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Journal of Clinical Microbiology, March 2007, p. 1038-1041, Vol. 45, No. 3
0095-1137/07/$08.00+0 doi:10.1128/JCM.01103-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Infectious Diseases Surveillance Center, National Institute of Infectious Diseases, Tokyo,1 Aichi Prefectural Institute of Public Health, Nagoya,2 Saga Prefectural Center of Public Health and Sanitary Pharmaceutical Research, Saga,3 Akita Prefectural Institute of Public Health, Akita,4 Saitama Institute of Public Health, Saitama,5 Yokosuka Institute of Public Health, Yokosuka, Japan,6 Department of Medical Sciences, National Institute of Health, Nonthaburi, Thailand7
Received 30 May 2006/ Returned for modification 3 July 2006/ Accepted 3 January 2007
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2, ß1 to -3,
1,
2,
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2 to -4,
,
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2,
,
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2,
,
, µ,
,
, o,
,
, and
, have been deposited in the Entrez nucleotide database. As an alternative method to DNA sequencing, heteroduplex mobility analysis (HMA) has been developed to determine variations among amplified fragments (12). HMA is a simple, rapid, and inexpensive method (11, 18). In this study we demonstrated the variability of the 5' region of eae genes by HMA.
A total of 211 eae-positive strains of E. coli isolated in Thailand and Japan were used in this study. In addition, eae types E2348/69 (O127:H6, eae-
) (20), H19 (O26:H11, eae-ß) (2), PMK5 (O103:H2, eae-
) (21), and EDL933 (O157:H7, eae-
) (26) were used as a control.
To categorize the strains into EPEC or STEC strains, we checked for stx genes by PCR (17) or RPLA (Denka-Seiken, Tokyo, Japan). For HMA typing, an E. coli culture on an agar plate was suspended in 100 µl of distilled water, boiled for 10 min, and used as a PCR template. The 5'-terminal region of the eae genes was amplified by PCR as described by Nakazawa and Itoh (23).
Amplicons were then subjected to HMA (12). Briefly, an appropriate amount of amplicon was mixed with 2 µl of the amplicon obtained from strains taken as a reference, and distilled water containing 10 mM EDTA (pH 8.0) was added to 10 µl. The amplicons were denatured at 94°C for 5 min and reannealed at 72°C for 3 min and at 50°C for 1 h. Heteroduplexes were separated by homemade polyacrylamide gel electrophoresis on a 7.5% gel with a stacking gel without sodium dodecyl sulfate. To test the discriminatory power of commercially available precast gels, PAG mini-"Daiichi" (Daiichi Pure Chemicals. Tokyo, Japan) and e-PAGEL (ATTO Corporation, Tokyo, Japan) were also used. The resolution of commercially available precast gels was as good as the resolution of the homemade gel.
The combination of the amplicons and strain KI1218 or KI1223 gave the most distinctive HMA patterns; therefore, they were used as reference patterns.
By HMA typing, eae genes were categorized into four major groups, groups a to d, which can be subtyped into 10 minor types (Fig. 1). O and H serotypes were determined with antiserum kits (Denka-Seiken) as described by the manufacturer. Of the 211 eae-positive E. coli strains, 124 were distributed among 29 typeable O:H serotypes (Table 1). The same serotypes generated identical HMA types; this was not observed in the case of O26:H11, whose HMA type is associated with stx genes. All stx-positive strains are b1, whereas stx-negative strains are b1 or b2 (Table 1).
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FIG. 1. HMA profiles of all HMA types with HMA reference strains. Each of the 10 HMA types, a1 to d2, and 4 eae reference strains, , ß, , and , formed heteroduplexes with (A) KI1218 strain (O153:H21, type d1) or (B) KI1223 strain (O157:H45, type a1). Heteroduplexes were separated on 7.5% homemade polyacrylamide gels and stained with ethidium bromide. Electrophoretograms are shown as negative images. Lanes: M, molecular size markers (100-bp ladder); c1, KI1231 (O55:H7); , EDL933 (O157:H7); c2, KI1699 (O63:H6); c3, KI1492 (O124:H40); a1, KI1223 (O157:H45); , E2348/69 (O127a:H6); a2, KI1458 (O55:H51); a3, KI1434 (OUT [O but untypeable]:HNM [H but nonmotile]); d1, KI1218 (O153:H21); d2, KI1440 (OUT:H7); b1, KI1220 (O128:H2); ß, H19 (O26:H11, stx+); b2, KI1221 (O26:H11, stx mutant); , PMK5 (O103:H2).
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TABLE 1. Comparison of serotypes, HMA types, and stx genes among the eae-positive Escherichia coli strains from Thailand and Japana
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, -ß, -
, and -
, were typed into HMA types, a1, b1, c1, and b2, respectively (Fig. 1). Regarding the common serotype strains in published studies (1, 3-5, 7, 19, 27, 29, 30, 32) and this study, we compare HMA types to the allele-specific eae types reported in the references. With a few exceptions, the serotype strains of a1, O55:H6, O127a:H6, O142:H6, O142:H34, and O157:H45 were eae-
/
1, except O119:H6 which was typed to eae-ß/ß2. The serotype strains of b1, O15:H2, O26:H11, O119:H2, O128:H2, O153:H7, and O167:H9 were eae-ß/ß1. The serotype strains of c1, O55:H7, and O157:H7 were eae-
/
1, and the serotype strains of b2, O103:H2, was eae-
/
1.
The PCR products of 15 strains including each HMA type appearing in Fig. 2 were sequenced (Greiner, Tokyo, Japan). PHYLIP-style tree files were produced using CLUSTALW, DDBJ version available at http://www.ddbj.nig.ac.jp/search/clustalw-j.html, and phylogenies were displayed using TREEVIEW (28). The HMA-a1 sequences of KI1318 and O119:H6 (DDBJ accession no. AB185253) from positions 95 to 528 exactly matched the eae-ß2 sequence of O119:H6 (EMBL accession no. AJ715407). According to phylogenetic analysis among eae-
(GenBank accession no. M58154), eae-ß (GenBank accession no. AF453441), and eae-ß2 types, eae-ß2 was homologous to eae-
on the basis of its 5'-terminal region (at positions 1 to 1600) but was homologous to eae-ß on the basis of its 3'-terminal region (position 1600 to the end). The eae sequence of O119:H6 (EMBL accession no. AJ715407) has a mosaic structure as suggested by McGraw et al. (22).
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FIG. 2. Phylogram based on 5'-terminal nucleotide sequences of different intimin subtypes (nucleotides 95 to 528) and HMA types. The HMA type, name, and serotype of the strains used in this study are shown in boldface type. The eae type and serotype of the strains deposited in the Entrez nucleotide database are shown in plain text. The horizontal axis shows evolutionary change, and the vertical axis is arbitrary. The scale bar indicates the number of nucleotide replacements per site. DNA sequences with different eae genes were retrieved from the Entrez database, including eae- (accession no. M58154), eae- 2 (AF530555), eae-ß (AF453441), eae-ß2 (AJ715407), eae-ß3 (AJ876651), eae- (Z11541), eae- 2 (AF025311), eae- (AJ875027), eae- (AF116899), eae- 2 (AF530554), eae- 3 (AJ876650), eae- 4 (AJ876651), eae- (AF449417), eae- (AJ308550), eae- 2 (AJ876652), eae- (AF449419), eae- (AJ308551), eae- 2 (AF530553), eae- (U66102), eae- (AF530557), eae-µ (AJ705049), eae- (AJ705050), eae- (AJ705051), eae-o (AJ584841, partial), eae- (AJ705052), eae- (AJ748082), and eae- (AJ781125).
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4, and eae types in cluster x differed from HMA types by more than 5 nucleotides; the HMA types of these eae types will be analyzed in future studies. The phylogram showed (Fig. 2) good correlation with electrophoretic mobility (Fig. 1B). The HMA method applied to the amplicon from the variable 3' region may have significance in terms of typing, but it is difficult to select universal primers. In a preliminary experiment with universal PCR primers by Ramachandran et al. (29), several HMA types were poorly amplified by HMA.
The 5'-terminal regions of eae genes are highly conserved (13); however, the eae genes contain variations that are sufficient to yield high resolution by the HMA typing method. This facilitates the subtyping of the intimin family in E. coli. To compare the discriminatory ability of typing systems, Simpson's index of diversity described by Hunter and Gaston (15) was applied. Simpson's indices by Blanco et al. (5-9) range from 0.62 (9) to 0.87 (6), with an overall value of 0.79. Simpson's indices by other authors (1, 4, 16, 27, 33) range from 0.66 to 0.82, and the Simpson's index in this study was 0.81, indicating that HMA has a high discriminatory ability which is almost equal to that of the allele-specific PCR system developed by Blanco.
Nucleotide sequence accession numbers. The sequences reported here appear in DDBJ under accession numbers AB118854 to AB118869 and AB185253.
Published ahead of print on 17 January 2007. ![]()
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, ß,
, and
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, ß, and
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