No abstract

Urinary tract infection (UTI) is one of the bacterial infections frequently documented in humans. Proteus mirabilis is associated with UTI mainly in individuals with urinary tract abnormality or related with vesicular catheterism and it can be difficult to treat because of the formation of stones in the bladder and kidneys. These stones are formed due to the presence of urease synthesized by the bacteria. Another important factor is that P. mirabilis produces hemolysin HpmA, used by the bacteria to damage the kidney tissues. Proteus spp. samples can also express HlyA hemolysin, similar to that found in Escherichia coli. A total of 211 uropathogenic P. mirabilis isolates were analyzed to detect the presence of the hpmA and hpmB genes by the techniques of polymerase chain reaction (PCR) and dot blot and hlyA by PCR. The hpmA and hpmB genes were expressed by the RT-PCR technique and two P. mirabilis isolates were sequenced for the hpmA and hpmB genes. The presence of the hpmA and hpmB genes was confirmed by PCR in 205 (97.15 %) of the 211 isolates. The dot blot confirmed the presence of the hpmA and hpmB genes in the isolates that did not amplify in the PCR. None of the isolates studied presented the hlyA gene. The hpmA and hpmB genes that were sequenced presented 98 % identity with the same genes of the HI4320 P. mirabilis sample. This study showed that the PCR technique has good sensitivity for detecting the hpmA and hpmB genes of P. mirabilis.

The aim of this work was to test 101 strains of E. coli for virulence factors associated with enterotoxigenic and enterohemorrhagic pathotypes of E. coli isolated from diarrheic and non-diarrheic calves. The virulence factors of E. coli Stx1 (Shiga toxin), Stx2, Ehly (Enterohemolysin), the eae gene, LT-II (heat-labile enterotoxin), STa (heat-stable toxin), and adhesins K99 and F41 were detected by PCR. Serogroups were determined by serological methods and Stx production was observed by biological assays in Vero cells. The frequency of the eae gene was higher in isolates from diarrheic calves (35/58, 60.3%) than in non-diarrheic calves (8/43, 18.6%; P < 0.001). The gene for Stx1 occurred at high frequencies in the diarrheic strains (24/58, 41.3%) as well as in non-diarrheic (19/43, 44.2%) ones and all strains that were Stx positive by PCR showed cytotoxicity in Vero cells. Stx2 was found in ten strains, Ehly in eight strains, and LT-II in only two strains. Twenty-eight strains were negative for all of the PCR assays, including for F41 and K99 adhesins. The serogroups O7, O23, O4, O8, O153 and O156 were observed most frequently. Our results show that strains of E. coli isolated from cattle have similar virulence factors genes to strains isolated from cases of diseases in humans and may be a source of potentially pathogenic STEC for humans.KEY WORDS: Escherichia coli, diarrhea, cattle, PCR, shiga toxin. RESUMO DETECÇÃO DE GENES DE VIRULÊNCIA EM AMOSTRAS DE ESCHERICHIA COLI ISOLADAS DE FEZES DE BEZERROS COM E DIARREIA NO BRASIL. O objetivo deste trabalhofoi detectar em 101 amostras de E. coli isoladas de bezerros com e sem diarreia, fatores de virulência associados aos patotipos de E. coli enterotoxigênica e enterohemorrágica. Os fatores de virulência de E. coli Stx1 (Shiga toxina), Stx2, Ehly (Enterohemolisina), o gene eae, LT-II (enterotoxina termolábil), STa (toxina termo-estável), e adesinas K99 e F41 foram detectados por PCR. Os sorogrupos foram determinados por métodos sorológicos e a produção de Stx foi observada através de ensaios biológicos em células Vero. A frequência de detecção do gene eae foi maior nos isolados de bezerros com diarreia (35/58, 60,3%) do que em bezerros saudáveis (8/43, 18,6%; P < 0.001). O gene da toxina Stx1 foi detectado em alta frequência em amostras diarreicas (24/58, 40,3%), bem como em amostras não diarréicas (19/43, 44,2%) e todas as amostras positivas para toxina Stx em PCR mostraram citotoxicidade em células Vero. Stx2 foi encontrada em dez amostras, Ehly em oito amostras, e LT-II em duas amostras. Vinte e seis amostras foram negativas para todos os ensaios de PCR, incluindo para as adesinas F41 e K99. Os sorogrupos O7, O23, O4, O8, O153 e O156 foram detectados com maior frequência. O trabalho mostra que amostras de E. coli isoladas de bovinos apresentam fatores de virulência semelhantes à isolados de casos de doenças em humanos e possivelmente é uma fonte para STEC potencialmente patogênicas para humanos.

The adhesins of extraintestinal pathogenic Escherichia coli are essential for mediating direct interactions between the microbes and the host cell surfaces that they infect. Using fluorescence microscopy and gentamycin protection assays, we observed that 49 sepsis-associated E. coli (SEPEC) strains isolated from human adults adhered to and invaded Vero cells in the presence of D-mannose (100%). In addition, bacteria concentrations of approximately 2 × 10 7 CFU/mL were recovered from Vero cells following an invasion assay. Furthermore, PCR analysis of adhesin genes showed that 98.0% of these SEPEC strains tested positive for fim H, 69.4% for flu , 53.1% for csg A, 38.8% for mat , and 32.7% for iha . Analysis of the invasin genes showed that 16.3% of the SEPEC strains were positive for tia , 12.3% for gim B, and 10.2% for ibe A. Therefore, these data suggest that SEPEC adhesion to cell surfaces occurs through non- fim H mechanisms. Scanning electron microscopy showed the formation of microcolonies on the Vero cell surface. SEPEC invasiveness was also confirmed by the presence of intracellular bacteria, and ultrastructural analysis using electron transmission microscopy revealed bacteria inside the Vero cells. Taken together, these results demonstrate that these SEPEC strains had the ability to adhere to and invade Vero cells. Moreover, these data support the theory that renal cells may be the predominant pathway through which SEPEC enters human blood vessels.

Plesiomonas shigelloides isolated from water in Brazil was previously described as a hemorrhagic heat-labile cytotoxic-enterotoxin producer. We purified this toxin from culture supernatants using ion metallic affinity chromatography (IMAC) followed by molecular exclusion chromatography. The pure toxin presented molecular mass of 50kDa and isoelectric point (pI) around 6.9 by 2D electrophoresis. When injected intravenously, the purified cytotoxic-enterotoxin induced also severe spasms followed by sudden death of mice. Hence, we entitled it as lethal cytotoxic-enterotoxin (LCE). The presence of membrane vesicles (MVs) on cell surfaces of P. shigelloides was observed by scan electron microscopy (SEM). From these MVs the LCE toxin was extracted and confirmed by biological and serological assays. These data suggest that P. shigelloides also exports this cytotoxic-enterotoxin by membrane vesicles, a different mechanism of delivering extra cellular virulence factors, so far not described in this bacterium.