J Clin Invest.
2007, The American Society for
Intestinal adherence associated with type IV pili of enterohemorrhagic Escherichia coli O157:H7
1Department of Immunobiology, University of Arizona, Tucson, Arizona, USA.
2Centro de Ciências da Saúde, Centro Universitário do Maranhão, São Luís, Maranhão, Brazil.
3Department of Veterinary Diagnostic and Production Animal Medicine, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
4Unité de Genetique Moleculaire, CNRS URA 2172, Institut Pasteur, Paris, France.
5Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, Maryland, USA.
6Departamento de Microbiología Molecular, Instituto de Biotecnología, Universidad Nacional Autónoma de México, Cuernavaca Morelos, Mexico.
Address correspondence to: Jorge A. Girón, Department of Immunobiology, University of Arizona, 1501 N. Campbell Ave., Tucson, Arizona 85724, USA. Phone: (520) 626-0104; Fax: (520) 626-2100; E-mail:
Published October 18, 2007
Received for publication October 23,
2006, and accepted in revised form August 13,
Enterohemorrhagic Escherichia coli (EHEC) O157:H7 causes hemorrhagic colitis and hemolytic uremic syndrome (HUS) by colonizing the gut mucosa and producing Shiga toxins (Stx). The only factor clearly demonstrated to play a role in EHEC adherence to intestinal epithelial cells is intimin, which binds host cell integrins and nucleolin, as well as a receptor (Tir) that it injects into the host cell. Here we report that EHEC O157:H7 produces adhesive type IV pili, which we term hemorrhagic coli pilus (HCP), composed of a 19-kDa pilin subunit (HcpA) that is encoded by the hcpA chromosomal gene. HCP were observed as bundles of fibers greater than 10 μm in length that formed physical bridges between bacteria adhering to human and bovine host cells. Sera of HUS patients, but not healthy individuals, recognized HcpA, suggesting that the pili are produced in vivo during EHEC infections. Inactivation of the hcpA gene in EHEC EDL933 resulted in significantly reduced adherence to cultured human intestinal and bovine renal epithelial cells and to porcine and bovine gut explants. An escN mutant, which is unable to translocate Tir, adhered less than the hcpA mutant, suggesting that adherence mediated by intimin-Tir interactions is a prelude to HCP-mediated adherence. An hcpA and stx1,2 triple mutant and an hcpA mutant had similar levels of adherence to bovine and human epithelial cells while a stx1,2 double mutant had only a minor defect in adherence, indicating that HCP-mediated adherence and cytotoxicity are independent events. Our data establish that EHEC O157:H7 HCP are intestinal colonization factors that are likely to contribute to the pathogenic potential of this food-borne pathogen.