Title |
Genomic diversity of EPEC associated with clinical presentations of differing severity
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Published in |
Nature Microbiology, January 2016
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DOI | 10.1038/nmicrobiol.2015.14 |
Pubmed ID | |
Authors |
Tracy H. Hazen, Michael S. Donnenberg, Sandra Panchalingam, Martin Antonio, Anowar Hossain, Inacio Mandomando, John Benjamin Ochieng, Thandavarayan Ramamurthy, Boubou Tamboura, Shahida Qureshi, Farheen Quadri, Anita Zaidi, Karen L. Kotloff, Myron M. Levine, Eileen M. Barry, James B. Kaper, David A. Rasko, James P. Nataro |
Abstract |
Enteropathogenic Escherichia coli (EPEC) are diarrhoeagenic E. coli, and are a significant cause of gastrointestinal illness among young children in developing countries. Typical EPEC are identified by the presence of the bundle-forming pilus encoded by a virulence plasmid, which has been linked to an increased severity of illness, while atypical EPEC lack this feature. Comparative genomics of 70 total EPEC from lethal (LI), non-lethal symptomatic (NSI) or asymptomatic (AI) cases of diarrhoeal illness in children enrolled in the Global Enteric Multicenter Study was used to investigate the genomic differences in EPEC isolates obtained from individuals with various clinical outcomes. A comparison of the genomes of isolates from different clinical outcomes identified genes that were significantly more prevalent in EPEC isolates of symptomatic and lethal outcomes than in EPEC isolates of asymptomatic outcomes. These EPEC isolates exhibited previously unappreciated phylogenomic diversity and combinations of virulence factors. These comparative results highlight the diversity of the pathogen, as well as the complexity of the EPEC virulence factor repertoire. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Japan | 7 | 21% |
United States | 3 | 9% |
United Kingdom | 2 | 6% |
Australia | 2 | 6% |
Venezuela, Bolivarian Republic of | 1 | 3% |
Sweden | 1 | 3% |
France | 1 | 3% |
Bangladesh | 1 | 3% |
Malawi | 1 | 3% |
Other | 0 | 0% |
Unknown | 15 | 44% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Scientists | 17 | 50% |
Members of the public | 16 | 47% |
Practitioners (doctors, other healthcare professionals) | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | 2% |
Unknown | 114 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 19 | 16% |
Researcher | 18 | 16% |
Student > Master | 14 | 12% |
Student > Doctoral Student | 11 | 9% |
Student > Bachelor | 7 | 6% |
Other | 21 | 18% |
Unknown | 26 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Biochemistry, Genetics and Molecular Biology | 22 | 19% |
Agricultural and Biological Sciences | 20 | 17% |
Immunology and Microbiology | 18 | 16% |
Medicine and Dentistry | 11 | 9% |
Engineering | 5 | 4% |
Other | 8 | 7% |
Unknown | 32 | 28% |