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P fimbriae and other adhesins enhance intestinal persistence of Escherichia coli in early infancy

Published online by Cambridge University Press:  01 December 1998

I. ADLERBERTH
Affiliation:
Department of Clinical Immunology, Göteborg University, Göteborg, Sweden
C. SVANBORG
Affiliation:
Department of Clinical Immunology, Lund University, Lund, Sweden
B. CARLSSON
Affiliation:
Department of Clinical Immunology, Göteborg University, Göteborg, Sweden
L. MELLANDER
Affiliation:
Department of Paediatrics, Göteborg University, Göteborg, Sweden
L.-Å. HANSON
Affiliation:
Department of Clinical Immunology, Göteborg University, Göteborg, Sweden
F. JALIL
Affiliation:
Department of Social and Preventive Paediatrics, King Edward Medical College, Lahore, Pakistan
K. KHALIL
Affiliation:
Department of Paediatrics, King Edward Medical College, Lahore, Pakistan
A. E. WOLD
Affiliation:
Department of Clinical Immunology, Göteborg University, Göteborg, Sweden
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Abstract

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Resident and transient Escherichia coli strains were identified in the rectal flora of 22 Pakistani infants followed from birth to 6 months of age. All strains were tested for O-antigen expression, adhesin specificity (P fimbriae, other mannose-resistant adhesins or type 1 fimbriae) and adherence to the colonic cell line HT-29. Resident strains displayed higher mannose- resistant adherence to HT-29 cells, and expressed P fimbriae (P=0·0036) as well as other mannose-resistant adhesins (P=0·012) more often than transient strains. In strains acquired during the first month of life, P fimbriae were 12 times more frequent in resident than in transient strains (P=0·0006). The O-antigen distribution did not differ between resident and transient strains, and none of the resident P-fimbriated strains belonged to previously recognized uropathogenic clones. The results suggest that adhesins mediating adherence to intestinal epithelial cells, especially P fimbriae, enhance the persistence of E. coli in the large intestine of infants.

Type
Research Article
Copyright
© 1998 Cambridge University Press