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Journal of Clinical Microbiology, December 2001, p. 4541-4543, Vol. 39, No. 12
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.12.4541-4543.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Association of the Urease Gene with Enterohemorrhagic
Escherichia coli Strains Irrespective of Their
Serogroups
Masayuki
Nakano,1
Tetsuya
Iida,1,*
Makoto
Ohnishi,2
Ken
Kurokawa,3
Akira
Takahashi,4
Teizo
Tsukamoto,5
Teruo
Yasunaga,3
Tetsuya
Hayashi,2 and
Takeshi
Honda1
Department of Bacterial Infections, Research Institute for
Microbial Diseases, Osaka University,1 and
Genome Information Research Center, Osaka University, Suita,
Osaka,3 Department of Microbiology,
Miyazaki Medical College, Kiyotake,
Miyazaki,2 Department of Nutrition,
School of Medicine, Tokushima University, Tokushima,
Tokushima,4 and Osaka Prefectural
Institute of Public Health, Osaka,5 Japan
Received 24 May 2001/Returned for modification 3 September
2001/Accepted 19 September 2001
 |
ABSTRACT |
Among various diarrheagenic Escherichia coli strains
from clinical sources, we found that the urease gene was specifically associated with enterohemorrhagic E. coli (EHEC) strains
irrespective of their serogroups. The results suggest that the urease
gene can be a useful genetic marker for the detection of EHEC strains and for the diagnosis of infections caused by EHEC strains in the
clinical situation.
 |
TEXT |
In 1996, a large outbreak of
food-borne infection due to enterohemorrhagic Escherichia
coli (EHEC) O157:H7 occurred in Sakai City, Osaka Prefecture,
Japan. The outbreak involved more than 6,000 people and resulted in
three deaths (11). Recently, Hayashi et al.
(7) reported the complete genome sequence of an EHEC O157:H7 strain isolated from the Sakai outbreak (referred to as strain
O157 Sakai). The study demonstrated that a 1,460-kb DNA sequence is
specifically present in O157 Sakai but is not found in the E. coli K-12 genome (2). Most of the sequence consisted of prophage genomes or regions with prophage-like features (designated Sakai prophage-like elements [SpLEs]) (7). Among the
SpLEs, the largest one, SpLE1 (ca. 86 kb long), possesses several genes potentially related to the virulence of the organism. Here we describe
the results of our investigation on the distribution of the genes
identified on SpLE1 among various diarrheagenic E. coli strains.
Strain O157 Sakai (strain RIMD0509952) (7) was used as the
standard strain in the present study. The strains examined in the
present study consisted 55 diarrheagenic E. coli strains
including 22 strains of EHEC, 12 strains of enterotoxigenic E. coli (ETEC), 8 strains of enteropathogenic E. coli
(EPEC), 3 strains of enteroaggregative E. coli (EAggEC), and
10 strains of enteroinvasive E. coli (EIEC) and 4 other
enteropathogenic bacteria including 2 strains of Shigella spp. (Shigella flexneri and S. dysenteriae) and 2 strains of Salmonella spp. (Salmonella enterica
serovar Enteritidis and S. enterica serovar Typhimurium).
All strains were from our laboratory collection, and all strains except
one EHEC strain were clinical isolates, the one exception was derived
from a calf. E. coli JM109 (13) was also
included in the examination as a negative control strain.
All DNA probes used in the study were prepared by PCR amplification.
The sequences of the oligonucleotides used as PCR primers are described
in Table 1. PCR was performed in a
reaction mixture with a total volume of 50 µl. The reaction mixture
contained the following components: 0.5 µg of genomic DNA which
was extracted from O157 Sakai by a standard method (12), 5 µl of 10× PCR buffer, 4 µl of a deoxynucleoside triphosphate
mixture (containing dATP, dCTP, dTTP, and dGTP at concentrations
of 10 mM each), 20 pmol of each primer, and 2.5 U of Taq DNA
polymerase (Wako Pure Chemical Industry Ltd., Osaka, Japan), with the
volume completed to 50 µl with distilled water. PCR conditions were
as follows: after 3 min of denaturation at 94°C, a cycle of
denaturation at 94°C for 1 min, annealing at the optimum temperature
for 1 min (Table 1), and extension at 72°C for 1 min was
repeated 30 times. The PCR product was separated on a 2% agarose gel
and was extracted from the agarose gel with an QIAEXII gel extraction
kit (QIAGEN, Hilden, Germany). The DNA probes were labeled with the PCR
DIG Probe Synthesis kit, and the hybridized DNAs were detected
with alkaline phosphatase-labeled anti-digoxigenin monoclonal antibody (Roche, Indianapolis, Ind.). Hybridization was carried out at 42°C
under high-stringency conditions (50% concentration of formamide in
hybridization solution) and with washing at 55°C.
SpLE1 encodes 111 open reading frames (ORFs) (>150 bp) ;
several ORFs likely encode proteins potentially related to bacterial pathogenesis such as TraT, Iha, AIDA-1, and urease (1, 6, 8-10). We selected seven ORFs found on SpLE1 and examined their distributions among various types of diarrheagenic E. coli
strains, Shigella spp., and Salmonella spp. by
colony hybridization (Table 2 and Fig.
1).

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FIG. 1.
Locations of the DNA probes on SpLE1. Arrows and shaded
boxes indicate the direction of transcription and the direct repeated
sequences, respectively. The black boxes below SpLE1 represent the
locations of the DNA probes.
|
|
A significant portion of the EHEC strains reacted with all seven DNA
probes (13 of 15 serogroup O157 strains and 3 of 4 serogroup O26
strains), suggesting that SpLE1 or SpLE1-like elements may be widely
distributed in EHEC strains, in particular, in serotype O157. In
contrast, other types of diarrheagenic E. coli and
Shigella spp. reacted with only some of the DNA probes, if
any (Table 2). Among the four probes which reacted with all EHEC
strains (probes 1, 3, 5, and 7), probe 3 reacted solely with EHEC
strains and not with other E. coli strains, while the other
probes reacted with some other types of pathogenic E. coli
strains and Shigella spp. The sequence of probe 3 corresponds to the sequence of an internal part of the ureC
gene, and thus, this finding suggests that the urease operon may be
specifically and ubiquitously distributed in EHEC strains, at least in
serogroups O157, O26, and O111.
Since it was demonstrated that all EHEC strains tested possess the
ureC gene, irrespective of their serogroups, we examined the
urease activities of these EHEC strains including O157 Sakai. Among 23 EHEC strains tested, only 1 strain (a serogroup O157 strain) showed
urease activity when urea agar base (Becton Dickinson, Sparks,
Md.) was used. These results suggest that, at least under the
conditions used in the present study, urease production could not be
detected in most of the EHEC strains tested, despite their possession of the ureC gene.
It is of particular importance that probe 3, whose sequence corresponds
to the sequence of an internal part of ureC, reacted with
all EHEC strains tested but none of the other types of diarrheagenic E. coli strains. This suggests that the urease operon is
uniquely present in EHEC strains, irrespective of the serogroup.
Although the production of urease was not detected in most EHEC strains examined in the present study, the urease gene will be a useful marker
for differentiation of EHEC strains from other diarrheagenic E. coli strains.
E. coli infections are not limited to gastroenteritis.
Therefore, it is noteworthy that uropathogenic E. coli (UPEC) was reported to contain the urease operon (3,
4). Although the full sequence of the UPEC ureC gene
is not available, phylogenetic analysis of UreA, UreB, and UreG shows
that the urease genes of EHEC strains exhibit the highest degree of
similarity to those of Klebsiella aerogenes, while the
urease genes of UPEC are most similar to those of Proteus
mirabilis (data not shown). Furthermore, the gene organizations of
the urease operons were different from each other in EHEC and UPEC
strains (5). These data suggest that an appropriate primer
set can differentiate the EHEC ureC gene from the UPEC
ureC gene. We are now examining this possibility by
analyzing a larger number of clinical E. coli isolates from patients with both gastrointestinal and urinary tract infections.
 |
ACKNOWLEDGMENTS |
This work was supported by the Japan Society for the Promotion of
Science "Research for the Future Programs" (grants 97L00101 and
97L00704) and a grant for International Health Cooperation Research
from the Ministry of Health, Labor and Welfare.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Bacterial Infections, Research Institute for Microbial Diseases, Osaka University, 3-1 Yamadaoka, Suita, Osaka 565-0871, Japan. Phone: 81-6-6879-8278. Fax: 81-6-6879-8277. E-mail:
iida{at}biken.osaka-u.ac.jp.
 |
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Journal of Clinical Microbiology, December 2001, p. 4541-4543, Vol. 39, No. 12
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.12.4541-4543.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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