenase (IDO), associada à redução do aminoácido L-triptofano. Desta forma, realizamos testes qualitativos de aderência de EAEC aos macrófagos suplementando o meio de interação com este aminoácido. Nossos resultados mostram que a adição de triptofano ao meio de interação reduz o número de filamentos por campo. Desta forma, aventamos a hipótese de que a depleção do triptofano seja responsável pela indução de resposta SOS, tendo como conseqüência a filamentação das bactérias. / Enteroaggregative Escherichia coli is a pathogen related to cases development of acute or persistent diarrhea. The inflammatory response induced by EAEC is linked to induction of IL-8 release, which acts stimulating neutrophils diapedesis through the epithelium. Macrophages, similarly to neutrophils, are phagocytic cells that produce reactive oxygen species (ROS), such as H2O2. Iron is an essential microelement to bacteria, been used as cofactor of enzymes in fundamental cellular processes but it is involved in ROS generation through Fenton reaction. On this report we evaluated the consequences of different EAEC strains interaction with activated human macrophages (U937 lineage). All tested strains showed filaments on the adherence tests with macrophages, unlike to what occurs in the interaction with other cellular lineages as HEp-2, T84 e Caco-2. Considering the possibility of H2O2 macrophage produced generates hydroxyl radical through Fenton reaction, the strains were grown in medium containing iron chelator 2,2-dipiridil. Iron chelation did not suppress filamentation, however decreased the adherence of 042 e 17-2 strains. Strains pretreated with a H2O2 subletal dose (60 M) by 60 minutes, which resulted in a bacterial adaptative response, also did not decrease the filamentation associated to adherence beside H2O2 pretreatment decreased the adherence of EAEC strains tested. In order to verify if H2O2 induces filamentation through DNA lesions and SOS induction, we evaluated the survival of a triple mutant deficient in three enzymes involved in BER and a mutant deficient in SOS response induction, both E. coli K12 derived. Both mutants presented similar survival levels like wild strain. This result suggest that H2O2 is not involved in SOS induction and filamentation response. Activated macrophages show microbicidal action, which is related to enzymes such as IDO (indoleamine dioxygenase), associated to reduction of L-tryptophan available to microorganism. In this way, we performed adhrence macrophages assays supplementing the interaction medium with L-tryptophan. Our results showed that tryptophan addition reduced the filamentation of adhered EAEC strains. Thus, we suggested that L-tryptophan reduction could be responsible for SOS response induction and bacterial filamentation.

Conselho Nacional de Desenvolvimento Científico e Tecnológico / Escherichia coli enteroagregativa (EAEC) é um patógeno relacionado ao desenvolvimento de quadros de diarréia aguda ou persistente. A resposta inflamatória induzida por EAEC está relacionada à liberação de interleucina 8, que atua estimulando a transmigração de neutrófilos através do epitélio. Os macrófagos, de forma similar aos neutrófilos, são células fagocíticas que produzem espécies reativas de oxigênio (ERO), como o peróxido de hidrogênio (H2O2). Neste trabalho, avaliamos as consequências da interação de diferentes cepas clínicas com macrófagos humanos ativados da linhagem U-937. Todas as cepas testadas apresentaram filamentos nos testes de aderência aos macrófagos, diferentemente do que ocorre na interação com outras linhagens celulares como HEp-2, T84 e Caco-2. O ferro é um microelemento essencial para bactérias, sendo utilizado como cofator de enzimas e que também pode participar da geração de ERO através da reação de Fenton. Considerando-se a possibilidade de que o H2O2 produzido pelos macrófagos possa gerar radical hidroxil através da reação de Fenton, testes de aderência foram realizados com as amostras cultivadas na presença do captador de ferro 2,2-dipiridil. Tal fato não suprimiu a formação de filamentos, entretanto diminuiu a aderência das cepas EAEC 042 e 17-2. Com o objetivo de produzir uma resposta adaptativa ao H2O2, as culturas bacterianas foram pré-tratadas com uma dose sub-letal de H2O2 por 60 minutos antes de aderirem aos macrófagos. Nossos resultados mostraram que o pré-tratamento também não inibiu o aparecimento de filamentos em relação às culturas não tratadas. Além disto, foi observado que o pré-tratamento com o H2O2 reduziu a aderência das amostras de EAEC ao tapete celular. A filamentação é uma das respostas SOS, induzida pela presença de danos e/ou bloqueio na síntese da molécula de DNA. Com o objetivo de verificar se o H2O2 produzido pelos macrófagos estaria causando danos induzindo o sistema SOS e a filamentação bacteriana, foram realizados testes de viabilidade com mutantes derivados de E. coli K12 deficientes em enzimas do reparo por excisão de bases (BW535) e na resposta SOS (DM49). Nossos resultados mostram que os mutantes apresentaram os níveis de sobrevivência semelhantes ao observado para cepa selvagem isogênica (AB1157). Todos estes resultados em conjunto indicam que o H2O2 não é o indutor da filamentação nos testes de aderência. Macrófagos ativados apresentam ação microbicida através da ação da enzima indolamina dioxigenase (IDO), associada à redução do aminoácido L-triptofano. Desta forma, realizamos testes qualitativos de aderência de EAEC aos macrófagos suplementando o meio de interação com este aminoácido. Nossos resultados mostram que a adição de triptofano ao meio de interação reduz o número de filamentos por campo. Desta forma, aventamos a hipótese de que a depleção do triptofano seja responsável pela indução de resposta SOS, tendo como conseqüência a filamentação das bactérias. / Enteroaggregative Escherichia coli is a pathogen related to cases development of acute or persistent diarrhea. The inflammatory response induced by EAEC is linked to induction of IL-8 release, which acts stimulating neutrophils diapedesis through the epithelium. Macrophages, similarly to neutrophils, are phagocytic cells that produce reactive oxygen species (ROS), such as H2O2. Iron is an essential microelement to bacteria, been used as cofactor of enzymes in fundamental cellular processes but it is involved in ROS generation through Fenton reaction. On this report we evaluated the consequences of different EAEC strains interaction with activated human macrophages (U937 lineage). All tested strains showed filaments on the adherence tests with macrophages, unlike to what occurs in the interaction with other cellular lineages as HEp-2, T84 e Caco-2. Considering the possibility of H2O2 macrophage produced generates hydroxyl radical through Fenton reaction, the strains were grown in medium containing iron chelator 2,2-dipiridil. Iron chelation did not suppress filamentation, however decreased the adherence of 042 e 17-2 strains. Strains pretreated with a H2O2 subletal dose (60 M) by 60 minutes, which resulted in a bacterial adaptative response, also did not decrease the filamentation associated to adherence beside H2O2 pretreatment decreased the adherence of EAEC strains tested. In order to verify if H2O2 induces filamentation through DNA lesions and SOS induction, we evaluated the survival of a triple mutant deficient in three enzymes involved in BER and a mutant deficient in SOS response induction, both E. coli K12 derived. Both mutants presented similar survival levels like wild strain. This result suggest that H2O2 is not involved in SOS induction and filamentation response. Activated macrophages show microbicidal action, which is related to enzymes such as IDO (indoleamine dioxygenase), associated to reduction of L-tryptophan available to microorganism. In this way, we performed adhrence macrophages assays supplementing the interaction medium with L-tryptophan. Our results showed that tryptophan addition reduced the filamentation of adhered EAEC strains. Thus, we suggested that L-tryptophan reduction could be responsible for SOS response induction and bacterial filamentation.

Chez les procaryotes, les protéines sont synthétisées dans le cytoplasme avant d'être transportés vers différentes destinations, intra- ou extra-cellulaires. Les bactéries Gram-négatives ont mis au point une grande collection de mécanismes et systèmes, appelés systèmes de sécrétion bactérienne, pour sécréter des protéines à travers leur paroi cellulaire vers l'extérieur. Le système de sécrétion de type VI, identifié dans les années 2006-2008, est une nano-machine polyvalente répandue chez les bactéries pathogènes. Il y a de nombreuses preuves que T6SS injecte des protéines toxiques (effecteurs) directement dans les cellules eucaryotes et procaryotes pour les tuer. Pour empêcher la destruction cellules provenant de la même espèce, les bactéries possédant un T6SS produisent également des protéines d'immunité qui neutralisent les effets toxiques des effecteurs de leurs congénères. Le T6SS est formé de 13 composants de coeur (nommés TssA-M) en une structure souvent comparée à un "bactériophage inversé". La queue, semblable à celle de phages, a une forme tubulaire (la gaine et le tube interne) et polymérise à partir d'une plaque basale ancrée sur un complexe membranaire trans-périplasmique. La contraction de la gaine fournit l'énergie nécessaire pour propulser le tube intérieur à travers la paroi vers les cellules proies. Dans le cadre de ma thèse, je me suis impliqué dans la détermination de la structure et la dynamique de certains composants du T6SS de la d’Escerichia coli enteroaggrégatif (EAEC). Plusieurs structures ont été déterminées et analysées. Quatre articles ont été publiés et deux autres sont en préparation. / In prokaryotes, proteins are synthesized in the cytoplasm before being transported to various destinations, intra- or extra-cellular. Gram-negative bacteria have developed a large collection of mechanisms and systems, termed bacterial secretion systems, to secrete proteins through their cell wall to the exterior. The type VI secretion system, identified in years 2006-2008, is a versatile nano-machine prevalent in pathogenic bacteria. There have been many evidences that T6SS delivers toxic proteins directly into both eukaryotic and prokaryotic cells to kill them. To prevent killing of sibling cells (cells from the same species), T6SS+ cells produce also immunity proteins that neutralize the toxic effects of their cognate effectors. T6SS contains 13 core-components (TssA-M), assembling a structure often quoted as an “inverted bacteriophage”. A phage-like tubular tail (the sheath and the internal tube) polymerizes from a baseplate-like complex, anchored to the cell internal and outer membranes via a membrane anchored complex spanning the periplasm. Contraction of the sheath provides the necessary energy to propel the internal tube through the wall towards the prey cells. In the framework of my PhD, I became involved in determining the structure and dynamics of some components of the EAEC sci1 T6SS, mostly on the membrane and baseplate subcomplexes. Several structures have been determined and analysed. Four articles have been published and two other are in preparation.

Mon travail a porté sur la caractérisation des effecteurs toxiques et protéines d’immunité du T6SS Sci-1 d’Escherichia coli Entero-agrégatif, éléments de la lutte inter-bactérienne. Nous avons identifié en outre Tle1, un effecteur de toxine codé par ce groupe et montré que Tle1 possède des activités de phospholipase A1 et A2 requises pour détruire la cellule proie dans la compétition interbactérienne. L'auto-protection de la cellule attaquante est assurée par une lipoprotéine de membrane externe, Tli1, qui lie Tle1 dans un rapport stoechiométrique 1: 1 avec une affinité nanomolaire et inhibe son activité phospholipase. Il a été prédit que la protéine 435 provenant à partir d'un groupe de gènes T6SS1 de l'agent pathogène AIEC LF82 est une phospholipase de la famille d'effecteurs Tle3 avec une activité PLA1. Sa toxicité peut être neutralisée par la protéine d'immunité cognate 434 qui est un Tli3 putatif, en formant le complexe de protéine Tle3 - Tli3. Les deux protéines séparées et leur complexe ont ensuite été appelées protéines complexes Tle3AIEC, Tli3AIEC et Tle3AIEC - Tli3AIEC, respectivement. Afin d'étudier plus en détail le mécanisme de Tle3-AIEC et de Tli3-AIEC, nous avons réalisé l'expression, la purification, la caractérisation, la cristallisation des deux protéines et des études cristallographiques de rayons X préliminaires du complexe Tle3-AIEC/Tli3-AIEC afin de comprendre comment la protéine Tle3-AIEC reconnaît et se lie à son effecteur apparenté Tli3-AIEC et inhibe son activité. Les données préliminaires de diffraction des rayons X ont été recueillies à partir de cristaux Tle3AIEC-SeMet/Tli3AIEC à une résolution de 3,8 Å. / Here, we analyzed the Entero-aggregative Escherichia coli Sci-1 T6SS toxin effectors. We identified Tle1, a toxin effector encoded by this cluster and show that Tle1 possesses phospholipase A1 and A2 activities required for the inter-bacterial competition. Self-protection of the attacker cell is secured by an outer membrane lipoprotein, Tli1, which binds Tle1 in a 1:1 stoichiometric ratio with nanomolar affinity, and inhibits its phospholipase activity.The protein 435 from the pathogen AIEC LF82 has been predicted to be a phospholipase of the Tle3 effector family with PLA1 activity from a T6SS1 gene cluster. Its toxicity can be neutralized by the cognate immunity protein 434 that is a putative Tli3, by forming Tle3 - Tli3 protein complex. The two separated proteins and their complex were then called Tle3AIEC, Tli3AIEC and Tle3AIEC - Tli3AIEC complex proteins, respectively. In order to further investigate the related mechanism of Tle3AIEC and Tli3AIEC, we performed expression, purification, characterization, crystallization of the two proteins and preliminary X-ray crystallographic studies of the Tle3AIEC - Tli3AIEC complex in order to understand how Tle3AIEC protein recognizes and binds to its cognate Tli3AIEC effector and inhibits its activity. X-ray diffraction data were collected from selenomethionine-derivatize Tle3AIEC SeMet - Tli3AIEC crystals to a resolution of 3.8 Å.

As serino-proteases autotransportadoras de Enterobacteriaceae (SPATE) constituem uma família de proteases secretadas pelo sistema de secreção do tipo V, cujos genes foram estudados em Escherichia coli intestinal e extra-intestinal. Sat é uma SPATE citotóxica de 107 kDa, cujo gene foi identificado pela primeira vez em UPEC isolada da urina de um paciente com pielonefrite. A maioria dos estudos envolvendo Sat foram realizados em células renais e da bexiga, embora seu gene seja encontrado em DAEC, EAEC e, mais recentemente, em amostras bacterianas isoladas de septicemia neonatal e meningite. Os objetivos deste trabalho foram: i) purificar Sat; ii) determinar a ação da Sat purificada em diferentes tipos celulares e iii) caracterizar o papel de Sat na infecção in vitro por EAEC. Desta foram, a presença de Sat nos sobrenadantes do cultivo das cepas EAEC CV323 e DEC/Sat, isoladas de diarreia, foi confirmada por LC-MS/MS. Sat foi purificada da cultura de DEC/Sat+ e utilizada para a obtenção de anticorpos anti-Sat em coelho. O efeito citotóxico de Sat purificada foi investigado em células derivadas do endotélio (HUVEC) e do sistema urinário (Y1, LLC-PK1 e HEK-293) e gastrointestinal (Caco-2). Os parâmetros citotóxicos analisados foram: o descolamento celular e alterações na morfologia, permeabilidade e metabolismo mitocondrial das células. Para investigar o papel de Sat na infecção por EAEC, células Y-1 foram infectadas com EAEC CV323 e DEC/Sat+ na presença ou ausência de PMSF (inibidor de serino-protease) e anticorpos anti-Sat. Os parâmetros de citotoxicidade analisados nas culturas infectadas foram descolamento celular e alteração na morfologia. Os resultados demonstraram que: i) Sat é secretada por EAEC CV323 e DEC/Sat+ e, em ambas as cepas, há duas mutações em resíduos de aminoácidos que não interferiram na atividade enzimática; ii) as células do endotélio são mais sensíveis à Sat do que as células derivadas do trato urinário, sendo a linhagem gastrointestinal a mais resistente; iii) Sat secretada por EAEC CV323 durante a infecção induziu intenso dano celular, o qual, em presença de anticorpos anti-Sat e PMSF foi reduzido em cerca de 80 a 90%, respectivamente. Este é o primeiro trabalho que demonstra a expressão de Sat pela EAEC e a ação da toxina em células endoteliais sugerindo que o papel de Sat possa ser mais amplo na patogenia do que o proposto até o momento. / The serine protease autotransporters of Enterobacteriaceae (SPATEs) constitute a family of proteases secreted by the type V secretion system whose genes have been studied in intestinal and extra intestinal Escherichia coli. Sat is a 107 kDa cytotoxic SPATE and its gene was first identified in UPEC isolated from the urine of a patient with pyelonephritis. Most studies involving Sat were performed in renal and bladder cells, although the gene encoding Sat is encountered in other strains of E. coli such as DAEC, EAEC and more recently, in bacterial samples isolated from neonatal septicemia and meningitis. The objectives of this work were: i) purify Sat; ii) to determine the action of Sat in different types of cells and iii) to characterize in vitro the role of Sat in EAEC infection. Accordingly, the presence of Sat in the culture supernatant of EAEC CV323 and DEC/Sat+ derived from diarrhea was confirmed by LCMS/MS. Sat was purified from the culture of DEC/Sat+ and utilized to produce rabbit antibodies anti-Sat. The cytotoxic effect of Sat was investigated in cells derived from the endothelium (HUVEC) and the urinary (Y1, LLC-PK1, HEK-293) and gastrointestinal (Caco-2) systems. The cytotoxic parameters analyzed were cellular detachment and alterations in the morphology, permeability and mitochondrial metabolism of the cells. To investigate the role of Sat in EAEC infection, Y-1 cells were incubated with EAEC CV323 and DEC/Sat+ in the presence or absence of PMSF (a serine protease inhibitor) and rabbit antibodies anti-Sat. The parameters analyzed were cellular detachment and alteration in the morphology of the cells. The results demonstrated that: i) Sat is secreted by EAEC CV323 and DEC/Sat + and in both strains there are two mutations in amino acid residues that did not interfere with enzymatic activity; ii) endothelium cells are more sensitive to the Sat effect than the cells derived from urinary tract system, being the gastrointestinal cell lineage the most resistant one; iii) Sat secreted by EAEC CV323 during infection induced intense cellular damage which in the presence of anti-Sat antibodies and PMSF was reduced in about 80 to 90%, respectively. This is the first work demonstrating the expression of Sat by EAEC and the action of the toxin on endothelial cells suggesting that the role of Sat may be broader in pathogenesis than has been proposed so far.

yes / Background The roles of diffusely-adherent Escherichia coli (DAEC) and enteroaggregative E. coli (EAEC) in disease are not well understood, in part because of the limitations of diagnostic tests for each of these categories of diarrhoea-causing E. coli. A HEp-2 adherence assay is the Gold Standard for detecting both EAEC and DAEC but DNA probes with limited sensitivity are also employed. Results We demonstrate that the daaC probe, conventionally used to detect DAEC, cross-reacts with a subset of strains belonging to the EAEC category. The cross hybridization is due to 84% identity, at the nucleotide level, between the daaC locus and the aggregative adherence fimbriae II cluster gene, aafC, present in some EAEC strains. Because aaf-positive EAEC show a better association with diarrhoea than other EAEC, this specific cross-hybridization may have contributed to an over-estimation of the association of daaC with disease in some studies. We have developed a discriminatory PCR-RFLP protocol to delineate EAEC strains detected by the daaC probe in molecular epidemiological studies. Conclusions A PCR-RFLP protocol described herein can be used to identify aaf-positive EAEC and daaC-positive DAEC and to delineate these two types of diarrhoeagenic E. coli, which both react with the daaC probe. This should help to improve current understanding and future investigations of DAEC and EAEC epidemiology. / Food Standards Agency

Yes / Background. The roles of diffusely-adherent Escherichia coli (DAEC) and enteroaggregative E. coli (EAEC) in disease are not well understood, in part because of the limitations of diagnostic tests for each of these categories of diarrhoea-causing E. coli. A HEp-2 adherence assay is the Gold Standard for detecting both EAEC and DAEC but DNA probes with limited sensitivity are also employed. Results. We demonstrate that the daaC probe, conventionally used to detect DAEC, cross-reacts with a subset of strains belonging to the EAEC category. The cross hybridization is due to 84% identity, at the nucleotide level, between the daaC locus and the aggregative adherence fimbriae II cluster gene, aafC, present in some EAEC strains. Because aaf-positive EAEC show a better association with diarrhoea than other EAEC, this specific cross-hybridization may have contributed to an over-estimation of the association of daaC with disease in some studies. We have developed a discriminatory PCR-RFLP protocol to delineate EAEC strains detected by the daaC probe in molecular epidemiological studies. Conclusions. A PCR-RFLP protocol described herein can be used to identify aaf-positive EAEC and daaC-positive DAEC and to delineate these two types of diarrhoeagenic E. coli, which both react with the daaC probe. This should help to improve current understanding and future investigations of DAEC and EAEC epidemiology.

Orientador: Rodrigo Tavanelli Hernandes / Resumo: A Escherichia coli enteroagregativa (EAEC) é um importante agente causador de diarreia aguda e persistente em crianças e adultos em todo o mundo. EAEC é definida como isolados de E. coli que produzem o padrão de aderência agregativa (AA) em células epiteliais (HeLa e/ou HEp-2) cultivadas in vitro. O patotipo EAEC pode ser dividido em típico e atípico com base na presença do gene aggR, que codifica um ativador transcricional, presente apenas no primeiro grupo. O objetivo deste estudo foi caracterizar uma coleção de isolados de EAEC obtidos de pacientes com diarreia durante um período de 7 anos de vigilância epidemiológica (2010-2016). Um total de 220 isolados de EAEC (194 típicas e 26 atípicas) foi classificado nos distintos grupos filogenéticos de E. coli, e caracterizados quanto aos sorotipos (O:H), padrão de aderência produzidos em células HeLa, sensibilidade aos antimicrobianos, e a presença de 25 genes responsáveis por codificarem fatores de virulência no patotipo EAEC. A maioria dos isolados de EAEC foi classificada nos grupos filogenéticos A (44,1%; 97/220) e B1 (21,4%; 47/220). Em relação ao padrão de aderência, observamos que 92,7% (204/220) produziram o padrão AA. Além disso, foram identificados nove isolados (4,1%; 9/220) que produziram a aderência em cadeia (CLA), dos quais seis produziram concomitantemente o padrão AA, além de isolados de EAEC que produzem um padrão de aderência indefinido (1,4%; 3/220) e isolados não aderentes (3,6%; 8/220). Foi identificado some... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Enteroaggregative Escherichia coli (EAEC) is an important agent that causes acute and persistent diarrhea in children and adults worldwide. EAEC is defined as E. coli isolates that produce the aggregative adherence pattern (AA) on epithelial cells (HeLa and/or HEp-2) cultured in vitro. The EAEC pathotype can be divided in typical and atypical based on the presence of the aggR gene, which encodes a transcriptional activator, in the former group. The aim of this study was to characterize a collection of EAEC isolates obtained from diarrheal patients over a 7-year period of surveillance (2010-2016). A total of 220 EAEC isolates (194 typical and 26 atypical) were evaluated regarding the phylogenetic classification, serotypes, adherence pattern produced on HeLa cells, susceptibility to antimicrobial drugs and the presence of 25 virulence factor-encoding genes. The majority of the EAEC isolates were assigned to phylogroups A (44.1%; 97/220) and B1 (21.4%; 47/220). Regarding the adherence pattern, was observed that 92.7% (204/220) produced AA. Moreover, we identified nine isolates (4.1%; 9/220) that produced the chain-like adherence (CLA), with six of them producing concomitantly the AA pattern, besides EAEC isolates producing an undefined adherence (1.4%; 3/220) and isolates non-adherent (3.6%; 8/220). Only 0.9% (2/220) of the EAEC isolates studied presented the multidrug resistance phenotype. The genes encoding for the major pilin subunit of all five previously described aggregati... (Complete abstract click electronic access below) / Doutor