Articles

Phylogenetic background of enterotoxigenic and enteroinvasive Escherichia coli from patients with diarrhea in Sirjan, Iran

Abstract

Background and Objectives: Diarrheagenic Escherichia coli (DEC) strains are a major cause of intestinal syndromes in the developing countries. The aim of this study was to determine the prevalence of enterotoxigenic E. coli (ETEC) and enteroinvasive E. coli (EIEC) in relation to phylogenetic background from patients with diarrhea.
Materials and Methods: A total of 110 E. coli isolates were obtained from diarrhea patients in Sirjan, southeast of Iran. The E. coli isolates were confirmed using biochemical and bacteriological tests. DNA of E. coli isolates was extracted by boiling method and checked for existence of ETEC (LT and ST genes) and EIEC (ipaH gene) pathotypes and also characterize the phylogenetic groups on the basis of presence or absence of the chuA, yjaA genes and an anonymous DNA fragment, TspE4. C2 by multiplex PCR.
Results: Out of 110 E. coli isolates, 32 (29.09%) were positive for ETEC (LT and ST genes) and 6 (5.45%) possessed EIEC (ipaH gene) pathotypes. Isolates fall into four phylogenetic groups: A (39.09%), B1 (20%), B2 (15.45%) and D (25.45%). Phylotyping of isolates of DEC indicated they were distributed in four phylogenetic groups including A (12 isolates), B1 (7), B2 (9) and D (10).
Conclusion: In this study, the DEC isolates were segregated into different phylogenetic groups. The majority of isolates belonged to phylo-groups A and D.

 

Jafari F, Shokrzadeh L, Hamidian M, Salmanza- deh-Ahrabi S, Zali MR. Acute diarrhea due to Entero- pathogenic bacteria in patients at hospitals in Tehran. Jpn J Infect Dis 2008; 61: 269-273.

Amisano G, Fornasero S, Migliaretti G, Caramello S, Tarasco V, Savino F. Diarrheagenic Escherichia coli in acute gastroenteritis in infants in North-West Italy. New Microbiol 2011; 34: 45-51.

Shahrokhi N, Bouzari S, Jafari A. Comparison of vir- ulence markers and antibiotic resistance in enterotoxi- genic Escherichia coli isolated ten years apart in Teh- ran. J Infect Dev Ctries 2011; 5: 248-254.

Abu-Elyazeed R, Wierzba TF, Mourad AS, Peruski LF, Kay BA, Rao M, et al. Epidemiology of enterotoxigen- ic Escherichia coli diarrhea in a pediatric cohort in a periurban area of lower Egypt. J Infect Dis 1999; 179:382-389.

Qadri F, Das SK, Faruque AS, Fuchs GJ, Albert MJ, Sack RB, et al. Prevalence of toxin types and coloniza- tion factors in enterotoxigenic Escherichia coli isolated during a 2-year period from diarrheal patients in Ban- gladesh. J Clin Microbiol 2000; 38: 27-31.

Rao MR, Abu-Elyazeed R, Savarino SJ, Naficy AB, Wierzba TF, Abdel-Messih I, et al. High disease bur- den of diarrhea due to enterotoxigenic Escherichia coli among rural Egyptian infants and young children. J Clin Microbiol 2003; 41: 4862-4864.

Peng J, Yang J, Jin Q. The molecular evolutionary his- tory of Shigella spp. and enteroinvasive Escherichia coli. Infect Genet Evol 2009; 9: 147-152.

Ahmed AM, Miyoshi S, Shinoda S, Shimamoto T. Mo- lecular characterization of a multidrug-resistant strain of enteroinvasive Escherichia coli O164 isolated in Ja- pan. J Med Microbiol 2005; 54: 273-278.

Clermont O, Bonacorsi S, Bingen E. Rapid and sim- ple determination of the Escherichia coli phylogenetic group. Appl Environ Microbiol 2000; 66: 4555-4558.

Carlos C, Pires MM, Stoppe NC, Hachich EM, Sato MIZ, Gomes TAT, et al. Escherichia coli phylogenetic group determination and its application in the identifi- cation of the major animal source of fecal contamina- tion. BMC Microbiol 2010; 10: 161.

Aranda KRS, Fagundes-Neto U, Scaletsky IC A. Eval- uation of multiplex PCRs for diagnosis of infection with diarrheagenic Escherichia coli and Shigella spp. J Clin Microbiol 2004; 42: 5849-5853.

Jafari A, Aslani MM, Bouzari S. Escherichia coli: a brief review of diarrheagenic pathotypes and their role in diarrheal diseases in Iran. Iran J Microbiol 2012; 4:102-117.

Alizade H, Ghanbarpour R, Aflatoonian MR. Molecu- lar study on diarrheagenic Escherichia coli pathotypes isolated from under 5 years old children in southeast of Iran. Asian Pac J Trop Dis 2014; 4(Suppl 2): S813-S817

Vieira N, Bates SJ, Solberg OD, Ponce K, Howsmon R, Cevallos W, et al. High prevalence of enteroinvasive Escherichia coli isolated in a remote region of northern coastal Ecuador. Am J Trop Med Hyg 2007; 76: 528-

Constantiniu S, Buzdugan I, Romaniuc A, Cozma L, Filimon R, Dumbrava M, et al. Setotypes of Escherich- ia coli enteroinvasive in northeastern districts of Ro- mania. J Prev Med 2001; 9: 67-73.

Alizade H, Sharifi H, Naderi Z, Ghanbarpour R, Bam- orovat M, Aflatoonian MR. High frequency of diarrhe- agenic Escherichia coli in HIV-infected patients and patients with thalassemia in Kerman, Iran. J Int Assoc Provid AIDS Care DOI: 10.1177/2325957415617831

Al-Gallas N, Abbassi SM, Hassan AB, Aissa RB.

Genotypic and phenotypic profiles of enterotoxigenic Escherichia coli associated with acute diarrhea in Tu- nis, Tunisia. Curr Microbiol 2007; 55: 47-55.

Harris AM, Chowdhury F, Begum YA, Khan AI, Faruque ASG, Svennerholm AM, et al. Shifting preva- lence of major diarrheal pathogens in patients seeking hospital care during floods in 1998, 2004, and 2007 in Dahka, Bangladesh. Am J Trop Med Hyg 2008; 79: 708-714.

Rodas C, Mamani R, Blanco J, Blanco JE, Wiklund

G, Svennerholm AM, et al. Enterotoxins, colonization factors, serotypes and antimicrobial resistance of en- terotoxigenic Escherichia coli (ETEC) strains isolated from hospitalized children with diarrhea in Bolivia. Braz J Infect Dis 2011; 15: 132-137.

Pourakbari B, Heydari H, Mahmoudi S, Sabouni F, Teymuri M, Ferdosian F, et al. Diarrhoeagenic E. coli pathotypes in children with and without diarrhoea in an Iranian referral paediatrics centre. East Mediterr Health J 2013; 19: 617-621.

Sharifi Yazdi MK, Akbari A, Soltan Dallal MM. Multi-

in extended spectrum beta lactamase producing Esche- richia coli isolates from clinical samples in Iran. HVM Bioflux 2014; 6, 169-173.

Nguyen TV, Van Le P, Huy Le C, Weintraub A. Anti- biotic resistance in diarrheagenic Escherichia coli and Shigella strains isolated from children in Hanoi, Viet- nam. Antimicrob Agents Chemother 2005; 49: 816-819.

Gomez-Duarte OG, Romero-Herazo YC, Paez-Canro CZ, Eslava Schmalbach JH, Arzuza O. Enterotoxigenic Escherichia coli associated with childhood diarrhoea in Colombia, South America. J Infect Dev Ctries 2013;

: 372-381.

Derakhshandeh A, Firouzi R, Moatamedifar M, Mota- medi A, Bahadori M, Naziri Z. Phylogenetic analysis of Escherichia coli strains isolated from human sam- ples. Mol Biol Res Commun 2013; 2: 143-149.

Girardeau JP, Dalmasso A, Bertin Y, Ducrot C, Bord S, Livrelli V, et al. Association of virulence genotype with phylogenetic background in comparison to different seropathotypes of shiga toxin-Producing Escherichia coli isolates. J Clin Microbiol 2005; 43: 6098-6107.

Alizade H, Fallah F, Ghanbarpour R, Aflatoonian MR,

Goudarzi H, Sharifi H. Phylotyping of blaCTX-M-15 gene

in extended spectrum beta lactamase producing Escherichia

coli isolates from clinical samples in Iran. HVM Bioflux 2014; 6, 169-173.

Alizade H, Fallah F, Ghanbarpour R, Aflatoonian MR,

Goudarzi H, Sharifi H. Phylogenetic groups, extended-

spectrum β-lactamases and metallo-β-lactamase

in Escherichia coli isolated from fecal samples of patients

with diarrhea in Iran. Gastroenterol Hepatol Bed Bench 2015; 8, 207-214.

Dhanji H, Patel R, Wall R, Doumith M, Patel B, Hope

R, et al. Variation in the genetic environments of

blaCTX-M-15 in Escherichia coli from the faeces of travelers

returning to the United Kingdom. J Antimicrob Chemother 2011; 66, 1005-1012

Usein CR, Tatu-Chitoiu D, Ciontea S, Condei M, Da- mian M. Escherichia coli pathotypes associated with diarrhea in Romanian children younger than 5 years of age. Jpn J Infect Dis 2009; 62: 289-293.

Duriez P, Clermont O, Bonacorsi S, Bingen E, Chaven- tre A, Elion J, et al. Commensal Escherichia coli isolates are phylogenetically distributed among geo- graphically distinct human populations. Microbiology 2001;147:1671-1676.

Donnenberg MS, Whittam TS. Pathogenesis and evo- lution of virulence in enteropathogenic and enterohe- morrhagic Escherichia coli. J Clin Investig 2001; 107:

-548.

Escobar-Paramo P, Clermont O, Blanc-Potard AB, Bui H, Le Bouguenec C, Denamur E. A specific genetic background is required for acquisition and expression of virulence factors in Escherichia coli. Mol Biol Evol 2004; 21: 085-1094.

Perez C, Gomez-Duarte OG, Arias ML. Diarrheagen- ic Escherichia coli in children from Costa Rica. Am J Trop Med Hyg 2010; 83: 292-297

Files
IssueVol 8 No 3 (2016) QRcode
SectionArticles
Keywords
Diarrheagenic Escherichia coli Phylogenetic group Diarrhea

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Hoseinzade T, Ghanbarpour R, Rokhbakhsh Zamin F. Phylogenetic background of enterotoxigenic and enteroinvasive Escherichia coli from patients with diarrhea in Sirjan, Iran. Iran J Microbiol. 2016;8(3):187-192.