PMID- 18037262 OWN - NLM STAT- MEDLINE DCOM- 20080530 LR - 20080204 IS - 0882-4010 (Print) IS - 0882-4010 (Linking) VI - 44 IP - 3 DP - 2008 Mar TI - Mutations in the periplasmic chaperone leading to loss of surface expression of the colonization factor CS6 in enterotoxigenic Escherichia coli (ETEC) clinical isolates. PG - 246-54 AB - Enterotoxigenic Escherichia coli (ETEC) cause diarrhoea by adhesion to human enterocytes by one or more colonization factors (CFs) and secretion of heat-labile (LT) and/or heat-stable (ST) enterotoxins. Expression of coli surface antigen 6 (CS6) on the bacterial surface, usually associated with ETEC strains that produce ST alone or in combination with LT, is rarely found in strains expressing only LT. However, a number of LT-only strains which are genotypically positive but phenotypically negative for CS6 have been identified. In this study, eight such strains from India and Guinea-Bissau belonging to different clones were analysed. The CS6 operon cssABCD was transcribed but protein analyses suggested that the structural subunits CssA and CssB of CS6 were absent in the periplasm. Most strains contained truncating mutations within the periplasmic chaperone-encoding gene cssC and protein modelling indicated that this severely affected the substrate-binding capacity of the chaperone. A single-nucleotide polymorphism (SNP) (A-->T) in the 5'-untranslated region of cssC distinguished the eight strains from ETEC strains that do express CS6 on the surface and may be a potential marker for ETEC strains containing phenotypically silent cssABCD. The study emphasizes the importance of using both genotypic and phenotypic methods in epidemiological studies of ETEC, e.g. for vaccine development. FAU - Nicklasson, Matilda AU - Nicklasson M AD - Department of Microbiology and Immunology, Institute of Biomedicine, Goteborg University, P.O. Box 435, 405 30 Goteborg, Sweden. matilda.nicklasson@microbio.gu.se FAU - Sjoling, Asa AU - Sjoling A FAU - Lebens, Michael AU - Lebens M FAU - Tobias, Joshua AU - Tobias J FAU - Janzon, Anders AU - Janzon A FAU - Brive, Lars AU - Brive L FAU - Svennerholm, Ann-Mari AU - Svennerholm AM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071018 PL - England TA - Microb Pathog JT - Microbial pathogenesis JID - 8606191 RN - 0 (Antigens, Bacterial) RN - 0 (CS6 antigen, E coli) RN - 0 (Enterotoxins) RN - 0 (Escherichia coli Proteins) RN - 0 (Molecular Chaperones) RN - 0 (Periplasmic Proteins) SB - IM MH - Antigens, Bacterial/analysis/genetics/*metabolism MH - Enterotoxigenic Escherichia coli/genetics/immunology/*metabolism MH - Enterotoxins MH - Escherichia coli Infections/epidemiology/microbiology MH - Escherichia coli Proteins/analysis/genetics/*metabolism MH - Molecular Chaperones/genetics MH - Mutation/*genetics MH - Operon MH - Periplasmic Proteins/metabolism MH - Polymorphism, Single Nucleotide EDAT- 2007/11/27 09:00 MHDA- 2008/05/31 09:00 CRDT- 2007/11/27 09:00 PHST- 2007/03/30 00:00 [received] PHST- 2007/06/11 00:00 [accepted] PHST- 2007/11/27 09:00 [pubmed] PHST- 2008/05/31 09:00 [medline] PHST- 2007/11/27 09:00 [entrez] AID - S0882-4010(07)00136-2 [pii] AID - 10.1016/j.micpath.2007.06.009 [doi] PST - ppublish SO - Microb Pathog. 2008 Mar;44(3):246-54. doi: 10.1016/j.micpath.2007.06.009. Epub 2007 Oct 18.