11 - E. coli Flashcards
1
Q
- What type of bacteria is E. coli?
- Does E. coli ferment lactose?
- Is E. coli indole positive or negative?
- Does E. coli have flagella?
- Does E. coli have capsules?
- Is E. coli capable of hemolysis and if so, what type and on what type of medium?
A
- Gram negative rod.
- Yes
- Positive
- Most strains have flagella
- Some strains have capsules
- Some strains undergo beta hemolysis on blood agar. Most strains that cause septicemia are often beta hemolytic.
2
Q
- E. coli are commensal bacteria. Where are they typically located?
- Explain the genomic difference between commensal and pathogenic strains of E. coli.
A
- Commensals of mammalian gut.
- Pathogenic strains are only 40% similar to commenal strains. They have a number of extra genes that give them pathogenicity.
3
Q
- Name 5 types of general diseases caused by E. coli in many different species.
- Name a disease in pigs.
- Name 2 diseases in man.
- Name a disease in lambs.
A
- Neonatal and post-weaning diarrheaNeonatal septicemiaMastitisUTIsInfection of existing wounds (abscesses)
- Edema disease
- Hemorrhagic colitis (HC)Hemolytic uremic syndrome (HUS)
- Watery mouth.
4
Q
Several groups of E. coli are responsible for causing intestinal infections. Define the following group types and name the species they infect.
- ETEC
- EPEC
- AEEC
- VTEC
A
- Enterotoxigenic E. coli - animals, humans
- Enteropathogenic E. coli - animals, humans
- Attaching and effacting E. coli - animals, humans
- Verotoxigenic E. coli - animals, humans
5
Q
Several groups of E. coli are responsible for causing intestinal infections. Define the following group types and name the species they infect.
- STEC
- EHEC
- EAEC
- DAEC
- EIEC
A
- Shigella-like toxin E. coli - animals, humans
- Enterohemorrhagic E. coli - animals, humans
- Enteroaggressive E. coli - humans
- Diffusely adherent E. coli - humans
- Enteroinvasive E. coli - humans
6
Q
- Define ExPEC and state 4 types of diseases it causes.
- Generally E. coli strains are host specific and are not zoonotic. What strain of E. coli is the exception to this?
A
- Extraintestinal Pathogenic E. coli - causes disease in animals and humans:
- UTIs
- Mastitis
- Septicemia
- Meningitis
- E. coli O157
7
Q
List the virulence factors associated with the following E. coli pathotypes:
- ETEC
- EPEC
A
- Enterotoxigenic E. coli
- Heat labile enterotoxin (LT)
- Heat stable enterotoxin (ST)
- Host-specific fimbriae
- Enteropathogenic E. coli
- Pathogenicity island
- Locus of enterocyte effacement (LEE)
- Type III secretion system (TTSS)
- Intimin
- Host-specific fimbriae
8
Q
List the virulence factors associated with the following E. coli pathotypes:
- EHEC
- ExPEC septicemia and UTI strains
A
- Enterohemorrhagic E. coli
- Pathogenicity island (LEE)
- Type III secretion system (TTSS)
- Intimin
- Host-specific fimbriae
- Vero toxins (VT)
- Shiga-like toxins (SLT)
- Extracellular pathogenic E. coli
- Hemolysin
- Iron uptake systems
- Capsules
- Host-specific fimbriae
9
Q
- What virulence factors are associated with strains of E. coli that cause mastitis?
- How are E. coli pathotypes and virulence factors determined?
A
- Trick question - no particular virulence factors have been identified in strains that cause mastitis. The infection may be an opportunistic situation.
- Send sample to reference lab - test methods:
- Serological - antibodies against virulence factors
- Molecular - DNA probes, PCR
10
Q
List the major diseases caused by E. coli in the following species:
- Cattle
- Pigs
- Dogs and cats
- Poultry
A
- Cattle
- Mastitis
- Septicemia
- Pigs
- Mastitis
- Septicemia
- Dogs and cats
- UTI
- Pyometra
- Septicemia
- Poultry
- Air sacculitis
- Septicemia
- Cellulitis
- Yolk sac infection
NB: causes septicemia and UTIs in all species
11
Q
- Where are strains of E. coli that cause extraintestinal infections (ExPEC) carried in the host?
- Where are strains of E. coli that are pathogens of the GIT carried in the host?
- What are the 4 virulence factors associated with ExPEC strains?
A
- They are are carried in the GIT but do not cause pathology in the GIT. Strains that cause septicemia, UTIs, etc. originate from the gut and get transferred to other sites in the body where they cause pathology.
- They are not carried in the GIT - they are transferred from animal to animal, human to human during disease.
- ExPEC virulence factors
- Capsule
- Fimbriae (host-specific)
- Siderophore
- Toxins
12
Q
- What is the role of the capsule in pathogen survival?
- Why are fimbriae important? What particular disease are they particularly important in?
- What two toxins are important in ExPEC strains?
- What two compounds are associated with siderophores in ExPAC strains?
A
- Capsular polysaccharides prevent phagocytosis and interfere with complement - enhance survival in the tissues. It is the K antigen.
- They are important for attachment. In ExPECs that are important for adherence in UTI’s in all species.
- Toxins
- Hemolysin - lyses both RBCs and WBCs
- CNF-1 - cytotoxic necrotizing factor 1, causes tissue damage
- Siderophore compounds:
- Enterochelin (enterobactin)
- Aerobactin
13
Q
- What strains of E. coli produce enterochelin? Where are the genes for the compound located?
- What strains of E. coli produce aerobactin? Where are the genes for the compound produced?
- How doe the affinity for iron differ between enterochelin and aerobacin?
- Why is there a need for both enterochelin and aerobactin?
A
- Enterochelin is produced by all E. coli strains - the genes are located on the chromosome.
- Not produced by all strains - generally produced by septicemic strains, genes are usually located on a plasmid - if the bacteria loses the plasmid, it becomes avirulent.
- In vitro, affinity of iron: enterochelin > aerobactin
- Need for both because:
- In serum, enterochelin bound by albumin and is inactivated, prevents Fe uptake by bacteria
- Stimulates the production of anti-enterochelin antibodies - prevents Fe uptake by bacteria
- At lower pH, e.g. in urinary tract, affinity for iron: aerobactin > enterochelin
14
Q
- Are ETEC invasive or non-invasive?
- What is the primary disease in animals caused by ETEC?
- What species are affected?
- What diseases are caused by ETEC in humans? Are the strains the same?
- Are ETEC zoonotic?
A
- Non-invasive; sit on mucosal surface and do not invade tissues tf non-inflammatory
- Non-inflammatory, watery diarrhea - is acute and can be life threatening - potentinal to die from dehydration
- Young animals of many species - pigs, cattle, sheep, etc.
- Children’s diarrhea, travellers diarrhea - caused by different strains.
- No. Human and animal isolates have different O groups and do not cross species.
15
Q
- Virulence is often multifactorial. What is meant by this?
- What two genes are responsible for virulence of ETEC?
- Where are they located?
- What virulence factor(s) do they produce?
- What happens if one of the ETEc virulence factors is removed?
A
- Not just one virulence factor is required for disease - often more than one, or several, are required.
- Tox and K88
- On plasmids
- K88 produces fimbriae and Tox produces toxins that cause disease.
- If fimbriae are removed, no attachement to host cells and may get slight diarrhea. If no toxins are produced, the host will not get diarrhea.