PMID- 11508385 OWN - NLM STAT- MEDLINE DCOM- 20010906 LR - 20211216 IS - 0002-9637 (Print) IS - 0002-9637 (Linking) VI - 65 IP - 2 DP - 2001 Aug TI - Toxins and colonization factor antigens of enterotoxigenic Escherichia coli among residents of Jakarta, Indonesia. PG - 120-4 AB - Infection caused by enterotoxigenic Escherichia coli (ETEC) poses a serious health problem among children and adults in developing countries. Colonization of the small intestinal mucosa by ETEC strains is mediated by antigenically specific fimbriae, also known as colonization factor antigens (CFA). The significance of this study arises from reports that active and passive immunization with ETEC strains harboring CFAs has previously been shown to induce protective immunity against diarrhea in animal models. The aim of this study was to determine toxin-associated CFAs of ETEC isolated from a diarrheal disease case-control study in Jakarta, Indonesia. Thirteen hundred and twenty-three diarrheic and control patients with lactose-fermenting colonies were screened by ganglioside GM1-enzyme-linked immunosorbent assay (GM1-ELISA) for heat-labile (LT) and heat-stable (ST) toxins. Two hundred and forty-six (19%) ETEC isolates identified by GM1-ELISA for the LT/ST toxins were screened for CFAs by Dot blot assay using monoclonal antibodies against CFA/I, II, and IV and against the putative colonization antigens (PCF) PCFO159, PCFO166, CS7, and CS17. Of the 246 ETEC isolates, 177 (72%) elaborated ST, 56 (23%) produced LT, while 13 (5%) elicited both the ST and LT toxins. CFA testing of the 246 ETEC isolates showed that 21 (8%) expressed CFA/I, 3 (1%) exhibited CFA/II, 14 (6%) elaborated CFA/IV, while 7 (3%) expressed PCFO159 and PCFO159 plus CS5. No CFAs or PCFs could be associated with 201 (82%) of the ETEC strains. This report documents the types of CFAs associated with ETEC strains in Jakarta, Indonesia. These data may help current research efforts on the development of CFA-based vaccines for humans against ETEC and provide additional information for future ETEC vaccine trials in Southeast Asia. FAU - Oyofo, B A AU - Oyofo BA AD - United States Naval Medical Research Unit No. 2, Jakarta, Indonesia. FAU - Subekti, D S AU - Subekti DS FAU - Svennerholm, A M AU - Svennerholm AM FAU - Machpud, N N AU - Machpud NN FAU - Tjaniadi, P AU - Tjaniadi P FAU - Komalarini, T S AU - Komalarini TS FAU - Setiawan, B AU - Setiawan B FAU - Campbell, J R AU - Campbell JR FAU - Corwin, A L AU - Corwin AL FAU - Lesmana, M AU - Lesmana M LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Am J Trop Med Hyg JT - The American journal of tropical medicine and hygiene JID - 0370507 RN - 0 (Bacterial Proteins) RN - 0 (Bacterial Toxins) RN - 0 (Enterotoxins) RN - 0 (Escherichia coli Proteins) RN - 0 (Gangliosides) RN - 0 (colonization factor antigens) RN - 0 (heat stable toxin (E coli)) RN - 147680-16-8 (Fimbriae Proteins) RN - D9K3SN2LNY (heat-labile enterotoxin, E coli) SB - IM MH - Adolescent MH - Adult MH - Bacterial Proteins/*analysis MH - Bacterial Toxins/*analysis MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Diarrhea/epidemiology/*microbiology MH - Enterotoxins/*analysis MH - Enzyme-Linked Immunosorbent Assay MH - Escherichia coli/*immunology/isolation & purification/pathogenicity MH - Escherichia coli Infections/epidemiology/*microbiology MH - *Escherichia coli Proteins MH - Feces/microbiology MH - Female MH - *Fimbriae Proteins MH - Gangliosides MH - Humans MH - Immunoblotting MH - Indonesia/epidemiology MH - Infant MH - Male MH - Middle Aged EDAT- 2001/08/18 10:00 MHDA- 2001/09/08 10:01 CRDT- 2001/08/18 10:00 PHST- 2001/08/18 10:00 [pubmed] PHST- 2001/09/08 10:01 [medline] PHST- 2001/08/18 10:00 [entrez] AID - 10.4269/ajtmh.2001.65.120 [doi] PST - ppublish SO - Am J Trop Med Hyg. 2001 Aug;65(2):120-4. doi: 10.4269/ajtmh.2001.65.120.