dCertain verocytotoxin-producing Escherichia coli (VTEC) O157 phage types (PTs), such as PT8 and PT2, are associated with severe human infections, while others, such as PT21, seem to be restricted to cattle. In an attempt to delve into the mechanisms underlying such a differential distribution of PTs, we performed microarray comparison of human PT8 and animal PT21 VTEC O157 isolates. The main differences observed were in the vtx2-converting phages, with the PT21 strains bearing a phage identical to that present in the reference strain EDL933, BP933W, and all the PT8 isolates displaying lack of hybridization in some regions of the phage genome. We focused on the region spanning the gam and cII genes and developed a PCR tool to investigate the presence of PT8-like phages in a panel of VTEC O157 strains belonging to different PTs and determined that a vtx2 phage reacting with the primers deployed, which we named ⌽8, was more frequent in VTEC O157 strains from human disease than in bovine strains. No differences were observed in the production of the VT2 mRNA when ⌽8-positive strains were compared with VTEC O157 possessing BP933W. Nevertheless, we show that the gam-cII region of phage ⌽8 might carry genetic determinants downregulating the transcription of the genes encoding the components of the type III secretion system borne on the locus of enterocyte effacement pathogenicity island.
V erocytotoxin (VT)-producing Escherichia coli (VTEC) O157is a zoonotic pathogen causing food-borne disease outbreaks and sporadic cases of disease worldwide (1, 2). The symptoms induced upon VTEC O157 infection include a variety of clinical manifestations, such as diarrhea, hemorrhagic colitis, and the lifethreatening hemolytic-uremic syndrome (HUS). VTEC O157 can be found as a component of the intestinal microflora in numerous animal species, but domestic ruminants, especially cattle, have been identified as its main reservoir (2). The presence of VTEC O157 in the intestinal content of cattle may cause the contamination of food of bovine origin at the slaughterhouse (3, 4). Moreover, healthy cattle shed VTEC O157 in their feces, contaminating the farm environment and favoring its persistence in the herd (5-7).Although the main vehicle of infection is contaminated food of animal origin, the dispersion of VTEC O157 in the environment, caused by its elimination with ruminants' feces, also poses a risk for humans to acquire the infection. In particular, human infection can result from exposure to contaminated water, used either for drinking or for recreational purposes, as well as from consuming vegetables grown in fields irrigated with contaminated water or fertilized with animal manure not properly matured (8,9).The pathogenicity of VTEC O157 relies upon the expression of at least two key virulence features: the production of verocytotoxins (VTs), also termed Shiga toxins (Stxs), encoded by genes carried by temperate bacteriophages (10), and the induction of the characteristic attaching and effacing (A/E) lesion in the intestinal muco...