1990
DOI: 10.1128/iai.58.11.3568-3573.1990
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Molecular epidemiologic evidence for association of thermostable direct hemolysin (TDH) and TDH-related hemolysin of Vibrio parahaemolyticus with gastroenteritis

Abstract: The Kanagawa phenomenon induced by the thermostable direct hemolysin (TDH) of Vibrio parahaemolyticus is almost exclusively associated with clinical strains, and TDH has been considered an important virulence factor. However, Kanagawa phenomenon-negative strains isolated from patients with diarrhea have recently been shown to produce TDH-related hemolysin (TRH). We studied the distribution of the tdh gene encoding TDH and the trh gene encoding TRH in vibrios by hybridization analyses. The presence or absence o… Show more

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Cited by 256 publications
(117 citation statements)
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“…A strong correlation was reported between clinically sig-ni¢cant strains and the presence of the tdh (thermostable direct hemolysin) or trh (thermostable direct-related hemo- lysin) genes, suggesting that the TDH and TRH are virulence factors in V. parahaemolyticus [21]. The V. parahaemolyticus outbreak isolates used in this study were TDHpositive based on hybridization with the tdh gene probe [22] (Table 1); however, V. parahaemolyticus O3:K6 and non-03 :K6 isolates cannot be discriminated on the basis of the tdh gene.…”
Section: Resultsmentioning
confidence: 99%
“…A strong correlation was reported between clinically sig-ni¢cant strains and the presence of the tdh (thermostable direct hemolysin) or trh (thermostable direct-related hemo- lysin) genes, suggesting that the TDH and TRH are virulence factors in V. parahaemolyticus [21]. The V. parahaemolyticus outbreak isolates used in this study were TDHpositive based on hybridization with the tdh gene probe [22] (Table 1); however, V. parahaemolyticus O3:K6 and non-03 :K6 isolates cannot be discriminated on the basis of the tdh gene.…”
Section: Resultsmentioning
confidence: 99%
“…This study represents a rare look at the distribution of a poorly understood community of naturally occurring bacteria from which human pathogens can arise. Although the great majority of infections come from V. parahaemolyticus isolates containing tdh and ⁄ or trh and epidemiological evidence has correlated the two gene products (haemolysins) with pathogenicity (Shirai et al 1990), almost all naturally occurring (environmental) isolates lack these two haemolysins (DePaola et al , 2003. Therefore, human infections most commonly arise from rare, naturally occurring tdh + and ⁄ or trh + V. parahaemolyticus strains found in finfish, shellfish, coastal waters and sediment.…”
Section: Discussionmentioning
confidence: 99%
“…The TRH was first found to be produced by a V. parahaemolyticus O3:K6 strain implicated in an outbreak of gastro-enteritis (Honda et al, 1987;1988). Subsequent molecular epidemiological study with gene probes demonstrated that the trh gene encoding TRH was strongly associated with clinical strains of V. parahaemolyticus (Shirai et al, 1990). Some of the recent studies on clinical and environmental V. parahaemolyticus have recorded increasing prevalence of trh + V. parahaemolyticus.…”
Section: Discussionmentioning
confidence: 99%