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Applied and Environmental Microbiology, April 2008, p. 2118-2128, Vol. 74, No. 7
0099-2240/08/$08.00+0 doi:10.1128/AEM.02688-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Laboratoire de Bactériologie, UFR Médecine, Université d'Auvergne, Clermont-Ferrand,1 Unité de Microbiologie, Institut National de la Recherche Agronomique, St.-Genès-Champanelle,2 Groupe de Recherche Pathogénie Bactérienne Intestinale, Faculté de Pharmacie, Université d'Auvergne Clermont-1, Unité Soutenue par l'INRA, Clermont-Ferrand, France3
Received 28 November 2007/ Accepted 22 January 2008
Shiga toxin-producing Escherichia coli (STEC) has been associated with food-borne diseases ranging from uncomplicated diarrhea to hemolytic-uremic syndrome (HUS). While most outbreaks are associated with E. coli O157:H7, about half of the sporadic cases may be due to non-O157:H7 serotypes. To assess the pathogenicity of STEC isolated from dairy foods in France, 40 strains isolated from 1,130 raw-milk and cheese samples were compared with 15 STEC strains isolated from patients suffering from severe disease. The presence of genes encoding Shiga toxins (stx1, stx2, and variants), intimin (eae and variants), adhesins (bfp, efa1), enterohemolysin (ehxA), serine protease (espP), and catalase-peroxidase (katP) was determined by PCR and/or hybridization. Plasmid profiling, ribotyping, and pulsed-field gel electrophoresis (PFGE) were used to further compare the strains at the molecular level. A new stx2 variant, stx2-CH013, associated with an O91:H10 clinical isolate was identified. The presence of the stx2, eae, and katP genes, together with a combination of several stx2 variants, was clearly associated with human-pathogenic strains. In contrast, dairy food STEC strains were characterized by a predominance of stx1, with a minority of isolates harboring eae, espP, and/or katP. These associations may help to differentiate less virulent STEC strains from those more likely to cause disease in humans. Only one dairy O5 isolate had a virulence gene panel identical to that of an HUS-associated strain. However, the ribotype and PFGE profiles were not identical. In conclusion, most STEC strains isolated from dairy products in France showed characteristics different from those of strains isolated from patients.
Published ahead of print on 1 February 2008.
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