Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6

Introduction: One approach to control enterotoxigenic Escherichia coli (ETEC) infections has been to develop vaccines focused on inducing protective immunity against surface expressed antigenic factors. One such factor is coli surface antigen 6 (CS6); ETEC isolates expressing CS6 may also simultane...

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Main Authors: Atef M El-Gendy, Adel Mansour, Hind I Shaheen, Marshall R Monteville, Adam W Armstrong, Nasr El-Sayed, Sylvia Y. N Young, John D Klena
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2013-02-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/2454
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author Atef M El-Gendy
Adel Mansour
Hind I Shaheen
Marshall R Monteville
Adam W Armstrong
Nasr El-Sayed
Sylvia Y. N Young
John D Klena
author_facet Atef M El-Gendy
Adel Mansour
Hind I Shaheen
Marshall R Monteville
Adam W Armstrong
Nasr El-Sayed
Sylvia Y. N Young
John D Klena
author_sort Atef M El-Gendy
collection DOAJ
description Introduction: One approach to control enterotoxigenic Escherichia coli (ETEC) infections has been to develop vaccines focused on inducing protective immunity against surface expressed antigenic factors. One such factor is coli surface antigen 6 (CS6); ETEC isolates expressing CS6 may also simultaneously co-express surface antigens CS4 or CS5. However, there is little information regarding the inter-relationships of isolates expressing the CS6 antigen alone or in combination with CS4 or CS5. Methodology: A total of 62 CS6-associated ETEC isolates were evaluated for their antimicrobial susceptibility, mechanisms of resistance, toxin genes, colonization factor expression, and XbaI-pulsed-field gel electrophoretic profiles. Results: We observed 46 XbaI profiles; 31 were exclusive to ETEC expressing CS6 alone and 15 among the ETEC co-expressing CS4 or CS5. Nearly half (47%) of these isolates were resistant to ampicillin, a third (37%) of the isolates were resistant to trimethoprim-sulfamethoxazole, and 24% of the isolates were tetracycline-resistant. A blaTEM gene was detected in 24 (83%) ampicillin-resistant isolates. Trimethoprim-sulfamethoxazole-resistant isolates (n = 23) carried either sulI (n = 1, 4%), sulII (n = 8, 35%) or both genes (n = 10, 43%); 4 had no detectable sul gene. Conclusions: Our results show a lack of clonality among Egypt CS6 E. coli isolates and supports the use and the further research on vaccines targeting this cell surface antigen.
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spelling doaj-art-2b8316473b884a3ca4a0a10a089be0242025-08-20T03:48:58ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802013-02-0170210.3855/jidc.2454Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6Atef M El-Gendy0Adel Mansour1Hind I Shaheen2Marshall R Monteville3Adam W Armstrong4Nasr El-Sayed5Sylvia Y. N Young6John D Klena7US Naval Medical Research Unit No. 3, Cairo, EgyptUS Naval Medical Research Unit No. 3, Cairo, EgyptUS Naval Medical Research Unit No. 3, Cairo, EgyptUS Naval Medical Research Unit No. 3, Cairo, EgyptUS Naval Medical Research Unit No. 3, Cairo, EgyptEgyptian Ministry of Health, Cairo, Egypt.US Naval Medical Research Unit No. 3, Cairo, EgyptUS Naval Medical Research Unit No. 3, Cairo, Egypt Introduction: One approach to control enterotoxigenic Escherichia coli (ETEC) infections has been to develop vaccines focused on inducing protective immunity against surface expressed antigenic factors. One such factor is coli surface antigen 6 (CS6); ETEC isolates expressing CS6 may also simultaneously co-express surface antigens CS4 or CS5. However, there is little information regarding the inter-relationships of isolates expressing the CS6 antigen alone or in combination with CS4 or CS5. Methodology: A total of 62 CS6-associated ETEC isolates were evaluated for their antimicrobial susceptibility, mechanisms of resistance, toxin genes, colonization factor expression, and XbaI-pulsed-field gel electrophoretic profiles. Results: We observed 46 XbaI profiles; 31 were exclusive to ETEC expressing CS6 alone and 15 among the ETEC co-expressing CS4 or CS5. Nearly half (47%) of these isolates were resistant to ampicillin, a third (37%) of the isolates were resistant to trimethoprim-sulfamethoxazole, and 24% of the isolates were tetracycline-resistant. A blaTEM gene was detected in 24 (83%) ampicillin-resistant isolates. Trimethoprim-sulfamethoxazole-resistant isolates (n = 23) carried either sulI (n = 1, 4%), sulII (n = 8, 35%) or both genes (n = 10, 43%); 4 had no detectable sul gene. Conclusions: Our results show a lack of clonality among Egypt CS6 E. coli isolates and supports the use and the further research on vaccines targeting this cell surface antigen. https://jidc.org/index.php/journal/article/view/2454Enterotoxigenic Escherichia colichildrendiarrheaEgypt
spellingShingle Atef M El-Gendy
Adel Mansour
Hind I Shaheen
Marshall R Monteville
Adam W Armstrong
Nasr El-Sayed
Sylvia Y. N Young
John D Klena
Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6
Journal of Infection in Developing Countries
Enterotoxigenic Escherichia coli
children
diarrhea
Egypt
title Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6
title_full Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6
title_fullStr Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6
title_full_unstemmed Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6
title_short Genotypic characterization of Egypt enterotoxigenic Escherichia coli isolates expressing coli surface antigen 6
title_sort genotypic characterization of egypt enterotoxigenic escherichia coli isolates expressing coli surface antigen 6
topic Enterotoxigenic Escherichia coli
children
diarrhea
Egypt
url https://jidc.org/index.php/journal/article/view/2454
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