Escherichia coli strains that cause diarrhoea but do not produce heat-labile or heat-stable enterotoxins and are non-invasive

MM Levine, DR Nalin, RB Hornick, EJ Bergquist… - The Lancet, 1978 - Elsevier
MM Levine, DR Nalin, RB Hornick, EJ Bergquist, DH Waterman, CR Young, S Sotman…
The Lancet, 1978Elsevier
Three enteropathogenic Escherichia coli (EPEC) strains (0127: K63: H6, 0128: K67: H2, and
0142: K86: H6) isolated from outbreaks of infantile diarrhœa and one strain from the"
normal" colonic flora (E. coli HS) of a healthy adult were fed in doses of 10 6, 10 8, and 10
10 organisms in NaHCO 3 to adult volunteers. The strains, which had been stored for 7-9
years, gave negative results in sensitive tests for heat-labile (LT) enterotoxin (Y-1
adrenalcell test), heat-stable (ST) enterotoxin (infant mouse assay), invasiveness (guineapig …
Abstract
Three enteropathogenic Escherichia coli(E.P.E.C.) strains (0127:K63:H6, 0128:K67:H2, and 0142:K86:H6) isolated from outbreaks of infantile diarrhœa and one strain from the "normal" colonic flora (E. coli HS) of a healthy adult were fed in doses of 106, 108, and 1010 organisms in NaHCO3 to adult volunteers. The strains, which had been stored for 7-9 years, gave negative results in sensitive tests for heat-labile (L.T.) enterotoxin (Y-1 adrenalcell test), heat-stable (S.T.) enterotoxin (infant mouse assay), invasiveness (guineapig eye test), and gross fluid accumulation (infant rabbit assay). Two strains (0142 and 0127) caused diarrhœa. L.T. or S.T. enterotoxins were not found in E. coli stool isolates from individuals with diarrhœa and no one had a rise in L.T. antitoxin titre; the findings suggest that L.T. and S.T. enterotoxins were not involved in pathogenesis of the diarrhœa. Non-invasive E.P.E.C. strains probably induce diarrhœa by a mechanism (presumably an enterotoxin) distinct from L.T. or S.T. enterotoxins.
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