Enterotoxigenic Escherichia coli (ETEC) of serotype 06:H16, biotype A, bearing colonization factor antigen II (CFA/II) possesses two distinct coli surface antigens, CS1 and CS3, whereas CFA/II-positive ETEC of serotype 08:H9 manifests only CS3. CS1 has been shown to be fimbrial in nature, but heretofore the morphology of CS3 has not been described. Accordingly, by immune electron microscopy we investigated the morphological characteristics of CS3 on bacterial cells and after purification. CS3 was found to consist of thin (2-nm), flexible, wiry, "fibrillar" fimbriae, visible both on bacteria (06:H16, biotype A, and 08:H9 strains) and in the pure state. In contrast, CS1 exists as wider (6-nm), rigid fimbriae on the surface of 06:H16, biotype A, strains. By the use of antisera to CS1 and CS3 in immune electron microscopy, immunodiffusion in gel, and immunoblotting techniques, CS1 and CS3 were found to be immunologically as well as morphologically distinct. Six of nine volunteers who developed diarrhea after challenge with an 0139:H28 ETEC strain bearing CS1 and CS3 had significant serological rises to purified CS1 and CS3 antigens, suggesting that both antigens are elaborated in vivo, play a role in pathogenesis, and stimulate an immune response.

Escherichia coli strain RDEC-1 avidly adheres to rabbit ileal brush borders. Two separate experiments were designed to determine whether pili promote this adherence. (1) Adherence of strain RDEC-1 was phenotypically suppressed by changing the culture medium. Loss of adherence was correlated with the absence of pili. Thus, growth of strain RDEC-1 in Penassay broth (Difco Laboratories, Detroit, Mich.) promoted both adherence and expression of pili on greater than or equal to 90% of organisms, whereas growth in brain-heart infusion medium suppressed adherence and reduced the percentage of piliated organisms to less than or equal to 13%. (2) The adherence ability of strain RDEC-1 was genetically transferred to previously nonadherent and nonpiliated Shigella flexneri. The Shigella exconjugants that inherited the adherence ability were uniformly piliated, while all nonadherent Shigella exconjugants were nonpiliated. Finally, the pili on both RDEC-1 and the Shigella exconjugant strains were shown to be distinct from type 1 pili. Therefore, unique pili confer upon strain RDEC-1 the ability to adhere to rabbit intestinal brush borders.

The human enterotoxigenic Escherichia coli pathogen designated H10407 expresses two different types of surface pili, one designated type 1 pili and the other designated colonization factor antigen I (CFA/I), CFA/I pili are thought to promote the adherence of H10407 to the mucosa of the human small bowel. H10407 was grown under conditions which promoted the expression of either type 1 pili or CFA/I pili, and in each case, the adherence of H10407 to purified human intestinal brush borders was quantitated. The adherence assays revealed that H10407 adhered to human brush borders only when it expressed CFA/I pili. It appears that in vitro adherence of H10407 to human intestinal epithelial cells is dependent on the expression of CFA/I.

Two assays were developed to quantitate the adherence of an Escherichia coli strain (RDEC-1) known to colonize the mucosal surface of the small intestine of rabbits to brush borders isolated from rabbit intestinal epithelial cells. In the first assay, the mean adherence per rabbit brush border was determined by counting the number of organisms adhering to each of 40 brush borders under phase microscopy. The mean adherence of RDEC-1 (11.5 ± 0.7 per rabbit brush border) was significantly greater than adherence of two nonpathogenic strains: HS (2.7 ± 0.4 per rabbit brush border) and 640 (0.8 ± 0.1 per rabbit brush border). A similar distinction between the adherence of RDEC-1 and the control (nonadherent) organisms could be made more rapidly by determining the percentage of the total number of brush borders which had 10 or more adherent organisms; this second assay was used to define the optimum conditions for adherence. Maximum adherence was seen within 15 min. Adherence was temperature dependent, with adherence after 1 min at 37°C being fourfold greater than that at 4°C. The pH optimum for adherence was between 6.5 and 7.0, and adherence was abolished below pH 5.0. With the first, more sensitive assay, the effect of electrolytes and a number of hexoses and hexosamines on adherence was analyzed. RDEC-1 adherence was inhibited at high ionic strengths; however, adherence was not influenced at moderately high concentrations (20 mg/ml) by either d -mannose or l -fucose, in contrast to the case for other reported enteric pathogens. These two quantitative in vitro assays for adherence produce consistent results and have been used to partially characterize the adherence of RDEC-1 to rabbit brush borders.

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