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Infection and Immunity, November 2001, p. 6999-7009, Vol. 69, No. 11
Department of Molecular Biosciences, Adelaide
University, Adelaide, South Australia 5005, Australia
Received 8 May 2001/Returned for modification 19 July 2001/Accepted 17 August 2001
The capacity of Shiga toxigenic Escherichia coli
(STEC) to adhere to the intestinal mucosa undoubtedly
contributes to pathogenesis of human disease. The majority of STEC
strains isolated from severe cases produce attaching and effacing
lesions on the intestinal mucosa, a property mediated by the locus of
enterocyte effacement (LEE) pathogenicity island. This element
is not essential for pathogenesis, as some cases of severe disease,
including hemolytic uremic syndrome (HUS), are caused by LEE-negative
STEC strains, but the mechanism whereby these adhere to the intestinal
mucosa is not understood. We have isolated a gene from the megaplasmid of a LEE-negative O113:H21 STEC strain (98NK2) responsible for an
outbreak of HUS, which encodes an auto-agglutinating adhesin designated
Saa (STEC autoagglutinating adhesin). Introduction of saa
cloned in pBC results in a 9.7-fold increase in adherence of E. coli JM109 to HEp-2 cells and a semilocalized adherence pattern.
Mutagenesis of saa in 98NK2, or curing the wild-type strain
of its megaplasmid, resulted in a significant reduction in adherence.
Homologues of saa were found in several unrelated LEE-negative STEC serotypes, including O48:H21 (strain 94CR) and O91:H21 (strain B2F1), which were also isolated from patients with
HUS. Saa exhibits a low degree of similarity (25% amino acid [aa]
identity) with YadA of Yersinia enterocolitica and Eib, a recently described phage-encoded immunoglobulin binding protein from
E. coli. Saa produced by 98NK2 is 516 aa long and includes four copies of a 37-aa direct repeat sequence. Interestingly, Saa
produced by other STEC strains ranges in size from 460 to 534 aa as a
consequence of variation in the number of repeats and/or other
insertions or deletions immediately proximal to the repeat domain.
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.11.6999-7009.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Characterization of Saa, a Novel Autoagglutinating Adhesin
Produced by Locus of Enterocyte Effacement-Negative Shiga-Toxigenic
Escherichia coli Strains That Are Virulent for
Humans
*
Corresponding author. Mailing address: Department of
Molecular Biosciences, Adelaide University, Adelaide, S.A. 5005, Australia. Phone: 61-8-83035929. Fax: 61-8-83033262. E-mail: james.paton{at}adelaide.edu.au.
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