Infectious Disease Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon, South Korea.
Department of Biomolecular Science, KRIBB School of Bioscience, Korea University of Science and Technology (UST), Daejeon, South Korea.
Front Cell Infect Microbiol. 2020 Jun 4;10:273. doi: 10.3389/fcimb.2020.00273. eCollection 2020.
Following infection with certain strains of Shiga toxin-producing (STEC), particularly enterohemorrhagic ones, patients are at elevated risk for developing life-threatening extraintestinal complications, such as acute renal failure. Hence, these bacteria represent a public health concern in both developed and developing countries. Shiga toxins (Stxs) expressed by STEC are highly cytotoxic class II ribosome-inactivating proteins and primary virulence factors responsible for major clinical signs of Stx-mediated pathogenesis, including bloody diarrhea, hemolytic uremic syndrome (HUS), and neurological complications. Ruminant animals are thought to serve as critical environmental reservoirs of Stx-producing (STEC), but other emerging or arising reservoirs of the toxin-producing bacteria have been overlooked. In particular, a number of new animal species from wildlife and aquaculture industries have recently been identified as unexpected reservoir or spillover hosts of STEC. Here, we summarize recent findings about reservoirs of STEC and review outbreaks of these bacteria both within and outside the United States. A better understanding of environmental transmission to humans will facilitate the development of novel strategies for preventing zoonotic STEC infection.
某些产志贺毒素(STEC)的菌株感染后,尤其是肠出血性的菌株感染后,患者发生威胁生命的肠外并发症的风险会增加,如急性肾衰竭。因此,这些细菌在发达国家和发展中国家都是公共卫生关注的问题。STEC 表达的志贺毒素(Stxs)是高度细胞毒性的 II 类核糖体失活蛋白,是主要的毒力因子,负责 Stx 介导的发病机制的主要临床症状,包括血性腹泻、溶血性尿毒症综合征(HUS)和神经并发症。反刍动物被认为是产志贺毒素(STEC)的重要环境储主,但其他新兴或出现的产毒细菌储主已被忽视。特别是,一些来自野生动物和水产养殖行业的新动物物种最近被确定为 STEC 的意外储主或溢出宿主。在这里,我们总结了关于 STEC 储主的最新发现,并回顾了美国境内和境外的这些细菌的暴发情况。更好地了解对人类的环境传播将有助于制定预防人畜共患性 STEC 感染的新策略。