The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates

Early determination of the Shiga toxin type of Shiga toxin-producing <i>Escherichia coli</i> (STEC) is crucial for guiding STEC-infected patients for proper and timely treatment and patient care. Most diagnostic microbiology laboratories rely on PCR assays to detect the presence of <i...

Full description

Saved in:
Bibliographic Details
Main Authors: Surangi H. Thilakarathna, Brendon Parsons, Linda Chui
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/17/6/267
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849433850298499072
author Surangi H. Thilakarathna
Brendon Parsons
Linda Chui
author_facet Surangi H. Thilakarathna
Brendon Parsons
Linda Chui
author_sort Surangi H. Thilakarathna
collection DOAJ
description Early determination of the Shiga toxin type of Shiga toxin-producing <i>Escherichia coli</i> (STEC) is crucial for guiding STEC-infected patients for proper and timely treatment and patient care. Most diagnostic microbiology laboratories rely on PCR assays to detect the presence of <i>stx1</i> and/or <i>stx2</i> and enzymatic immunoassays (EIA) to detect the presence of the Shiga toxins 1 and/or 2 in STEC-positive stool samples. Occasionally, the stool samples test positive for STEC by PCR assays but test negative for the presence of Shiga toxins. Insufficient toxin production under laboratory conditions is the main culprit of this discordance. To test whether EIA-based STEC detection could be improved, various clinical STEC strains were treated with mitomycin C, which is a commonly used inducer of Shiga toxin production. A dose-dependent increase in Shiga toxin production, in response to mitomycin C doses of up to 500 ng/mL, was observed without any bactericidal effects. Depending on the serotype, 5–50 times more Shiga toxin 2 was produced than Shiga toxin 1. Shiga toxin production was not induced by the mitomycin C treatment in certain STEC serotypes carrying the toxin subtypes <i>stx1a</i>, <i>stx2a</i>, <i>2b</i>, <i>2f</i>, <i>or 2h</i>. This diversity in toxin production indicates that other factors may determine toxin expression in certain STEC strains, which warrant further exploration.
format Article
id doaj-art-b8e15731535e4a7ea6b16b9c3628339c
institution Kabale University
issn 2072-6651
language English
publishDate 2025-05-01
publisher MDPI AG
record_format Article
series Toxins
spelling doaj-art-b8e15731535e4a7ea6b16b9c3628339c2025-08-20T03:26:52ZengMDPI AGToxins2072-66512025-05-0117626710.3390/toxins17060267The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC IsolatesSurangi H. Thilakarathna0Brendon Parsons1Linda Chui2Department of Laboratory Medicine and Pathology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, CanadaDepartment of Laboratory Medicine and Pathology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, CanadaDepartment of Laboratory Medicine and Pathology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, CanadaEarly determination of the Shiga toxin type of Shiga toxin-producing <i>Escherichia coli</i> (STEC) is crucial for guiding STEC-infected patients for proper and timely treatment and patient care. Most diagnostic microbiology laboratories rely on PCR assays to detect the presence of <i>stx1</i> and/or <i>stx2</i> and enzymatic immunoassays (EIA) to detect the presence of the Shiga toxins 1 and/or 2 in STEC-positive stool samples. Occasionally, the stool samples test positive for STEC by PCR assays but test negative for the presence of Shiga toxins. Insufficient toxin production under laboratory conditions is the main culprit of this discordance. To test whether EIA-based STEC detection could be improved, various clinical STEC strains were treated with mitomycin C, which is a commonly used inducer of Shiga toxin production. A dose-dependent increase in Shiga toxin production, in response to mitomycin C doses of up to 500 ng/mL, was observed without any bactericidal effects. Depending on the serotype, 5–50 times more Shiga toxin 2 was produced than Shiga toxin 1. Shiga toxin production was not induced by the mitomycin C treatment in certain STEC serotypes carrying the toxin subtypes <i>stx1a</i>, <i>stx2a</i>, <i>2b</i>, <i>2f</i>, <i>or 2h</i>. This diversity in toxin production indicates that other factors may determine toxin expression in certain STEC strains, which warrant further exploration.https://www.mdpi.com/2072-6651/17/6/267Shiga toxin-producing <i>Escherichia coli</i> (STEC)mitomycin Cenzymatic immunoassays (EIA)STEC subtypesShiga toxin productiondiagnostics
spellingShingle Surangi H. Thilakarathna
Brendon Parsons
Linda Chui
The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates
Toxins
Shiga toxin-producing <i>Escherichia coli</i> (STEC)
mitomycin C
enzymatic immunoassays (EIA)
STEC subtypes
Shiga toxin production
diagnostics
title The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates
title_full The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates
title_fullStr The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates
title_full_unstemmed The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates
title_short The Effect of Mitomycin C on Induction of Shiga Toxin Production in Clinical STEC Isolates
title_sort effect of mitomycin c on induction of shiga toxin production in clinical stec isolates
topic Shiga toxin-producing <i>Escherichia coli</i> (STEC)
mitomycin C
enzymatic immunoassays (EIA)
STEC subtypes
Shiga toxin production
diagnostics
url https://www.mdpi.com/2072-6651/17/6/267
work_keys_str_mv AT surangihthilakarathna theeffectofmitomycinconinductionofshigatoxinproductioninclinicalstecisolates
AT brendonparsons theeffectofmitomycinconinductionofshigatoxinproductioninclinicalstecisolates
AT lindachui theeffectofmitomycinconinductionofshigatoxinproductioninclinicalstecisolates
AT surangihthilakarathna effectofmitomycinconinductionofshigatoxinproductioninclinicalstecisolates
AT brendonparsons effectofmitomycinconinductionofshigatoxinproductioninclinicalstecisolates
AT lindachui effectofmitomycinconinductionofshigatoxinproductioninclinicalstecisolates