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Journal of Clinical Microbiology, June 2000, p. 2134-2140, Vol. 38, No. 6
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Molecular Characteristics and Epidemiological
Significance of Shiga Toxin-Producing Escherichia coli
O26 Strains
Wen-Lan
Zhang,1
Martina
Bielaszewska,2
Almut
Liesegang,3
Helmut
Tschäpe,3
Herbert
Schmidt,1
Martin
Bitzan,4 and
Helge
Karch1,*
Institut für Hygiene und Mikrobiologie
der Universität Würzburg, 97080 Würzburg,1 and Robert Koch
Institut, Bereich Wernigerode, 38855 Wernigerode,3 Germany; Institute for
Medical Microbiology, Charles University, Prague, 150 06 Prague,
Czech Republic2; and Department of
Pediatrics, Wake Forest University School of Medicine,
Winston-Salem, North Carolina 27157-10814
Received 5 November 1999/Returned for modification 21 February
2000/Accepted 20 March 2000
Fifty-five Shiga toxin (Stx)-producing Escherichia coli
(STEC) O26:H11 and O26:H
strains isolated from humans
between 1965 and 1999 in Germany and the Czech Republic were
investigated for their chromosomal and plasmid characteristics. All
motile (n = 23) and nonmotile (n = 32) STEC O26 strains were shown to possess the identical flagellin
subunit-encoding gene (fliC). We observed a striking recent
shift of the stx genotype from stx1
to stx2 among the STEC O26 isolates. While
stx1 was the exclusive genotype identified in
our collection until 1994, 94% of the isolates obtained after 1997 possessed stx2 either alone (71%) or together
with stx1 (23%). Plasmid profiling
demonstrated a remarkable heterogeneity with respect to plasmid sizes
and combinations. Southern blot analysis of plasmid DNA with probes
specific to potential accessory virulence genes revealed considerable
additional variability in gene composition and arrangement.
Pulsed-field gel electrophoresis (PFGE) differentiated 16 subgroups
among the 55 STEC O26 strains. Using these techniques we demonstrate
the emergence of a new clonal subgroup characterized by PFGE pattern A
and a unique combination of virulence markers including
stx2 and a single, approximately 90-kb plasmid
harboring the enterhemorrhagic E. coli hlyA and
etp genes. The proportion of PFGE subgroup A strains among
STEC O26 isolates rose from 30% in 1996 to more than 50% in 1999. Four clusters of infections with the clonal subgroup A were identified.
We conclude that the STEC serogroup O26 is diverse and that pathogenic
clonal subgroups can rapidly emerge during short intervals. The
extensive genetic diversity of STEC O26 provides a basis for molecular
subtyping of this important non-O157 STEC serogroup.
*
Corresponding author. Mailing address: Institut
für Hygiene und Mikrobiologie der Universität
Würzburg, Josef-Schneider-Str. 2, 97080 Würzburg,
Germany. Phone: 49-931-201-5162. Fax: 49-931-201-5166. E-mail:
hkarch{at}hygiene.uni-wuerzburg.de.
Journal of Clinical Microbiology, June 2000, p. 2134-2140, Vol. 38, No. 6
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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