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Applied and Environmental Microbiology, January 2005, p. 558-561, Vol. 71, No. 1
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.1.558-561.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Transcriptional Analysis of Genes Encoding Shiga Toxin 2 and Its Variants in Escherichia coli
Wenlan Zhang,
Martina Bielaszewska,
Alexander W. Friedrich,
Thorsten Kuczius, and
Helge Karch*
Institut für Hygiene, Universitätsklinikum Münster, Münster, Germany
Received 15 March 2004/
Accepted 29 August 2004

ABSTRACT
Six of 37 non-O157
Escherichia coli strains possessing Shiga
toxin (Stx) 2 gene variant
stx2d or
stx2e secreted no detectable
Stx. These isolates produced significantly less
stx mRNA than
Stx2d, Stx2e, Stx2c, or Stx2 secretors did. Standard screening
procedures miss a significant subset of
E. coli harboring
stx2 variants.

INTRODUCTION
Shiga toxin (Stx)-producing
Escherichia coli strains (STEC)
cause diarrhea, hemolytic uremic syndrome (HUS), or asymptomatic
infections. Stx1 and Stx2 are two major Stx types, and each
has variants (
5,
8,
9,
12,
16,
17,
22). Whereas STEC containing
stx2 or
stx2c cause HUS (
3), strains possessing
stx2d (
12) or
stx2e are less virulent (
3). Also, STEC from HUS patients produce
significantly higher levels of Stx1 or Stx2 than bovine STEC
do (
14). In this study, we applied Vero cell cytotoxicity assays
(
6), enzyme immunoassays (EIA), latex agglutination (LA), and
colony immunoblot assays to characterize Stx production in non-O157
E. coli clinical isolates that possess an
stx2 variant as their
sole
stx gene.
Broth cultures of 37 non-O157 E. coli strains were investigated (Table 1) using Vero cell cytotoxicity assays, EIA (Ridascreen Verotoxin; R-Biopharm GmbH, Darmstadt, Germany), verotoxin-producing E. coli reverse passive LA (VTEC-RPLA; Denka Seiken Co., Tokyo, Japan), and colony immunoblot assays (Shigatoxin [Verotoxin] Colony Immunoblot; Sifin GmbH, Berlin, Germany) (3, 6, 19). Selected polymyxin B (5,000 U/ml; Sigma, Taufkirchen, Germany) bacterial extracts were also tested for Stx. Complete stx2d and stx2e genes were amplified with primer pairs SD-a (5'-TTCTAAGCAATCGGTCACT-3')-SD-b (5'-GTAACTACATTGCTGCACAC-3') and SE-a (5'-GAGCAGACGACACGATAACA-3')-SE-b (5'-AACAGCATCCACAACACTA-3'), respectively, purified (PCR purification kit; QIAGEN, Hilden, Germany), sequenced, analyzed (DNASIS program; Hitachi Software), and compared with sequences from the National Center for Biotechnology Information database. A one-step quantitative reverse transcription (RT)-PCR was performed with the LightCycler system (Roche, Mannheim, Germany) and the QuantiTect SYBR green RT-PCR kit (QIAGEN) to compare stx2c, stx2d, and stx2e mRNA levels; two stx2+ E. coli strains served as positive controls. Total RNA was isolated (RNeasy Mini kit; QIAGEN) without mitomycin C and after mitomycin C (0.5 µg/ml; Sigma) induction. PCR was performed in microcapillary tubes in 10-µl volumes containing 100 ng of total RNA, 2x QuantiTect SYBR green RT-PCR master mix (5 µl), QuantiTect RT mix (0.1 µl), MgCl2 (4 mM), and a 0.5 µM concentration of each primer. The primers RT-stx2F (5'-CGACCCCTCTTGAACATA-3') and RT-stx2R (5'-TAGACATCAAGCCCTCGTAT-3'), GK5 and GK6 (15), stx2dB-1 (5'-AAGAAGATATTTGTAGCGG-3') and stx2dB-2 (5'-CGTCATTCCTGTTAACTGTGCG-3'), FK1 and FK2 (2), and icdA-F and icdA-R (21) were used to amplify stxA2, stxA2c, stxA2d, and stxA2e; stxB2 and stxB2c; stxB2d; stxB2e; and the housekeeping gene icdA, respectively. RT-PCR included reverse transcription (50°C, 30 min) and preliminary denaturation (95°C, 15 min) steps and 40 cycles of denaturation (94°C, 10 s), annealing (50°C, 20 s), and extension (72°C, 20 s). Melting curve analysis was performed with continuous fluorescence reading from 60 to 95°C. For each mRNA assayed, relative quantification was performed using an external standard (purified icd and the respective stx2 variant PCR products). Data were analyzed by the fit-point method with LightCycler version 3.5 software. stx mRNAs were normalized to icdA mRNA. Control reactions were performed without reverse transcriptase to confirm that the target detected was RNA.
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TABLE 1. Comparison of Stx detection in supernatants of 37 E. coli strainsa using the Vero cell cytotoxicity assay, enzyme immunoassay, and latex agglutination assay
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Detection of Stx.
Five of 16
stx2d- and 1 of 12
stx2e-containing isolates, respectively,
did not release Stx that was detectable by any assay (Tables
1 and
2). Polymyxin extracted minute amounts of Stx from the
periplasmic space of each of the five
stx2d-harboring strains
but not from the
stx2e-containing strain (Table
2).

Sequence analysis of stx genes.
The
stxB2d and
stxB2e genes from the six Stx nonsecretors were
100% identical to
stxB2d and
stxB2e of prototype strains EH250
and 2771/97 (GenBank accession numbers
AF043627 and
AJ249351,
respectively), which secrete the corresponding Stx (Table
2).
stxA2d and
stxA2e from these strains were 97.1 to 99.9% homologous
to the respective subunits of strains EH250 and 2771/97. The
deduced amino acid sequences of StxA subunits of these strains
are compared in Fig.
1. There was no frame shift, deletion,
insertional inactivation, or truncation of
stx in any nonproducing
strain.

Quantitative RT-PCR analysis and mitomycin C effect.
The five Stx2d nonsecretors (Fig.
2, lanes 1, 3, 5, 7, and 9)
and one Stx2e nonsecretor (lanes 15) had significantly less
cognate
stx mRNA (both subunits) than the Stx2d (lanes 11 and
13) and Stx2e (lanes 17) secretors. Mitomycin C did not significantly
augment
stxA (Fig.
2A, lanes 2, 4, 6, 8, 10, and 16) or
stxB (Fig.
2B, lanes 2, 4, 6, 8, 10, and 16) transcription. In contrast,
in Stx2d or Stx2e secretors, mitomycin C increased both
stxA and
stxB transcription approximately 100-fold (Fig.
2, lanes
12, 14, and 18).

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FIG. 2. Relative stxA2d, stxA2e, stxA2c, and stxA2 (A) and stxB2d, stxB2e, stxB2c, and stxB2 (B) mRNA expression levels in Stx nonsecretors and Stx secretors analyzed by quantitative RT-PCR. In lanes 1 to 26, the following strains are depicted (the stx2 allele, Stx secretion [, mRNA levels measured without mitomycin C induction; +, mRNA levels measured after mitomycin C induction], and diagnosis [A, asymptomatic infection; D, diarrhea; HUS, hemolytic uremic syndrome] are shown in parentheses): lanes 1 and 2, 24196/97 (stx2d, Stx, A); 3 and 4, 6451/98 (stx2d, Stx, D); 5 and 6, 5293/98 (stx2d, Stx, A); 7 and 8, 5299/98 (stx2d, Stx, A); 9 and 10, 5300/98 (stx2d, Stx, A); 11 and 12, 4797/97 (stx2d, Stx+, A); 13 and 14, EH250 (stx2d, Stx+, D); 15 and 16, 26725/97 (stx2e, Stx, A); 17 and 18, 2771/97 (stx2e, Stx+, D); 19 and 20, 4911/99 (stx2c, Stx+, HUS); 21 and 22, 3032/03 (stx2c, Stx+, D); 23 and 24, 1309/99 (stx2, Stx+, HUS); 25 and 26, 3733/97 (stx2, Stx+, D). The levels of stx mRNAs were normalized to those of icdA mRNA. Data are means ± standard deviations of results from three independent experiments. Comparison of the means and comparison of groups of the relative levels of stx mRNA were performed using the Student's t test and 2 test, respectively. P values of <0.05 were considered significant. The means of results for stxA2d (lanes 1, 3, 5, 7, and 9) and stxB2d (lanes 1, 3, 5, 7, and 9) nonsecretors were compared to those for stxA2d (lanes 11 and 13) and stxB2d (lanes 11 and 13) secretors, in the absence of mitomycin C (t = 12.4; P = 0.0001; 95% confidence interval [CI95], 9.55 to 14.56 for stxA2d and t = 9.1; P = 0.0003; CI95, 5.59 to 10.03 for stxB2d) and in the presence of mitomycin C (t = 30; P < 0.0001; CI95, 965 to 1,142 for stxA2d and t = 13.73; P < 0.00001; CI95, 1,388 to 2,030 for stxB2d). The means of results for stxB2d and stxB2e nonsecretors (lanes 1, 3, 5, 7, 9, and 15) were compared to those for stxB2d and stxB2e secretors (lanes 11, 13, and 17) (t = 28.6; P < 0.0001; CI95, 8.8 to 10.2). Differences in the relative level of stx mRNA among secretors and nonsecretors between groups in the presence and absence of mitomycin C were compared for stxA2d ( 2 = 49.7; P < 0.00001; CI95, 5.6 to 150) and stxA2e ( 2 = 68.9; P < 0.00001; CI95, 6.87 to 347). Differences in means in the presence of mitomycin C were compared among nonsecretors (t = 3; P = 0.17; CI95, 0.84 to 6.40 for stxA2d and t = 1.9; P = 0.1; CI95, 0.5 to 4.55 for stxB2d) and among secretors (t = 16.1; P = 0.0038; CI95, 755 to 1,336 for stxA2d and t = 7.242; P = 0.0185; CI95, 651 to 2,757 for stxB2d). Differences in the means of relative levels of stx mRNA in the absence of mitomycin C of secretors (lanes 11, 13, and 17) of stxA2d were compared for stxA2e (t = 16.4; P = 0.0230; CI95, 1 to 156), for stxA2c (t = 16.4; P = 0.0230; CI95, 1 to 156), and for stxA2 (t = 24.3; P = 0.0001; CI95, 97 to 126). Differences in the means of relative levels of stx mRNA in the presence and absence of mitomycin C were compared for stxA2c (t = 86.2; P < 0.00001; CI95, 11,848 to 12,591), stxB2c (t = 24.9; P < 0.00001; CI95, 9,738 to 11,866), stxA2 (t = 12.0; P < 0.00001; CI95, 2,789 to 2,961), and stxB2 (t = 27.7; P < 0.00001; CI95, 2,357 to 2,815).
|

Comparison of stx2 and stx2 variant transcription in Stx secretors.
stxA (Fig.
2A) and
stxB (Fig.
2B) mRNA levels were higher in
strains containing
stx2e (Fig.
2, lanes 17),
stx2c (lanes 19
and 21), or
stx2 (lanes 23 and 25) than in those containing
stx2d (lanes 11 and 13), but the differences reached statistical
significance only for
stxA. No significant differences in
stx2d mRNA levels were detected between Stx2d secretors isolated from
diarrhea (strain EH250 [Fig.
2, lanes 13]) and asymptomatic
infection (strain 4797/97 [lanes 11]). Isolates from HUS (strains
4911/99 and 1309/99 [lanes 19 and 23]) and from diarrhea (strains
3032/03 and 3733/97 [lanes 21 and 25]) had similar
stx2 or
stx2c mRNA levels. However, mitomycin C significantly increased
stx2c (Fig.
2, lanes 20 and 22) and
stx2 (lanes 24 and 26) transcription
in all secretors of the respective Stx.
These data suggest that Stx detection can be compromised by Stx nonsecretors and that molecular methods detecting stx might offer advantages (13, 18). The reason for Stx nonexpression is not the insertion sequence IS1203v within stxB (7), because stx genes in the Stx nonproducers are structurally intact. Stx production appears to be controlled transcriptionally, and its failure is not remedied by mitomycin C induction of the lytic cycle (11, 20), suggesting that stx genes of these strains are not phage borne or are located on defective phages. In contrast, mitomycin augments stx transcription in strain 2771/97 and the Stx2d secretors EH250 and 4797/97, in agreement with our previous report that stx2e in strain 2771/97 is located on an intact phage (10), which suggests that also stx2d genes in both Stx2d secretors are phage encoded. Notably, we found no association between the stx transcription level and clinical outcome of the infection within producers of Stx2c, Stx2d, or classical Stx2, in concordance with a recent North American study of E. coli O157:H7 infections (1). Interestingly, although Stxs are A1B5 toxins, the mRNA levels were similar for the A- and B-subunit genes (Fig. 2), suggesting that the stoichiometry of the subunits is not transcriptionally regulated. In summary, we have demonstrated discordance between stx genotype and Stx expression, for stx2d or stx2e. Expression appears to be controlled at the level of transcription. Phenotypic detection of Stx will miss STEC that poorly secrete Stx.

Nucleotide sequence accession numbers.
Nucleotide sequences for
stx2d from
E. coli strains 24196/97,
6451/98, and 5293/98 and
stx2e from
E. coli strain 26725/97
have been entered into the EMBL database under accession numbers
AJ567995 to
AJ567998, respectively.

ACKNOWLEDGMENTS
This study was supported by a grant from the Bundesministerium
für Bildung und Forschung (BMBF) Project Network of Competence
Pathogenomics Alliance ("Functional genomic research on enterohaemorrhagic
Escherichia coli," number 119523).
We thank H. Tschäpe (Robert-Koch Institute, Wernigerode, Germany) for serotyping and P. I. Tarr (Washington University School of Medicine, St. Louis, Mo.) for critical reading of the manuscript and stimulating discussions. The technical assistance of O. Böhler is greatly appreciated.

FOOTNOTES
* Corresponding author. Mailing address: Institut für Hygiene, Universitätsklinikum Münster, Robert-Koch-Str. 41, 48149 Münster, Germany. Phone: 49/251-83 55 361. Fax: 49/251-83 55 341. E-mail:
hkarch{at}uni-muenster.de.


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Applied and Environmental Microbiology, January 2005, p. 558-561, Vol. 71, No. 1
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.1.558-561.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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