Sarowska Jolanta, Futoma-Koloch Bozena, Jama-Kmiecik Agnieszka, Frej-Madrzak Magdalena, Ksiazczyk Marta, Bugla-Ploskonska Gabriela, Choroszy-Krol Irena
1Department of Basic Sciences, Faculty of Health Sciences, Wroclaw Medical University, Chalubinskiego 4, 50-368 Wroclaw, Poland.
2Department of Microbiology, Institute of Genetics and Microbiology, University of Wroclaw, Przybyszewskiego 63/77, 51-148 Wroclaw, Poland.
Gut Pathog. 2019 Feb 21;11:10. doi: 10.1186/s13099-019-0290-0. eCollection 2019.
Extraintestinal pathogenic . (ExPEC) are facultative pathogens that are part of the normal human intestinal flora. The ExPEC group includes uropathogenic (UPEC), neonatal meningitis (NMEC), sepsis-associated (SEPEC), and avian pathogenic (APEC). Virulence factors (VF) related to the pathogenicity of ExPEC are numerous and have a wide range of activities, from those related to bacteria colonization to those related to virulence, including adhesins, toxins, iron acquisition factors, lipopolysaccharides, polysaccharide capsules, and invasins, which are usually encoded on pathogenicity islands (PAIs), plasmids and other mobile genetic elements. Mechanisms underlying the dynamics of ExPEC transmission and the selection of virulent clones are still poorly understood and require further research. The time shift between colonization of ExPEC and the development of infection remains problematic in the context of establishing the relation between consumption of contaminated food and the appearance of first disease symptoms. What appears to be most difficult is to prove that ExPEC strains cause disease symptoms and to examine the mechanism of transition from the asymptomatic colonization of the intestines to the spreading of the bacteria outside the digestive system. A significant problem for researchers who are trying to ascribe ExPEC transmission to food, people or the environment is to draw the distinction between colonization of ExPEC and infection. Food safety is an important challenge for public health both at the production stage and in the course of its processing and distribution. Examination of the genetic similarity of ExPEC strains will allow to determine their origin from different sources. Many levels of genotyping have been proposed in which the typing of strains, plasmids and genes is compared in order to obtain a more complete picture of this complex problem. The aim of our study was to characterize strains isolated from humans, animals and food for the presence of bacterial genes encoding virulence factors such as toxins, and iron acquisition systems (siderophores) in the context of an increasing spread of ExPEC infections.
肠外致病性大肠杆菌(ExPEC)是兼性病原菌,属于人类正常肠道菌群的一部分。ExPEC组包括尿路致病性大肠杆菌(UPEC)、新生儿脑膜炎大肠杆菌(NMEC)、败血症相关大肠杆菌(SEPEC)和禽致病性大肠杆菌(APEC)。与ExPEC致病性相关的毒力因子众多,具有广泛的活性,从与细菌定植相关的因子到与毒力相关的因子,包括黏附素、毒素、铁摄取因子、脂多糖、多糖荚膜和侵袭素,这些通常由致病岛(PAIs)、质粒和其他可移动遗传元件编码。ExPEC传播动态和毒力克隆选择的潜在机制仍知之甚少,需要进一步研究。在确定食用受污染食物与首次出现疾病症状之间的关系时,ExPEC定植与感染发展之间的时间间隔仍然存在问题。最困难的似乎是证明ExPEC菌株会导致疾病症状,并研究从肠道无症状定植到细菌在消化系统外扩散的转变机制。对于试图将ExPEC传播归因于食物、人或环境的研究人员来说,一个重大问题是区分ExPEC的定植和感染。食品安全在生产阶段以及加工和分销过程中都是公共卫生面临的重要挑战。检测ExPEC菌株的遗传相似性将有助于确定它们来自不同来源。已经提出了许多基因分型水平,其中比较菌株、质粒和基因的分型,以便更全面地了解这个复杂问题。我们研究的目的是在ExPEC感染日益蔓延的背景下,对从人、动物和食物中分离的菌株进行表征,以检测编码毒素等毒力因子的细菌基因以及铁摄取系统(铁载体)的存在情况。