Rahman H
Robert Koch Institute, Wernigerode, Germany.
Indian J Med Res. 2002 Jun;115:251-4.
BACKGROUND & OBJECTIVE: Shiga toxin producing Escherichia coli (STEC), which includes both enterohaemorrhagic Esch. coli (EHEC, 0157: 7H) and non-EHEC (non-0157) produces two major Shiga toxins (Stx1 & Stx2). Detection of Stx or stx genes is the only approach to detect all the different types of STEC. A multiplex PCR is used for the detection of stx genes from EHEC and non-EHEC strains isolated from patients of enteritis.
Ten EHEC and 35 non-EHEC strains obtained from patients with diarrhoea and enteritis were studied. A single and multiplex PCR (mPCR) were used for detection of stx genes using specific primers. In single PCR, the stx 1 and stx 2 genes were amplified separately while in mPCR, the two genes were amplified together in a single reaction. The PCR products were detected by electrophoresis.
All the EHEC strains were found to harbour one or both stx genes as detected by single and multiplex PCR. Of the non-EHEC strains tested, 14.28 per cent were positive for stx genes. Multiplex PCR gave similar results and showed 100 per cent agreement with that of single PCR.
INTERPRETATION & CONCLUSION: The results indicated that stx genes are common in the EHEC strains but they are less prevalent among non-EHEC strains. Because of simplicity, rapidity and specificity, mPCR assay represents a good alternative to traditional methods for the detection of stx genes of STEC.
产志贺毒素大肠杆菌(STEC),包括肠出血性大肠杆菌(EHEC,O157:H7)和非EHEC(非O157),可产生两种主要的志贺毒素(Stx1和Stx2)。检测Stx或stx基因是检测所有不同类型STEC的唯一方法。多重聚合酶链反应(PCR)用于检测从肠炎患者分离出的EHEC和非EHEC菌株中的stx基因。
研究了从腹泻和肠炎患者获得的10株EHEC和35株非EHEC菌株。使用特异性引物,通过单重PCR和多重PCR(mPCR)检测stx基因。在单重PCR中,stx1和stx2基因分别扩增,而在mPCR中,两个基因在一个反应中一起扩增。通过电泳检测PCR产物。
通过单重PCR和多重PCR检测发现,所有EHEC菌株都含有一个或两个stx基因。在所检测的非EHEC菌株中,14.28%的菌株stx基因呈阳性。多重PCR给出了相似的结果,与单重PCR的结果显示出100%的一致性。
结果表明,stx基因在EHEC菌株中常见,但在非EHEC菌株中不太普遍。由于操作简单、快速且具有特异性,mPCR检测法是检测STEC的stx基因的传统方法的一个很好的替代方法。